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 $154.88 Median $199.53 Typical High $199.53 | Professional | None (both parts) | $154.88 | $199.53 | $199.53 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $51.29 Typical High $51.29 | Professional | 26 · Professional part | $42.66 | $51.29 | $51.29 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $147.91 Typical High $147.91 | Professional | TC · Technical part | $109.65 | $147.91 | $147.91 |
Anthem BCBS Setting Facility Modifier None Typical Low $257.04 Median $489.78 Typical High $1,000.00 | Facility | None | $257.04 | $489.78 | $1,000.00 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $173.78 Median $229.09 Typical High $380.19 | Professional | None (both parts) | $173.78 | $229.09 | $380.19 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $61.66 Typical High $93.33 | Professional | 26 · Professional part | $44.67 | $61.66 | $93.33 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $169.82 Typical High $288.40 | Professional | TC · Technical part | $123.03 | $169.82 | $288.40 |
Cigna Setting Facility Modifier None Typical Low $309.03 Median $602.56 Typical High $933.25 | Facility | None | $309.03 | $602.56 | $933.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $245.47 Median $309.03 Typical High $436.52 | Professional | None (both parts) | $245.47 | $309.03 | $436.52 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $61.66 Typical High $93.33 | Professional | 26 · Professional part | $58.88 | $61.66 | $93.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $245.47 Typical High $354.81 | Professional | TC · Technical part | $169.82 | $245.47 | $354.81 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $194.98 Median $251.19 Typical High $316.23 | Professional | None (both parts) | $194.98 | $251.19 | $316.23 |
United Setting Professional Modifier None (both parts) Typical Low $177.83 Median $316.23 Typical High $512.86 | Professional | None (both parts) | $177.83 | $316.23 | $512.86 |
United Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $83.18 Typical High $134.90 | Professional | 26 · Professional part | $46.77 | $83.18 | $134.90 |
United Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $234.42 Typical High $380.19 | Professional | TC · Technical part | $131.83 | $234.42 | $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 $77.62 Median $100.00 Typical High $100.00 | Professional | 52 · Reduced service | $77.62 | $100.00 | $100.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $39.81 Typical High $39.81 | Professional | 53 · Discontinued | $30.90 | $39.81 | $39.81 |
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 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· 25th of 51
$251
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.