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 $63.10 Median $81.28 Typical High $81.28 | Professional | None (both parts) | $63.10 | $81.28 | $81.28 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $7.94 Typical High $7.94 | Professional | 26 · Professional part | $7.08 | $7.94 | $7.94 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $74.13 Typical High $74.13 | Professional | TC · Technical part | $57.54 | $74.13 | $74.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $100.00 Median $162.18 Typical High $281.84 | Facility | None | $100.00 | $162.18 | $281.84 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $75.86 Median $104.71 Typical High $131.83 | Professional | None (both parts) | $75.86 | $104.71 | $131.83 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $10.72 Typical High $13.49 | Professional | 26 · Professional part | $7.76 | $10.72 | $13.49 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $89.13 Typical High $120.23 | Professional | TC · Technical part | $67.61 | $89.13 | $120.23 |
Cigna Setting Facility Modifier None Typical Low $102.33 Median $218.78 Typical High $371.54 | Facility | None | $102.33 | $218.78 | $371.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $102.33 Typical High $169.82 | Professional | None (both parts) | $91.20 | $102.33 | $169.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $14.45 Typical High $22.91 | Professional | 26 · Professional part | $9.77 | $14.45 | $22.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $91.20 Typical High $151.36 | Professional | TC · Technical part | $69.18 | $91.20 | $151.36 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $74.13 Median $93.33 Typical High $104.71 | Professional | None (both parts) | $74.13 | $93.33 | $104.71 |
United Setting Professional Modifier None (both parts) Typical Low $75.86 Median $120.23 Typical High $208.93 | Professional | None (both parts) | $75.86 | $120.23 | $208.93 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $13.49 Typical High $20.89 | Professional | 26 · Professional part | $7.76 | $13.49 | $20.89 |
United Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $123.03 Typical High $190.55 | Professional | TC · Technical part | $67.61 | $123.03 | $190.55 |
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 $31.62 Median $40.74 Typical High $40.74 | Professional | 52 · Reduced service | $31.62 | $40.74 | $40.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.88 Median $16.22 Typical High $16.22 | Professional | 53 · Discontinued | $12.88 | $16.22 | $16.22 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | FX · Film X-ray | $66.07 | $66.07 | $66.07 |
Where Connecticut sits
The same service costs 4.6 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· 20th of 51
$105
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.