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 $199.53 Median $346.74 Typical High $416.87 | Professional | None (both parts) | $199.53 | $346.74 | $416.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $91.20 Typical High $102.33 | Professional | 26 · Professional part | $54.95 | $91.20 | $102.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $257.04 Typical High $309.03 | Professional | TC · Technical part | $138.04 | $257.04 | $309.03 |
Anthem BCBS Setting Facility Modifier None Typical Low $436.52 Median $645.65 Typical High $851.14 | Facility | None | $436.52 | $645.65 | $851.14 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $177.83 Median $338.84 Typical High $660.69 | Professional | None (both parts) | $177.83 | $338.84 | $660.69 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $102.33 Typical High $151.36 | Professional | 26 · Professional part | $56.23 | $102.33 | $151.36 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $251.19 Typical High $524.81 | Professional | TC · Technical part | $123.03 | $251.19 | $524.81 |
Cigna Setting Facility Modifier None Typical Low $281.84 Median $309.03 Typical High $478.63 | Facility | None | $281.84 | $309.03 | $478.63 |
Cigna Setting Professional Modifier None (both parts) Typical Low $245.47 Median $407.38 Typical High $575.44 | Professional | None (both parts) | $245.47 | $407.38 | $575.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $75.86 Typical High $114.82 | Professional | 26 · Professional part | $70.79 | $75.86 | $114.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $338.84 Typical High $457.09 | Professional | TC · Technical part | $169.82 | $338.84 | $457.09 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $234.42 Median $338.84 Typical High $446.68 | Professional | None (both parts) | $234.42 | $338.84 | $446.68 |
Health New England Setting Facility Modifier None Typical Low $794.33 Median $933.25 Typical High $1,380.38 | Facility | None | $794.33 | $933.25 | $1,380.38 |
Health New England Setting Professional Modifier None (both parts) Typical Low $79.43 Median $117.49 Typical High $501.19 | Professional | None (both parts) | $79.43 | $117.49 | $501.19 |
United Setting Professional Modifier None (both parts) Typical Low $173.78 Median $309.03 Typical High $524.81 | Professional | None (both parts) | $173.78 | $309.03 | $524.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $81.28 Typical High $162.18 | Professional | 26 · Professional part | $51.29 | $81.28 | $162.18 |
United Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $218.78 Typical High $371.54 | Professional | TC · Technical part | $120.23 | $218.78 | $371.54 |
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 $91.20 Median $173.78 Typical High $173.78 | Professional | 52 · Reduced service | $91.20 | $173.78 | $173.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $69.18 Typical High $69.18 | Professional | 53 · Discontinued | $36.31 | $69.18 | $69.18 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $199.53 Median $295.12 Typical High $295.12 | Professional | CT · Older CT scanner | $199.53 | $295.12 | $295.12 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $190.55 Median $275.42 Typical High $275.42 | Professional | FX · Film X-ray | $190.55 | $275.42 | $275.42 |
Where Connecticut sits
The same service costs 5.9 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
$331
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.