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 $190.55 Median $263.03 Typical High $263.03 | Professional | None (both parts) | $190.55 | $263.03 | $263.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $47.86 Typical High $47.86 | Professional | 26 · Professional part | $38.90 | $47.86 | $47.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $213.80 Typical High $213.80 | Professional | TC · Technical part | $154.88 | $213.80 | $213.80 |
Anthem BCBS Setting Facility Modifier None Typical Low $338.84 Median $501.19 Typical High $1,000.00 | Facility | None | $338.84 | $501.19 | $1,000.00 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $208.93 Median $288.40 Typical High $457.09 | Professional | None (both parts) | $208.93 | $288.40 | $457.09 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $58.88 Typical High $87.10 | Professional | 26 · Professional part | $42.66 | $58.88 | $87.10 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $234.42 Typical High $380.19 | Professional | TC · Technical part | $165.96 | $234.42 | $380.19 |
Cigna Setting Facility Modifier None Typical Low $389.05 Median $776.25 Typical High $1,412.54 | Facility | None | $389.05 | $776.25 | $1,412.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $295.12 Median $316.23 Typical High $489.78 | Professional | None (both parts) | $295.12 | $316.23 | $489.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $57.54 Typical High $87.10 | Professional | 26 · Professional part | $53.70 | $57.54 | $87.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $263.03 Typical High $398.11 | Professional | TC · Technical part | $234.42 | $263.03 | $398.11 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $245.47 Median $309.03 Typical High $338.84 | Professional | None (both parts) | $245.47 | $309.03 | $338.84 |
United Setting Professional Modifier None (both parts) Typical Low $218.78 Median $363.08 Typical High $645.65 | Professional | None (both parts) | $218.78 | $363.08 | $645.65 |
United Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $77.62 Typical High $125.89 | Professional | 26 · Professional part | $43.65 | $77.62 | $125.89 |
United Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $323.59 Typical High $512.86 | Professional | TC · Technical part | $186.21 | $323.59 | $512.86 |
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 $95.50 Median $131.83 Typical High $131.83 | Professional | 52 · Reduced service | $95.50 | $131.83 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $52.48 Typical High $52.48 | Professional | 53 · Discontinued | $38.02 | $52.48 | $52.48 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | FX · Film X-ray | $208.93 | $208.93 | $208.93 |
Where Connecticut sits
The same service costs 4.6 times more in Alaska 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· 28th of 51
$288
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.