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 $239.88 Median $257.04 Typical High $263.03 | Professional | None (both parts) | $239.88 | $257.04 | $263.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $61.66 Typical High $63.10 | Professional | 26 · Professional part | $53.70 | $61.66 | $63.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $194.98 Typical High $199.53 | Professional | TC · Technical part | $173.78 | $194.98 | $199.53 |
Anthem BCBS Setting Facility Modifier None Typical Low $323.59 Median $660.69 Typical High $1,318.26 | Facility | None | $323.59 | $660.69 | $1,318.26 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $218.78 Median $302.00 Typical High $467.74 | Professional | None (both parts) | $218.78 | $302.00 | $467.74 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $75.86 Typical High $112.20 | Professional | 26 · Professional part | $54.95 | $75.86 | $112.20 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $223.87 Typical High $363.08 | Professional | TC · Technical part | $162.18 | $223.87 | $363.08 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $776.25 Typical High $1,258.93 | Facility | None | $398.11 | $776.25 | $1,258.93 |
Cigna Setting Professional Modifier None (both parts) Typical Low $309.03 Median $416.87 Typical High $575.44 | Professional | None (both parts) | $309.03 | $416.87 | $575.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $74.13 Typical High $112.20 | Professional | 26 · Professional part | $69.18 | $74.13 | $112.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $331.13 Typical High $478.63 | Professional | TC · Technical part | $223.87 | $331.13 | $478.63 |
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 |
United Setting Professional Modifier None (both parts) Typical Low $229.09 Median $407.38 Typical High $660.69 | Professional | None (both parts) | $229.09 | $407.38 | $660.69 |
United Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $100.00 Typical High $162.18 | Professional | 26 · Professional part | $56.23 | $100.00 | $162.18 |
United Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $309.03 Typical High $489.78 | Professional | TC · Technical part | $173.78 | $309.03 | $489.78 |
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 $128.82 Typical High $128.82 | Professional | 52 · Reduced service | $97.72 | $128.82 | $128.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $51.29 Typical High $51.29 | Professional | 53 · Discontinued | $38.90 | $51.29 | $51.29 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $204.17 Median $204.17 Typical High $204.17 | Professional | FX · Film X-ray | $204.17 | $204.17 | $204.17 |
Where Connecticut sits
The same service costs 4.7 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· 26th of 51
$302
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.