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 $269.15 Typical High $389.05 | Professional | None (both parts) | $223.87 | $269.15 | $389.05 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $50.12 Typical High $69.18 | Professional | 26 · Professional part | $44.67 | $50.12 | $69.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $218.78 Typical High $323.59 | Professional | TC · Technical part | $181.97 | $218.78 | $323.59 |
Anthem BCBS Setting Facility Modifier None Typical Low $309.03 Median $501.19 Typical High $851.14 | Facility | None | $309.03 | $501.19 | $851.14 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $213.80 Median $302.00 Typical High $398.11 | Professional | None (both parts) | $213.80 | $302.00 | $398.11 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $60.26 Typical High $77.62 | Professional | 26 · Professional part | $43.65 | $60.26 | $77.62 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $239.88 Typical High $323.59 | Professional | TC · Technical part | $173.78 | $239.88 | $323.59 |
Cigna Setting Facility Modifier None Typical Low $407.38 Median $691.83 Typical High $1,122.02 | Facility | None | $407.38 | $691.83 | $1,122.02 |
Cigna Setting Professional Modifier None (both parts) Typical Low $269.15 Median $323.59 Typical High $512.86 | Professional | None (both parts) | $269.15 | $323.59 | $512.86 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $60.26 Typical High $89.13 | Professional | 26 · Professional part | $54.95 | $60.26 | $89.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $257.04 Typical High $416.87 | Professional | TC · Technical part | $213.80 | $257.04 | $416.87 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $234.42 Median $288.40 Typical High $302.00 | Professional | None (both parts) | $234.42 | $288.40 | $302.00 |
Health New England Setting Professional Modifier None (both parts) Typical Low $63.10 Median $64.57 Typical High $67.61 | Professional | None (both parts) | $63.10 | $64.57 | $67.61 |
United Setting Professional Modifier None (both parts) Typical Low $229.09 Median $371.54 Typical High $676.08 | Professional | None (both parts) | $229.09 | $371.54 | $676.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $81.28 Typical High $128.82 | Professional | 26 · Professional part | $45.71 | $81.28 | $128.82 |
United Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $338.84 Typical High $537.03 | Professional | TC · Technical part | $190.55 | $338.84 | $537.03 |
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 $100.00 Median $134.90 Typical High $134.90 | Professional | 52 · Reduced service | $100.00 | $134.90 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $53.70 Typical High $53.70 | Professional | 53 · Discontinued | $39.81 | $53.70 | $53.70 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | FX · Film X-ray | $213.80 | $213.80 | $213.80 |
Where Connecticut sits
The same service costs 3.8 times more in Alaska than in Florida. 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.