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 $288.40 Median $389.05 Typical High $549.54 | Professional | None (both parts) | $288.40 | $389.05 | $549.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $41.69 Typical High $57.54 | Professional | 26 · Professional part | $37.15 | $41.69 | $57.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $346.74 Typical High $501.19 | Professional | TC · Technical part | $263.03 | $346.74 | $501.19 |
Anthem BCBS Setting Facility Modifier None Typical Low $354.81 Median $467.74 Typical High $776.25 | Facility | None | $354.81 | $467.74 | $776.25 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $302.00 Median $416.87 Typical High $478.63 | Professional | None (both parts) | $302.00 | $416.87 | $478.63 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $50.12 Typical High $64.57 | Professional | 26 · Professional part | $35.48 | $50.12 | $64.57 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $363.08 Typical High $416.87 | Professional | TC · Technical part | $263.03 | $363.08 | $416.87 |
Cigna Setting Facility Modifier None Typical Low $407.38 Median $851.14 Typical High $1,548.82 | Facility | None | $407.38 | $851.14 | $1,548.82 |
Cigna Setting Professional Modifier None (both parts) Typical Low $239.88 Median $380.19 Typical High $707.95 | Professional | None (both parts) | $239.88 | $380.19 | $707.95 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $48.98 Typical High $74.13 | Professional | 26 · Professional part | $45.71 | $48.98 | $74.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $331.13 Typical High $630.96 | Professional | TC · Technical part | $194.98 | $331.13 | $630.96 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $251.19 Median $323.59 Typical High $416.87 | Professional | None (both parts) | $251.19 | $323.59 | $416.87 |
Health New England Setting Facility Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $1,737.80 | Facility | None | $1,737.80 | $1,737.80 | $1,737.80 |
Health New England Setting Professional Modifier None (both parts) Typical Low $52.48 Median $53.70 Typical High $70.79 | Professional | None (both parts) | $52.48 | $53.70 | $70.79 |
United Setting Professional Modifier None (both parts) Typical Low $275.42 Median $524.81 Typical High $954.99 | Professional | None (both parts) | $275.42 | $524.81 | $954.99 |
United Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $66.07 Typical High $109.65 | Professional | 26 · Professional part | $37.15 | $66.07 | $109.65 |
United Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $537.03 Typical High $851.14 | Professional | TC · Technical part | $295.12 | $537.03 | $851.14 |
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 $131.83 Median $194.98 Typical High $194.98 | Professional | 52 · Reduced service | $131.83 | $194.98 | $194.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $53.70 Median $77.62 Typical High $77.62 | Professional | 53 · Discontinued | $53.70 | $77.62 | $77.62 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $316.23 Median $316.23 Typical High $316.23 | Professional | FX · Film X-ray | $316.23 | $316.23 | $316.23 |
Where Connecticut sits
The same service costs 3.5 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
$407
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.