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 $181.97 Median $199.53 Typical High $316.23 | Professional | None (both parts) | $181.97 | $199.53 | $316.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $63.10 Typical High $87.10 | Professional | 26 · Professional part | $57.54 | $63.10 | $87.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $138.04 Typical High $213.80 | Professional | TC · Technical part | $125.89 | $138.04 | $213.80 |
Anthem BCBS Setting Facility Modifier None Typical Low $213.80 Median $416.87 Typical High $851.14 | Facility | None | $213.80 | $416.87 | $851.14 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $177.83 Median $245.47 Typical High $295.12 | Professional | None (both parts) | $177.83 | $245.47 | $295.12 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $75.86 Typical High $97.72 | Professional | 26 · Professional part | $53.70 | $75.86 | $97.72 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $169.82 Typical High $204.17 | Professional | TC · Technical part | $123.03 | $169.82 | $204.17 |
Cigna Setting Facility Modifier None Typical Low $263.03 Median $562.34 Typical High $851.14 | Facility | None | $263.03 | $562.34 | $851.14 |
Cigna Setting Professional Modifier None (both parts) Typical Low $239.88 Median $295.12 Typical High $398.11 | Professional | None (both parts) | $239.88 | $295.12 | $398.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $74.13 Typical High $112.20 | Professional | 26 · Professional part | $70.79 | $74.13 | $112.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $218.78 Typical High $302.00 | Professional | TC · Technical part | $169.82 | $218.78 | $302.00 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $177.83 Median $245.47 Typical High $288.40 | Professional | None (both parts) | $177.83 | $245.47 | $288.40 |
Health New England Setting Professional Modifier None (both parts) Typical Low $79.43 Median $81.28 Typical High $87.10 | Professional | None (both parts) | $79.43 | $81.28 | $87.10 |
United Setting Professional Modifier None (both parts) Typical Low $177.83 Median $316.23 Typical High $524.81 | Professional | None (both parts) | $177.83 | $316.23 | $524.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $100.00 Typical High $162.18 | Professional | 26 · Professional part | $57.54 | $100.00 | $162.18 |
United Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $218.78 Typical High $371.54 | Professional | TC · Technical part | $123.03 | $218.78 | $371.54 |
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 $81.28 Median $100.00 Typical High $100.00 | Professional | 52 · Reduced service | $81.28 | $100.00 | $100.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $40.74 Typical High $40.74 | Professional | 53 · Discontinued | $32.36 | $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 4.4 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· 23rd of 51
$245
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.