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 $107.15 Median $123.03 Typical High $125.89 | Professional | None (both parts) | $107.15 | $123.03 | $125.89 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $19.50 Typical High $20.42 | Professional | 26 · Professional part | $18.20 | $19.50 | $20.42 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $104.71 Typical High $104.71 | Professional | TC · Technical part | $89.13 | $104.71 | $104.71 |
Anthem BCBS Setting Facility Modifier None Typical Low $138.04 Median $199.53 Typical High $338.84 | Facility | None | $138.04 | $199.53 | $338.84 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $102.33 Median $141.25 Typical High $181.97 | Professional | None (both parts) | $102.33 | $141.25 | $181.97 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $23.44 Typical High $30.20 | Professional | 26 · Professional part | $16.98 | $23.44 | $30.20 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $117.49 Typical High $151.36 | Professional | TC · Technical part | $85.11 | $117.49 | $151.36 |
Cigna Setting Facility Modifier None Typical Low $177.83 Median $316.23 Typical High $602.56 | Facility | None | $177.83 | $316.23 | $602.56 |
Cigna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $144.54 Typical High $251.19 | Professional | None (both parts) | $107.15 | $144.54 | $251.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $23.44 Typical High $35.48 | Professional | 26 · Professional part | $21.38 | $23.44 | $35.48 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $120.23 Typical High $213.80 | Professional | TC · Technical part | $85.11 | $120.23 | $213.80 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $102.33 Median $120.23 Typical High $141.25 | Professional | None (both parts) | $102.33 | $120.23 | $141.25 |
United Setting Professional Modifier None (both parts) Typical Low $104.71 Median $173.78 Typical High $346.74 | Professional | None (both parts) | $104.71 | $173.78 | $346.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $30.90 Typical High $51.29 | Professional | 26 · Professional part | $17.38 | $30.90 | $51.29 |
United Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $165.96 Typical High $295.12 | Professional | TC · Technical part | $91.20 | $165.96 | $295.12 |
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 $44.67 Median $61.66 Typical High $61.66 | Professional | 52 · Reduced service | $44.67 | $61.66 | $61.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $24.55 Typical High $24.55 | Professional | 53 · Discontinued | $17.78 | $24.55 | $24.55 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | FX · Film X-ray | $97.72 | $97.72 | $97.72 |
Where Connecticut sits
The same service costs 5.5 times more in Alabama 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· 20th of 51
$141
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.