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 $338.84 Median $602.56 Typical High $676.08 | Professional | None (both parts) | $338.84 | $602.56 | $676.08 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $165.96 Typical High $181.97 | Professional | 26 · Professional part | $95.50 | $165.96 | $181.97 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $436.52 Typical High $436.52 | Professional | TC · Technical part | $257.04 | $436.52 | $436.52 |
Anthem BCBS Setting Facility Modifier None Typical Low $616.60 Median $1,000.00 Typical High $1,288.25 | Facility | None | $616.60 | $1,000.00 | $1,288.25 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $295.12 Median $562.34 Typical High $1,202.26 | Professional | None (both parts) | $295.12 | $562.34 | $1,202.26 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $158.49 Typical High $223.87 | Professional | 26 · Professional part | $85.11 | $158.49 | $223.87 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $371.54 Typical High $1,000.00 | Professional | TC · Technical part | $204.17 | $371.54 | $1,000.00 |
Cigna Setting Facility Modifier None Typical Low $489.78 Median $758.58 Typical High $954.99 | Facility | None | $489.78 | $758.58 | $954.99 |
Cigna Setting Professional Modifier None (both parts) Typical Low $407.38 Median $741.31 Typical High $1,071.52 | Professional | None (both parts) | $407.38 | $741.31 | $1,071.52 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $117.49 Typical High $173.78 | Professional | 26 · Professional part | $112.20 | $117.49 | $173.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $630.96 Typical High $812.83 | Professional | TC · Technical part | $288.40 | $630.96 | $812.83 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $389.05 Median $630.96 Typical High $831.76 | Professional | None (both parts) | $389.05 | $630.96 | $831.76 |
United Setting Professional Modifier None (both parts) Typical Low $281.84 Median $562.34 Typical High $1,318.26 | Professional | None (both parts) | $281.84 | $562.34 | $1,318.26 |
United Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $125.89 Typical High $363.08 | Professional | 26 · Professional part | $79.43 | $125.89 | $363.08 |
United Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $407.38 Typical High $1,047.13 | Professional | TC · Technical part | $204.17 | $407.38 | $1,047.13 |
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 5.9 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· 8th of 51
$603
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.