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 $100.00 Median $147.91 Typical High $147.91 | Professional | None (both parts) | $100.00 | $147.91 | $147.91 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $87.10 Typical High $87.10 | Professional | 26 · Professional part | $61.66 | $87.10 | $87.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $61.66 Typical High $61.66 | Professional | TC · Technical part | $38.90 | $61.66 | $61.66 |
Anthem BCBS Setting Facility Modifier None Typical Low $128.82 Median $213.80 Typical High $302.00 | Facility | None | $128.82 | $213.80 | $302.00 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $123.03 Median $234.42 Typical High $354.81 | Professional | None (both parts) | $123.03 | $234.42 | $354.81 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $85.11 Typical High $154.88 | Professional | 26 · Professional part | $64.57 | $85.11 | $154.88 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $117.49 Typical High $138.04 | Professional | TC · Technical part | $79.43 | $117.49 | $138.04 |
Cigna Setting Facility Modifier None Typical Low $112.20 Median $199.53 Typical High $1,000.00 | Facility | None | $112.20 | $199.53 | $1,000.00 |
Cigna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $173.78 Typical High $223.87 | Professional | None (both parts) | $151.36 | $173.78 | $223.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $102.33 Typical High $134.90 | Professional | 26 · Professional part | $89.13 | $102.33 | $134.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $74.13 Typical High $91.20 | Professional | TC · Technical part | $63.10 | $74.13 | $91.20 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $158.49 Median $165.96 Typical High $380.19 | Professional | None (both parts) | $158.49 | $165.96 | $380.19 |
United Setting Professional Modifier None (both parts) Typical Low $109.65 Median $302.00 Typical High $588.84 | Professional | None (both parts) | $109.65 | $302.00 | $588.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $112.20 Typical High $181.97 | Professional | 26 · Professional part | $64.57 | $112.20 | $181.97 |
United Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $234.42 Typical High $426.58 | Professional | TC · Technical part | $95.50 | $234.42 | $426.58 |
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 $50.12 Median $74.13 Typical High $74.13 | Professional | 52 · Reduced service | $50.12 | $74.13 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $29.51 Typical High $29.51 | Professional | 53 · Discontinued | $19.95 | $29.51 | $29.51 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $91.20 Median $117.49 Typical High $117.49 | Professional | FX · Film X-ray | $91.20 | $117.49 | $117.49 |
Where Connecticut sits
The same service costs 4.7 times more in Nebraska than in New Jersey. 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· 16th of 51
$200
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.