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 $158.49 Median $245.47 Typical High $245.47 | Professional | None (both parts) | $158.49 | $245.47 | $245.47 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $21.38 Typical High $21.38 | Professional | 26 · Professional part | $15.49 | $21.38 | $21.38 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $223.87 Typical High $223.87 | Professional | TC · Technical part | $144.54 | $223.87 | $223.87 |
Anthem BCBS Setting Facility Modifier None Typical Low $223.87 Median $338.84 Typical High $478.63 | Facility | None | $223.87 | $338.84 | $478.63 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $158.49 Median $218.78 Typical High $346.74 | Professional | None (both parts) | $158.49 | $218.78 | $346.74 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $21.88 Typical High $32.36 | Professional | 26 · Professional part | $15.49 | $21.88 | $32.36 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $199.53 Typical High $316.23 | Professional | TC · Technical part | $144.54 | $199.53 | $316.23 |
Cigna Setting Facility Modifier None Typical Low $302.00 Median $467.74 Typical High $933.25 | Facility | None | $302.00 | $467.74 | $933.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $194.98 Typical High $398.11 | Professional | None (both parts) | $134.90 | $194.98 | $398.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $25.12 Typical High $33.88 | Professional | 26 · Professional part | $22.91 | $25.12 | $33.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $173.78 Typical High $346.74 | Professional | TC · Technical part | $112.20 | $173.78 | $346.74 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $141.25 Median $199.53 Typical High $245.47 | Professional | None (both parts) | $141.25 | $199.53 | $245.47 |
United Setting Professional Modifier None (both parts) Typical Low $154.88 Median $275.42 Typical High $489.78 | Professional | None (both parts) | $154.88 | $275.42 | $489.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $28.84 Typical High $46.77 | Professional | 26 · Professional part | $16.22 | $28.84 | $46.77 |
United Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $281.84 Typical High $436.52 | Professional | TC · Technical part | $154.88 | $281.84 | $436.52 |
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 $79.43 Median $123.03 Typical High $123.03 | Professional | 52 · Reduced service | $79.43 | $123.03 | $123.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $48.98 Typical High $48.98 | Professional | 53 · Discontinued | $31.62 | $48.98 | $48.98 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $194.98 Median $194.98 Typical High $194.98 | Professional | FX · Film X-ray | $194.98 | $194.98 | $194.98 |
Where Connecticut sits
The same service costs 4.5 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· 25th of 51
$219
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.