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 $245.47 Typical High $245.47 | Professional | None (both parts) | $177.83 | $245.47 | $245.47 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $25.12 Typical High $25.12 | Professional | 26 · Professional part | $19.95 | $25.12 | $25.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $218.78 Typical High $218.78 | Professional | TC · Technical part | $158.49 | $218.78 | $218.78 |
Anthem BCBS Setting Facility Modifier None Typical Low $281.84 Median $398.11 Typical High $676.08 | Facility | None | $281.84 | $398.11 | $676.08 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $208.93 Median $288.40 Typical High $371.54 | Professional | None (both parts) | $208.93 | $288.40 | $371.54 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $32.36 Typical High $40.74 | Professional | 26 · Professional part | $23.44 | $32.36 | $40.74 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $257.04 Typical High $331.13 | Professional | TC · Technical part | $186.21 | $257.04 | $331.13 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $630.96 Typical High $1,202.26 | Facility | None | $398.11 | $630.96 | $1,202.26 |
Cigna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $281.84 Typical High $489.78 | Professional | None (both parts) | $194.98 | $281.84 | $489.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $30.20 Typical High $46.77 | Professional | 26 · Professional part | $28.84 | $30.20 | $46.77 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $239.88 Typical High $436.52 | Professional | TC · Technical part | $169.82 | $239.88 | $436.52 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $204.17 Median $245.47 Typical High $295.12 | Professional | None (both parts) | $204.17 | $245.47 | $295.12 |
United Setting Professional Modifier None (both parts) Typical Low $204.17 Median $346.74 Typical High $645.65 | Professional | None (both parts) | $204.17 | $346.74 | $645.65 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $40.74 Typical High $67.61 | Professional | 26 · Professional part | $23.44 | $40.74 | $67.61 |
United Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $354.81 Typical High $588.84 | Professional | TC · Technical part | $194.98 | $354.81 | $588.84 |
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 $89.13 Median $123.03 Typical High $123.03 | Professional | 52 · Reduced service | $89.13 | $123.03 | $123.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $48.98 Typical High $48.98 | Professional | 53 · Discontinued | $35.48 | $48.98 | $48.98 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $194.98 Median $194.98 Typical High $194.98 | Professional | FX · Film X-ray | $194.98 | $194.98 | $194.98 |
Where Connecticut sits
The same service costs 4.8 times more in Alaska than in Kentucky. 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
$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.