How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier None (both parts) Typical Low $79.43 Median $95.50 Typical High $144.54 | Professional | None (both parts) | $79.43 | $95.50 | $144.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $29.51 Typical High $41.69 | Professional | 26 · Professional part | $27.54 | $29.51 | $41.69 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $66.07 Typical High $102.33 | Professional | TC · Technical part | $52.48 | $66.07 | $102.33 |
Anthem BCBS Setting Facility Modifier None Typical Low $104.71 Median $151.36 Typical High $257.04 | Facility | None | $104.71 | $151.36 | $257.04 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $81.28 Median $112.20 Typical High $144.54 | Professional | None (both parts) | $81.28 | $112.20 | $144.54 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $36.31 Typical High $47.86 | Professional | 26 · Professional part | $26.30 | $36.31 | $47.86 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $75.86 Typical High $97.72 | Professional | TC · Technical part | $54.95 | $75.86 | $97.72 |
Cigna Setting Facility Modifier None Typical Low $10.72 Median $114.82 Typical High $295.12 | Facility | None | $10.72 | $114.82 | $295.12 |
Cigna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $114.82 Typical High $181.97 | Professional | None (both parts) | $95.50 | $114.82 | $181.97 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $37.15 Typical High $52.48 | Professional | 26 · Professional part | $33.88 | $37.15 | $52.48 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $79.43 Typical High $123.03 | Professional | TC · Technical part | $64.57 | $79.43 | $123.03 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $85.11 Median $104.71 Typical High $112.20 | Professional | None (both parts) | $85.11 | $104.71 | $112.20 |
Health New England Setting Professional Modifier None (both parts) Typical Low $37.15 Median $38.02 Typical High $57.54 | Professional | None (both parts) | $37.15 | $38.02 | $57.54 |
United Setting Professional Modifier None (both parts) Typical Low $81.28 Median $131.83 Typical High $239.88 | Professional | None (both parts) | $81.28 | $131.83 | $239.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $47.86 Typical High $75.86 | Professional | 26 · Professional part | $26.92 | $47.86 | $75.86 |
United Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $102.33 Typical High $162.18 | Professional | TC · Technical part | $57.54 | $102.33 | $162.18 |
3 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $36.31 Median $47.86 Typical High $47.86 | Professional | 52 · Reduced service | $36.31 | $47.86 | $47.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.45 Median $19.05 Typical High $19.05 | Professional | 53 · Discontinued | $14.45 | $19.05 | $19.05 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | FX · Film X-ray | $75.86 | $75.86 | $75.86 |
Where Connecticut sits
The same service costs 4.6 times more in Alaska than in Florida. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Connecticut· 20th of 51
$112
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.