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 $144.54 Median $204.17 Typical High $204.17 | Professional | None (both parts) | $144.54 | $204.17 | $204.17 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $39.81 Typical High $39.81 | Professional | 26 · Professional part | $31.62 | $39.81 | $39.81 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $162.18 Typical High $162.18 | Professional | TC · Technical part | $117.49 | $162.18 | $162.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $245.47 Median $354.81 Typical High $501.19 | Facility | None | $245.47 | $354.81 | $501.19 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $173.78 Median $239.88 Typical High $363.08 | Professional | None (both parts) | $173.78 | $239.88 | $363.08 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $48.98 Typical High $70.79 | Professional | 26 · Professional part | $35.48 | $48.98 | $70.79 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $190.55 Typical High $288.40 | Professional | TC · Technical part | $138.04 | $190.55 | $288.40 |
Cigna Setting Facility Modifier None Typical Low $302.00 Median $478.63 Typical High $1,023.29 | Facility | None | $302.00 | $478.63 | $1,023.29 |
Cigna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $229.09 Typical High $398.11 | Professional | None (both parts) | $169.82 | $229.09 | $398.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $47.86 Typical High $72.44 | Professional | 26 · Professional part | $44.67 | $47.86 | $72.44 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $177.83 Typical High $323.59 | Professional | TC · Technical part | $125.89 | $177.83 | $323.59 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $177.83 Median $213.80 Typical High $239.88 | Professional | None (both parts) | $177.83 | $213.80 | $239.88 |
United Setting Professional Modifier None (both parts) Typical Low $173.78 Median $288.40 Typical High $478.63 | Professional | None (both parts) | $173.78 | $288.40 | $478.63 |
United Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $64.57 Typical High $104.71 | Professional | 26 · Professional part | $36.31 | $64.57 | $104.71 |
United Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $251.19 Typical High $380.19 | Professional | TC · Technical part | $144.54 | $251.19 | $380.19 |
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 $72.44 Median $102.33 Typical High $102.33 | Professional | 52 · Reduced service | $72.44 | $102.33 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $40.74 Typical High $40.74 | Professional | 53 · Discontinued | $28.84 | $40.74 | $40.74 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | FX · Film X-ray | $162.18 | $162.18 | $162.18 |
Where Connecticut sits
The same service costs 4.8 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· 21st of 51
$240
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.