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 $371.54 Median $602.56 Typical High $812.83 | Professional | None (both parts) | $371.54 | $602.56 | $812.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $165.96 Typical High $181.97 | Professional | 26 · Professional part | $97.72 | $165.96 | $181.97 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $436.52 Typical High $524.81 | Professional | TC · Technical part | $288.40 | $436.52 | $524.81 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,071.52 Median $1,819.70 Typical High $2,570.40 | Facility | None | $1,071.52 | $1,819.70 | $2,570.40 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $371.54 Median $758.58 Typical High $1,445.44 | Professional | None (both parts) | $371.54 | $758.58 | $1,445.44 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $154.88 Typical High $218.78 | Professional | 26 · Professional part | $85.11 | $154.88 | $218.78 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $524.81 Typical High $1,230.27 | Professional | TC · Technical part | $288.40 | $524.81 | $1,230.27 |
Cigna Setting Facility Modifier None Typical Low $489.78 Median $831.76 Typical High $1,348.96 | Facility | None | $489.78 | $831.76 | $1,348.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $512.86 Median $1,148.15 Typical High $1,479.11 | Professional | None (both parts) | $512.86 | $1,148.15 | $1,479.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $109.65 Typical High $173.78 | Professional | 26 · Professional part | $104.71 | $109.65 | $173.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $398.11 Median $1,047.13 Typical High $1,258.93 | Professional | TC · Technical part | $398.11 | $1,047.13 | $1,258.93 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $562.34 Median $954.99 Typical High $1,258.93 | Professional | None (both parts) | $562.34 | $954.99 | $1,258.93 |
Health New England Setting Facility Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $1,995.26 | Facility | None | $1,995.26 | $1,995.26 | $1,995.26 |
Health New England Setting Professional Modifier None (both parts) Typical Low $120.23 Median $1,819.70 Typical High $1,819.70 | Professional | None (both parts) | $120.23 | $1,819.70 | $1,819.70 |
United Setting Professional Modifier None (both parts) Typical Low $346.74 Median $776.25 Typical High $1,445.44 | Professional | None (both parts) | $346.74 | $776.25 | $1,445.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $117.49 Typical High $323.59 | Professional | 26 · Professional part | $74.13 | $117.49 | $323.59 |
United Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $537.03 Typical High $1,122.02 | Professional | TC · Technical part | $269.15 | $537.03 | $1,122.02 |
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 $190.55 Median $302.00 Typical High $302.00 | Professional | 52 · Reduced service | $190.55 | $302.00 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $75.86 Median $120.23 Typical High $120.23 | Professional | 53 · Discontinued | $75.86 | $120.23 | $120.23 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $302.00 Median $478.63 Typical High $478.63 | Professional | FX · Film X-ray | $302.00 | $478.63 | $478.63 |
Where Connecticut sits
The same service costs 5.6 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· 13th of 51
$724
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.