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 $724.44 | Professional | None (both parts) | $371.54 | $602.56 | $724.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $165.96 Typical High $199.53 | Professional | 26 · Professional part | $112.20 | $165.96 | $199.53 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $436.52 Typical High $467.74 | Professional | TC · Technical part | $257.04 | $436.52 | $467.74 |
Anthem BCBS Setting Facility Modifier None Typical Low $691.83 Median $1,122.02 Typical High $1,698.24 | Facility | None | $691.83 | $1,122.02 | $1,698.24 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $346.74 Median $660.69 Typical High $1,479.11 | Professional | None (both parts) | $346.74 | $660.69 | $1,479.11 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $199.53 Typical High $288.40 | Professional | 26 · Professional part | $109.65 | $199.53 | $288.40 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $436.52 Typical High $1,230.27 | Professional | TC · Technical part | $234.42 | $436.52 | $1,230.27 |
Cigna Setting Facility Modifier None Typical Low $489.78 Median $812.83 Typical High $1,096.48 | Facility | None | $489.78 | $812.83 | $1,096.48 |
Cigna Setting Professional Modifier None (both parts) Typical Low $467.74 Median $1,318.26 Typical High $1,479.11 | Professional | None (both parts) | $467.74 | $1,318.26 | $1,479.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $138.04 Median $144.54 Typical High $218.78 | Professional | 26 · Professional part | $138.04 | $144.54 | $218.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $1,174.90 Typical High $1,258.93 | Professional | TC · Technical part | $323.59 | $1,174.90 | $1,258.93 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $446.68 Median $794.33 Typical High $1,288.25 | Professional | None (both parts) | $446.68 | $794.33 | $1,288.25 |
Health New England Setting Facility Modifier None Typical Low $1,621.81 Median $1,778.28 Typical High $2,630.27 | Facility | None | $1,621.81 | $1,778.28 | $2,630.27 |
Health New England Setting Professional Modifier None (both parts) Typical Low $199.53 Median $229.09 Typical High $977.24 | Professional | None (both parts) | $199.53 | $229.09 | $977.24 |
United Setting Professional Modifier None (both parts) Typical Low $323.59 Median $676.08 Typical High $1,698.24 | Professional | None (both parts) | $323.59 | $676.08 | $1,698.24 |
United Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $162.18 Typical High $331.13 | Professional | 26 · Professional part | $97.72 | $162.18 | $331.13 |
United Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $457.09 Typical High $1,023.29 | Professional | TC · Technical part | $223.87 | $457.09 | $1,023.29 |
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 6.6 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· 16th of 51
$617
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.