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 $74.13 Median $109.65 Typical High $109.65 | Professional | None (both parts) | $74.13 | $109.65 | $109.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $12.59 Typical High $12.59 | Professional | 26 · Professional part | $9.12 | $12.59 | $12.59 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $95.50 Typical High $95.50 | Professional | TC · Technical part | $66.07 | $95.50 | $95.50 |
Anthem BCBS Setting Facility Modifier None Typical Low $114.82 Median $194.98 Typical High $331.13 | Facility | None | $114.82 | $194.98 | $331.13 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $75.86 Median $104.71 Typical High $147.91 | Professional | None (both parts) | $75.86 | $104.71 | $147.91 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $12.59 Typical High $19.05 | Professional | 26 · Professional part | $8.91 | $12.59 | $19.05 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $91.20 Typical High $128.82 | Professional | TC · Technical part | $66.07 | $91.20 | $128.82 |
Cigna Setting Facility Modifier None Typical Low $134.90 Median $257.04 Typical High $457.09 | Facility | None | $134.90 | $257.04 | $457.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $109.65 Typical High $165.96 | Professional | None (both parts) | $95.50 | $109.65 | $165.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $14.13 Typical High $19.95 | Professional | 26 · Professional part | $13.49 | $14.13 | $19.95 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $95.50 Typical High $144.54 | Professional | TC · Technical part | $83.18 | $95.50 | $144.54 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $87.10 Median $104.71 Typical High $109.65 | Professional | None (both parts) | $87.10 | $104.71 | $109.65 |
United Setting Professional Modifier None (both parts) Typical Low $72.44 Median $123.03 Typical High $218.78 | Professional | None (both parts) | $72.44 | $123.03 | $218.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $16.98 Typical High $27.54 | Professional | 26 · Professional part | $9.55 | $16.98 | $27.54 |
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 $37.15 Median $54.95 Typical High $54.95 | Professional | 52 · Reduced service | $37.15 | $54.95 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.14 Median $21.88 Typical High $21.88 | Professional | 53 · Discontinued | $15.14 | $21.88 | $21.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | FX · Film X-ray | $87.10 | $87.10 | $87.10 |
Where Connecticut sits
The same service costs 7.2 times more in Alabama than in Texas. 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· 24th of 51
$105
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.