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 $123.03 Median $151.36 Typical High $151.36 | Professional | None (both parts) | $123.03 | $151.36 | $151.36 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $91.20 Typical High $91.20 | Professional | 26 · Professional part | $75.86 | $91.20 | $91.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $61.66 Typical High $61.66 | Professional | TC · Technical part | $47.86 | $61.66 | $61.66 |
Anthem BCBS Setting Facility Modifier None Typical Low $138.04 Median $295.12 Typical High $501.19 | Facility | None | $138.04 | $295.12 | $501.19 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $131.83 Median $181.97 Typical High $302.00 | Professional | None (both parts) | $131.83 | $181.97 | $302.00 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $107.15 Typical High $181.97 | Professional | 26 · Professional part | $77.62 | $107.15 | $181.97 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $75.86 Typical High $123.03 | Professional | TC · Technical part | $54.95 | $75.86 | $123.03 |
Cigna Setting Facility Modifier None Typical Low $125.89 Median $251.19 Typical High $489.78 | Facility | None | $125.89 | $251.19 | $489.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $186.21 Median $239.88 Typical High $316.23 | Professional | None (both parts) | $186.21 | $239.88 | $316.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $123.03 Typical High $165.96 | Professional | 26 · Professional part | $112.20 | $123.03 | $165.96 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $112.20 Typical High $144.54 | Professional | TC · Technical part | $75.86 | $112.20 | $144.54 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $158.49 Median $213.80 Typical High $223.87 | Professional | None (both parts) | $158.49 | $213.80 | $223.87 |
United Setting Professional Modifier None (both parts) Typical Low $134.90 Median $239.88 Typical High $380.19 | Professional | None (both parts) | $134.90 | $239.88 | $380.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $141.25 Typical High $229.09 | Professional | 26 · Professional part | $77.62 | $141.25 | $229.09 |
United Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $95.50 Typical High $162.18 | Professional | TC · Technical part | $52.48 | $95.50 | $162.18 |
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 $61.66 Median $75.86 Typical High $75.86 | Professional | 52 · Reduced service | $61.66 | $75.86 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $30.90 Typical High $30.90 | Professional | 53 · Discontinued | $25.12 | $30.90 | $30.90 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $114.82 Median $123.03 Typical High $123.03 | Professional | FX · Film X-ray | $114.82 | $123.03 | $123.03 |
Where Connecticut sits
The same service costs 5.6 times more in Alaska than in Texas. 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· 27th of 51
$182
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.