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 $707.95 | Professional | None (both parts) | $371.54 | $602.56 | $707.95 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $165.96 Typical High $177.83 | Professional | 26 · Professional part | $85.11 | $165.96 | $177.83 |
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 $707.95 Median $1,202.26 Typical High $1,737.80 | Facility | None | $707.95 | $1,202.26 | $1,737.80 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $281.84 Median $630.96 Typical High $933.25 | Professional | None (both parts) | $281.84 | $630.96 | $933.25 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $125.89 Typical High $177.83 | Professional | 26 · Professional part | $69.18 | $125.89 | $177.83 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $478.63 Typical High $776.25 | Professional | TC · Technical part | $213.80 | $478.63 | $776.25 |
Cigna Setting Facility Modifier None Typical Low $489.78 Median $812.83 Typical High $1,071.52 | Facility | None | $489.78 | $812.83 | $1,071.52 |
Cigna Setting Professional Modifier None (both parts) Typical Low $501.19 Median $616.60 Typical High $1,023.29 | Professional | None (both parts) | $501.19 | $616.60 | $1,023.29 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $89.13 Typical High $141.25 | Professional | 26 · Professional part | $70.79 | $89.13 | $141.25 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $407.38 Median $524.81 Typical High $851.14 | Professional | TC · Technical part | $407.38 | $524.81 | $851.14 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $446.68 Median $630.96 Typical High $776.25 | Professional | None (both parts) | $446.68 | $630.96 | $776.25 |
Health New England Setting Professional Modifier None (both parts) Typical Low $100.00 Median $112.20 Typical High $141.25 | Professional | None (both parts) | $100.00 | $112.20 | $141.25 |
United Setting Professional Modifier None (both parts) Typical Low $354.81 Median $602.56 Typical High $1,548.82 | Professional | None (both parts) | $354.81 | $602.56 | $1,548.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $102.33 Typical High $302.00 | Professional | 26 · Professional part | $63.10 | $102.33 | $302.00 |
United Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $478.63 Typical High $1,380.38 | Professional | TC · Technical part | $295.12 | $478.63 | $1,380.38 |
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 6.3 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
$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.