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 $165.96 Median $223.87 Typical High $223.87 | Professional | None (both parts) | $165.96 | $223.87 | $223.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $26.30 Typical High $27.54 | Professional | 26 · Professional part | $21.88 | $26.30 | $27.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $199.53 Typical High $199.53 | Professional | TC · Technical part | $144.54 | $199.53 | $199.53 |
Anthem BCBS Setting Facility Modifier None Typical Low $251.19 Median $323.59 Typical High $562.34 | Facility | None | $251.19 | $323.59 | $562.34 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $186.21 Median $257.04 Typical High $323.59 | Professional | None (both parts) | $186.21 | $257.04 | $323.59 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $31.62 Typical High $40.74 | Professional | 26 · Professional part | $22.91 | $31.62 | $40.74 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $223.87 Typical High $288.40 | Professional | TC · Technical part | $162.18 | $223.87 | $288.40 |
Cigna Setting Facility Modifier None Typical Low $354.81 Median $524.81 Typical High $1,047.13 | Facility | None | $354.81 | $524.81 | $1,047.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $165.96 Median $239.88 Typical High $426.58 | Professional | None (both parts) | $165.96 | $239.88 | $426.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $30.20 Typical High $46.77 | Professional | 26 · Professional part | $28.84 | $30.20 | $46.77 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $199.53 Typical High $371.54 | Professional | TC · Technical part | $138.04 | $199.53 | $371.54 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $173.78 Median $213.80 Typical High $257.04 | Professional | None (both parts) | $173.78 | $213.80 | $257.04 |
Health New England Setting Professional Modifier None (both parts) Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | None (both parts) | $32.36 | $32.36 | $32.36 |
United Setting Professional Modifier None (both parts) Typical Low $177.83 Median $309.03 Typical High $562.34 | Professional | None (both parts) | $177.83 | $309.03 | $562.34 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $40.74 Typical High $67.61 | Professional | 26 · Professional part | $23.44 | $40.74 | $67.61 |
United Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $316.23 Typical High $501.19 | Professional | TC · Technical part | $169.82 | $316.23 | $501.19 |
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 $81.28 Median $112.20 Typical High $112.20 | Professional | 52 · Reduced service | $81.28 | $112.20 | $112.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $44.67 Typical High $44.67 | Professional | 53 · Discontinued | $32.36 | $44.67 | $44.67 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | FX · Film X-ray | $181.97 | $181.97 | $181.97 |
Where Connecticut sits
The same service costs 4.6 times more in Alaska than in Kentucky. 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· 22nd of 51
$257
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.