How much rates vary
Facilitymedian $331 · 10th to 90th $166 to $912Professionalmedian $200 · 10th to 90th $81 to $347
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 Facility Modifier None Typical Low $1,000.00 Median $2,238.72 Typical High $3,090.30 | Facility | None | $1,000.00 | $2,238.72 | $3,090.30 |
Aetna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $173.78 Typical High $263.03 | Professional | None (both parts) | $120.23 | $173.78 | $263.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $63.10 Typical High $75.86 | Professional | 26 · Professional part | $41.69 | $63.10 | $75.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $112.20 Typical High $177.83 | Professional | TC · Technical part | $75.86 | $112.20 | $177.83 |
Anthem BCBS Setting Facility Modifier None Typical Low $190.55 Median $316.23 Typical High $457.09 | Facility | None | $190.55 | $316.23 | $457.09 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $112.20 Median $208.93 Typical High $416.87 | Professional | None (both parts) | $112.20 | $208.93 | $416.87 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $74.13 Typical High $102.33 | Professional | 26 · Professional part | $40.74 | $74.13 | $102.33 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $131.83 Typical High $323.59 | Professional | TC · Technical part | $72.44 | $131.83 | $323.59 |
Cigna Setting Facility Modifier None Typical Low $165.96 Median $181.97 Typical High $457.09 | Facility | None | $165.96 | $181.97 | $457.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $275.42 Typical High $389.05 | Professional | None (both parts) | $154.88 | $275.42 | $389.05 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $52.48 Typical High $81.28 | Professional | 26 · Professional part | $48.98 | $52.48 | $81.28 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $223.87 Typical High $281.84 | Professional | TC · Technical part | $102.33 | $223.87 | $281.84 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $151.36 Median $213.80 Typical High $288.40 | Professional | None (both parts) | $151.36 | $213.80 | $288.40 |
Health New England Setting Facility Modifier None Typical Low $389.05 Median $537.03 Typical High $933.25 | Facility | None | $389.05 | $537.03 | $933.25 |
Health New England Setting Professional Modifier None (both parts) Typical Low $64.57 Median $81.28 Typical High $177.83 | Professional | None (both parts) | $64.57 | $81.28 | $177.83 |
United Setting Professional Modifier None (both parts) Typical Low $107.15 Median $199.53 Typical High $346.74 | Professional | None (both parts) | $107.15 | $199.53 | $346.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $54.95 Typical High $109.65 | Professional | 26 · Professional part | $35.48 | $54.95 | $109.65 |
United Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $123.03 Typical High $204.17 | Professional | TC · Technical part | $66.07 | $123.03 | $204.17 |
4 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 $60.26 Median $87.10 Typical High $87.10 | Professional | 52 · Reduced service | $60.26 | $87.10 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $34.67 Typical High $34.67 | Professional | 53 · Discontinued | $23.99 | $34.67 | $34.67 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $102.33 Median $147.91 Typical High $147.91 | Professional | CT · Older CT scanner | $102.33 | $147.91 | $147.91 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $95.50 Median $138.04 Typical High $138.04 | Professional | FX · Film X-ray | $95.50 | $138.04 | $138.04 |
Where Connecticut sits
The same service costs 20.4 times more in Vermont than in Utah. 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· 17th of 51
$204
VT $1,585UT $77.62
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.