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 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 $144.54 Median $208.93 Typical High $302.00 | Professional | None (both parts) | $144.54 | $208.93 | $302.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $63.10 Typical High $75.86 | Professional | 26 · Professional part | $43.65 | $63.10 | $75.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $147.91 Typical High $218.78 | Professional | TC · Technical part | $102.33 | $147.91 | $218.78 |
Anthem BCBS Setting Facility Modifier None Typical Low $257.04 Median $426.58 Typical High $602.56 | Facility | None | $257.04 | $426.58 | $602.56 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $138.04 Median $251.19 Typical High $562.34 | Professional | None (both parts) | $138.04 | $251.19 | $562.34 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $75.86 Typical High $125.89 | Professional | 26 · Professional part | $41.69 | $75.86 | $125.89 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $173.78 Typical High $436.52 | Professional | TC · Technical part | $95.50 | $173.78 | $436.52 |
Cigna Setting Facility Modifier None Typical Low $218.78 Median $239.88 Typical High $457.09 | Facility | None | $218.78 | $239.88 | $457.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $186.21 Median $288.40 Typical High $426.58 | Professional | None (both parts) | $186.21 | $288.40 | $426.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $69.18 Typical High $97.72 | Professional | 26 · Professional part | $57.54 | $69.18 | $97.72 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $223.87 Typical High $323.59 | Professional | TC · Technical part | $134.90 | $223.87 | $323.59 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $181.97 Median $288.40 Typical High $346.74 | Professional | None (both parts) | $181.97 | $288.40 | $346.74 |
Health New England Setting Facility Modifier None Typical Low $707.95 Median $741.31 Typical High $933.25 | Facility | None | $707.95 | $741.31 | $933.25 |
Health New England Setting Professional Modifier None (both parts) Typical Low $64.57 Median $104.71 Typical High $338.84 | Professional | None (both parts) | $64.57 | $104.71 | $338.84 |
United Setting Professional Modifier None (both parts) Typical Low $131.83 Median $234.42 Typical High $371.54 | Professional | None (both parts) | $131.83 | $234.42 | $371.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $56.23 Typical High $112.20 | Professional | 26 · Professional part | $38.90 | $56.23 | $112.20 |
United Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $162.18 Typical High $263.03 | Professional | TC · Technical part | $89.13 | $162.18 | $263.03 |
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 $72.44 Median $104.71 Typical High $104.71 | Professional | 52 · Reduced service | $72.44 | $104.71 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $41.69 Typical High $41.69 | Professional | 53 · Discontinued | $28.84 | $41.69 | $41.69 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $123.03 Median $177.83 Typical High $177.83 | Professional | CT · Older CT scanner | $123.03 | $177.83 | $177.83 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $114.82 Median $165.96 Typical High $165.96 | Professional | FX · Film X-ray | $114.82 | $165.96 | $165.96 |
Where Connecticut sits
The same service costs 4.9 times more in Alaska 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· 15th of 51
$251
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.