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 $138.04 Median $194.98 Typical High $194.98 | Professional | None (both parts) | $138.04 | $194.98 | $194.98 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $32.36 Typical High $32.36 | Professional | 26 · Professional part | $23.44 | $32.36 | $32.36 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $162.18 Typical High $162.18 | Professional | TC · Technical part | $112.20 | $162.18 | $162.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $218.78 Median $691.83 Typical High $1,380.38 | Facility | None | $218.78 | $691.83 | $1,380.38 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $131.83 Median $181.97 Typical High $281.84 | Professional | None (both parts) | $131.83 | $181.97 | $281.84 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $32.36 Typical High $51.29 | Professional | 26 · Professional part | $23.44 | $32.36 | $51.29 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $147.91 Typical High $229.09 | Professional | TC · Technical part | $107.15 | $147.91 | $229.09 |
Cigna Setting Facility Modifier None Typical Low $269.15 Median $467.74 Typical High $1,122.02 | Facility | None | $269.15 | $467.74 | $1,122.02 |
Cigna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $380.19 Typical High $489.78 | Professional | None (both parts) | $181.97 | $380.19 | $489.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $37.15 Typical High $51.29 | Professional | 26 · Professional part | $34.67 | $37.15 | $51.29 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $346.74 Typical High $398.11 | Professional | TC · Technical part | $147.91 | $346.74 | $398.11 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $151.36 Median $213.80 Typical High $398.11 | Professional | None (both parts) | $151.36 | $213.80 | $398.11 |
United Setting Professional Modifier None (both parts) Typical Low $128.82 Median $229.09 Typical High $380.19 | Professional | None (both parts) | $128.82 | $229.09 | $380.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $43.65 Typical High $70.79 | Professional | 26 · Professional part | $24.55 | $43.65 | $70.79 |
United Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $181.97 Typical High $309.03 | Professional | TC · Technical part | $102.33 | $181.97 | $309.03 |
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 $69.18 Median $97.72 Typical High $97.72 | Professional | 52 · Reduced service | $69.18 | $97.72 | $97.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $38.90 Typical High $38.90 | Professional | 53 · Discontinued | $27.54 | $38.90 | $38.90 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | FX · Film X-ray | $154.88 | $154.88 | $154.88 |
Where Connecticut sits
The same service costs 5.2 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· 29th of 51
$195
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.