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 $66.07 Median $117.49 Typical High $117.49 | Professional | None (both parts) | $66.07 | $117.49 | $117.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $10.72 Typical High $10.72 | Professional | 26 · Professional part | $7.59 | $10.72 | $10.72 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $104.71 Typical High $104.71 | Professional | TC · Technical part | $57.54 | $104.71 | $104.71 |
Anthem BCBS Setting Facility Modifier None Typical Low $91.20 Median $138.04 Typical High $194.98 | Facility | None | $91.20 | $138.04 | $194.98 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $74.13 Median $100.00 Typical High $144.54 | Professional | None (both parts) | $74.13 | $100.00 | $144.54 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $10.72 Typical High $15.49 | Professional | 26 · Professional part | $7.59 | $10.72 | $15.49 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $89.13 Typical High $131.83 | Professional | TC · Technical part | $66.07 | $89.13 | $131.83 |
Cigna Setting Facility Modifier None Typical Low $123.03 Median $190.55 Typical High $467.74 | Facility | None | $123.03 | $190.55 | $467.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $56.23 Median $87.10 Typical High $162.18 | Professional | None (both parts) | $56.23 | $87.10 | $162.18 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $12.02 Typical High $16.60 | Professional | 26 · Professional part | $10.96 | $12.02 | $16.60 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $77.62 Typical High $144.54 | Professional | TC · Technical part | $45.71 | $77.62 | $144.54 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $58.88 Median $85.11 Typical High $102.33 | Professional | None (both parts) | $58.88 | $85.11 | $102.33 |
United Setting Professional Modifier None (both parts) Typical Low $67.61 Median $123.03 Typical High $213.80 | Professional | None (both parts) | $67.61 | $123.03 | $213.80 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $13.80 Typical High $22.39 | Professional | 26 · Professional part | $7.76 | $13.80 | $22.39 |
United Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $112.20 Typical High $190.55 | Professional | TC · Technical part | $63.10 | $112.20 | $190.55 |
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 $33.11 Median $57.54 Typical High $57.54 | Professional | 52 · Reduced service | $33.11 | $57.54 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.18 Median $23.44 Typical High $23.44 | Professional | 53 · Discontinued | $13.18 | $23.44 | $23.44 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | FX · Film X-ray | $93.33 | $93.33 | $93.33 |
Where Connecticut sits
The same service costs 8.1 times more in Alabama than in Indiana. 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· 21st of 51
$102
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.