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 $295.12 Median $436.52 Typical High $537.03 | Professional | None (both parts) | $295.12 | $436.52 | $537.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $128.82 Typical High $141.25 | Professional | 26 · Professional part | $81.28 | $128.82 | $141.25 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $316.23 Typical High $380.19 | Professional | TC · Technical part | $213.80 | $316.23 | $380.19 |
Anthem BCBS Setting Facility Modifier None Typical Low $549.54 Median $812.83 Typical High $1,047.13 | Facility | None | $549.54 | $812.83 | $1,047.13 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $275.42 Median $501.19 Typical High $977.24 | Professional | None (both parts) | $275.42 | $501.19 | $977.24 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $151.36 Typical High $213.80 | Professional | 26 · Professional part | $83.18 | $151.36 | $213.80 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $354.81 Typical High $776.25 | Professional | TC · Technical part | $194.98 | $354.81 | $776.25 |
Cigna Setting Facility Modifier None Typical Low $338.84 Median $489.78 Typical High $616.60 | Facility | None | $338.84 | $489.78 | $616.60 |
Cigna Setting Professional Modifier None (both parts) Typical Low $407.38 Median $602.56 Typical High $912.01 | Professional | None (both parts) | $407.38 | $602.56 | $912.01 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $109.65 Typical High $162.18 | Professional | 26 · Professional part | $102.33 | $109.65 | $162.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $501.19 Typical High $741.31 | Professional | TC · Technical part | $295.12 | $501.19 | $741.31 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $371.54 Median $645.65 Typical High $794.33 | Professional | None (both parts) | $371.54 | $645.65 | $794.33 |
Health New England Setting Facility Modifier None Typical Low $1,202.26 Median $1,445.44 Typical High $1,584.89 | Facility | None | $1,202.26 | $1,445.44 | $1,584.89 |
Health New England Setting Professional Modifier None (both parts) Typical Low $120.23 Median $165.96 Typical High $213.80 | Professional | None (both parts) | $120.23 | $165.96 | $213.80 |
United Setting Professional Modifier None (both parts) Typical Low $281.84 Median $489.78 Typical High $794.33 | Professional | None (both parts) | $281.84 | $489.78 | $794.33 |
United Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $114.82 Typical High $223.87 | Professional | 26 · Professional part | $74.13 | $114.82 | $223.87 |
United Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $354.81 Typical High $588.84 | Professional | TC · Technical part | $194.98 | $354.81 | $588.84 |
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 $138.04 Median $218.78 Typical High $218.78 | Professional | 52 · Reduced service | $138.04 | $218.78 | $218.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $89.13 Typical High $89.13 | Professional | 53 · Discontinued | $54.95 | $89.13 | $89.13 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $234.42 Median $371.54 Typical High $371.54 | Professional | CT · Older CT scanner | $234.42 | $371.54 | $371.54 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $218.78 Median $354.81 Typical High $354.81 | Professional | FX · Film X-ray | $218.78 | $354.81 | $354.81 |
Where Connecticut sits
The same service costs 7.6 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· 14th of 51
$501
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.