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 $1,096.48 Median $1,819.70 Typical High $2,398.83 | Facility | None | $1,096.48 | $1,819.70 | $2,398.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $281.84 Median $602.56 Typical High $660.69 | Professional | None (both parts) | $281.84 | $602.56 | $660.69 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $165.96 Typical High $169.82 | Professional | 26 · Professional part | $83.18 | $165.96 | $169.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $436.52 Typical High $446.68 | Professional | TC · Technical part | $229.09 | $436.52 | $446.68 |
Anthem BCBS Setting Facility Modifier None Typical Low $691.83 Median $912.01 Typical High $1,174.90 | Facility | None | $691.83 | $912.01 | $1,174.90 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $239.88 Median $501.19 Typical High $912.01 | Professional | None (both parts) | $239.88 | $501.19 | $912.01 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $117.49 Typical High $165.96 | Professional | 26 · Professional part | $63.10 | $117.49 | $165.96 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $316.23 Typical High $776.25 | Professional | TC · Technical part | $173.78 | $316.23 | $776.25 |
Cigna Setting Facility Modifier None Typical Low $426.58 Median $645.65 Typical High $851.14 | Facility | None | $426.58 | $645.65 | $851.14 |
Cigna Setting Professional Modifier None (both parts) Typical Low $331.13 Median $602.56 Typical High $851.14 | Professional | None (both parts) | $331.13 | $602.56 | $851.14 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $81.28 Typical High $128.82 | Professional | 26 · Professional part | $64.57 | $81.28 | $128.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $524.81 Typical High $707.95 | Professional | TC · Technical part | $251.19 | $524.81 | $707.95 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $346.74 Median $549.54 Typical High $707.95 | Professional | None (both parts) | $346.74 | $549.54 | $707.95 |
Health New England Setting Professional Modifier None (both parts) Typical Low $100.00 Median $204.17 Typical High $204.17 | Professional | None (both parts) | $100.00 | $204.17 | $204.17 |
United Setting Professional Modifier None (both parts) Typical Low $234.42 Median $467.74 Typical High $1,096.48 | Professional | None (both parts) | $234.42 | $467.74 | $1,096.48 |
United Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $93.33 Typical High $275.42 | Professional | 26 · Professional part | $57.54 | $93.33 | $275.42 |
United Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $354.81 Typical High $891.25 | Professional | TC · Technical part | $173.78 | $354.81 | $891.25 |
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 $186.21 Median $302.00 Typical High $302.00 | Professional | 52 · Reduced service | $186.21 | $302.00 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $120.23 Typical High $120.23 | Professional | 53 · Discontinued | $74.13 | $120.23 | $120.23 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $295.12 Median $478.63 Typical High $478.63 | Professional | FX · Film X-ray | $295.12 | $478.63 | $478.63 |
Where Connecticut sits
The same service costs 5.8 times more in Wyoming 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· 7th of 51
$513
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.