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 $114.82 Median $114.82 Typical High $128.82 | Professional | None (both parts) | $114.82 | $114.82 | $128.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $20.89 Typical High $22.39 | Professional | 26 · Professional part | $20.89 | $20.89 | $22.39 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $95.50 Typical High $109.65 | Professional | TC · Technical part | $95.50 | $95.50 | $109.65 |
Anthem BCBS Setting Facility Modifier None Typical Low $138.04 Median $331.13 Typical High $676.08 | Facility | None | $138.04 | $331.13 | $676.08 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $107.15 Median $147.91 Typical High $181.97 | Professional | None (both parts) | $107.15 | $147.91 | $181.97 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $25.12 Typical High $35.48 | Professional | 26 · Professional part | $18.20 | $25.12 | $35.48 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $123.03 Typical High $154.88 | Professional | TC · Technical part | $89.13 | $123.03 | $154.88 |
Cigna Setting Facility Modifier None Typical Low $181.97 Median $398.11 Typical High $660.69 | Facility | None | $181.97 | $398.11 | $660.69 |
Cigna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $194.98 Typical High $275.42 | Professional | None (both parts) | $141.25 | $194.98 | $275.42 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $28.84 Typical High $39.81 | Professional | 26 · Professional part | $25.70 | $28.84 | $39.81 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $165.96 Typical High $239.88 | Professional | TC · Technical part | $117.49 | $165.96 | $239.88 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $117.49 Median $147.91 Typical High $199.53 | Professional | None (both parts) | $117.49 | $147.91 | $199.53 |
United Setting Professional Modifier None (both parts) Typical Low $104.71 Median $186.21 Typical High $316.23 | Professional | None (both parts) | $104.71 | $186.21 | $316.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $33.88 Typical High $54.95 | Professional | 26 · Professional part | $19.05 | $33.88 | $54.95 |
United Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $154.88 Typical High $257.04 | Professional | TC · Technical part | $87.10 | $154.88 | $257.04 |
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 $46.77 Median $57.54 Typical High $57.54 | Professional | 52 · Reduced service | $46.77 | $57.54 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $22.91 Typical High $22.91 | Professional | 53 · Discontinued | $18.62 | $22.91 | $22.91 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | FX · Film X-ray | $91.20 | $91.20 | $91.20 |
Where Connecticut sits
The same service costs 5.0 times more in Alabama than in New York. 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· 28th of 51
$148
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.