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 $257.04 Typical High $257.04 | Professional | None (both parts) | $181.97 | $257.04 | $257.04 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $29.51 Typical High $29.51 | Professional | 26 · Professional part | $23.44 | $29.51 | $29.51 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $223.87 Typical High $223.87 | Professional | TC · Technical part | $162.18 | $223.87 | $223.87 |
Anthem BCBS Setting Facility Modifier None Typical Low $199.53 Median $323.59 Typical High $436.52 | Facility | None | $199.53 | $323.59 | $436.52 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $229.09 Median $316.23 Typical High $398.11 | Professional | None (both parts) | $229.09 | $316.23 | $398.11 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $38.02 Typical High $47.86 | Professional | 26 · Professional part | $26.92 | $38.02 | $47.86 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $281.84 Typical High $346.74 | Professional | TC · Technical part | $199.53 | $281.84 | $346.74 |
Cigna Setting Facility Modifier None Typical Low $275.42 Median $575.44 Typical High $1,148.15 | Facility | None | $275.42 | $575.44 | $1,148.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $263.03 Typical High $478.63 | Professional | None (both parts) | $131.83 | $263.03 | $478.63 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $35.48 Typical High $52.48 | Professional | 26 · Professional part | $33.11 | $35.48 | $52.48 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $229.09 Typical High $416.87 | Professional | TC · Technical part | $100.00 | $229.09 | $416.87 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $138.04 Median $223.87 Typical High $316.23 | Professional | None (both parts) | $138.04 | $223.87 | $316.23 |
Health New England Setting Professional Modifier None (both parts) Typical Low $39.81 Median $39.81 Typical High $41.69 | Professional | None (both parts) | $39.81 | $39.81 | $41.69 |
United Setting Professional Modifier None (both parts) Typical Low $169.82 Median $346.74 Typical High $630.96 | Professional | None (both parts) | $169.82 | $346.74 | $630.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $46.77 Typical High $75.86 | Professional | 26 · Professional part | $26.30 | $46.77 | $75.86 |
United Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $346.74 Typical High $549.54 | Professional | TC · Technical part | $190.55 | $346.74 | $549.54 |
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 $91.20 Median $125.89 Typical High $125.89 | Professional | 52 · Reduced service | $91.20 | $125.89 | $125.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $51.29 Typical High $51.29 | Professional | 53 · Discontinued | $36.31 | $51.29 | $51.29 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $204.17 Median $204.17 Typical High $204.17 | Professional | FX · Film X-ray | $204.17 | $204.17 | $204.17 |
Where Connecticut sits
The same service costs 4.8 times more in Alaska than in Indiana. 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· 22nd of 51
$295
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.