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 $223.87 Median $263.03 Typical High $389.05 | Professional | None (both parts) | $223.87 | $263.03 | $389.05 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $51.29 Typical High $72.44 | Professional | 26 · Professional part | $45.71 | $51.29 | $72.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $213.80 Typical High $316.23 | Professional | TC · Technical part | $177.83 | $213.80 | $316.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $338.84 Median $524.81 Typical High $1,047.13 | Facility | None | $338.84 | $524.81 | $1,047.13 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $213.80 Median $295.12 Typical High $467.74 | Professional | None (both parts) | $213.80 | $295.12 | $467.74 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $61.66 Typical High $91.20 | Professional | 26 · Professional part | $44.67 | $61.66 | $91.20 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $234.42 Typical High $371.54 | Professional | TC · Technical part | $169.82 | $234.42 | $371.54 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $776.25 Typical High $1,096.48 | Facility | None | $398.11 | $776.25 | $1,096.48 |
Cigna Setting Professional Modifier None (both parts) Typical Low $316.23 Median $338.84 Typical High $467.74 | Professional | None (both parts) | $316.23 | $338.84 | $467.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $61.66 Typical High $91.20 | Professional | 26 · Professional part | $57.54 | $61.66 | $91.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $275.42 Typical High $407.38 | Professional | TC · Technical part | $234.42 | $275.42 | $407.38 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $251.19 Median $302.00 Typical High $346.74 | Professional | None (both parts) | $251.19 | $302.00 | $346.74 |
United Setting Professional Modifier None (both parts) Typical Low $223.87 Median $407.38 Typical High $660.69 | Professional | None (both parts) | $223.87 | $407.38 | $660.69 |
United Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $83.18 Typical High $131.83 | Professional | 26 · Professional part | $46.77 | $83.18 | $131.83 |
United Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $331.13 Typical High $524.81 | Professional | TC · Technical part | $186.21 | $331.13 | $524.81 |
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 $97.72 Median $131.83 Typical High $131.83 | Professional | 52 · Reduced service | $97.72 | $131.83 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $52.48 Typical High $52.48 | Professional | 53 · Discontinued | $38.90 | $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 3.5 times more in Wisconsin 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· 22nd of 51
$309
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.