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 $177.83 Median $204.17 Typical High $302.00 | Professional | None (both parts) | $177.83 | $204.17 | $302.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $16.22 Typical High $21.88 | Professional | 26 · Professional part | $14.79 | $16.22 | $21.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $186.21 Typical High $275.42 | Professional | TC · Technical part | $162.18 | $186.21 | $275.42 |
Anthem BCBS Setting Facility Modifier None Typical Low $151.36 Median $245.47 Typical High $323.59 | Facility | None | $151.36 | $245.47 | $323.59 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $162.18 Median $223.87 Typical High $302.00 | Professional | None (both parts) | $162.18 | $223.87 | $302.00 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $19.05 Typical High $24.55 | Professional | 26 · Professional part | $13.80 | $19.05 | $24.55 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $204.17 Typical High $275.42 | Professional | TC · Technical part | $147.91 | $204.17 | $275.42 |
Cigna Setting Facility Modifier None Typical Low $204.17 Median $512.86 Typical High $977.24 | Facility | None | $204.17 | $512.86 | $977.24 |
Cigna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $204.17 Typical High $389.05 | Professional | None (both parts) | $93.33 | $204.17 | $389.05 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $18.62 Typical High $28.84 | Professional | 26 · Professional part | $17.78 | $18.62 | $28.84 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $186.21 Typical High $354.81 | Professional | TC · Technical part | $75.86 | $186.21 | $354.81 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $95.50 Median $213.80 Typical High $223.87 | Professional | None (both parts) | $95.50 | $213.80 | $223.87 |
United Setting Professional Modifier None (both parts) Typical Low $128.82 Median $275.42 Typical High $512.86 | Professional | None (both parts) | $128.82 | $275.42 | $512.86 |
United Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $25.70 Typical High $41.69 | Professional | 26 · Professional part | $14.45 | $25.70 | $41.69 |
United Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $288.40 Typical High $467.74 | Professional | TC · Technical part | $158.49 | $288.40 | $467.74 |
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 $74.13 Median $102.33 Typical High $102.33 | Professional | 52 · Reduced service | $74.13 | $102.33 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $40.74 Typical High $40.74 | Professional | 53 · Discontinued | $29.51 | $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 4.3 times more in Alabama than in Indiana. 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· 23rd of 51
$224
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.