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 $251.19 Median $602.56 Typical High $724.44 | Professional | None (both parts) | $251.19 | $602.56 | $724.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $165.96 Typical High $181.97 | Professional | 26 · Professional part | $85.11 | $165.96 | $181.97 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $436.52 Typical High $446.68 | Professional | TC · Technical part | $173.78 | $436.52 | $446.68 |
Anthem BCBS Setting Facility Modifier None Typical Low $389.05 Median $676.08 Typical High $1,000.00 | Facility | None | $389.05 | $676.08 | $1,000.00 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $204.17 Median $416.87 Typical High $933.25 | Professional | None (both parts) | $204.17 | $416.87 | $933.25 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $128.82 Typical High $181.97 | Professional | 26 · Professional part | $70.79 | $128.82 | $181.97 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $263.03 Typical High $776.25 | Professional | TC · Technical part | $134.90 | $263.03 | $776.25 |
Cigna Setting Facility Modifier None Typical Low $316.23 Median $478.63 Typical High $870.96 | Facility | None | $316.23 | $478.63 | $870.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $281.84 Median $676.08 Typical High $831.76 | Professional | None (both parts) | $281.84 | $676.08 | $831.76 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $91.20 Typical High $141.25 | Professional | 26 · Professional part | $85.11 | $91.20 | $141.25 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $588.84 Typical High $707.95 | Professional | TC · Technical part | $186.21 | $588.84 | $707.95 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $269.15 Median $512.86 Typical High $707.95 | Professional | None (both parts) | $269.15 | $512.86 | $707.95 |
Health New England Setting Facility Modifier None Typical Low $933.25 Median $1,318.26 Typical High $1,412.54 | Facility | None | $933.25 | $1,318.26 | $1,412.54 |
Health New England Setting Professional Modifier None (both parts) Typical Low $102.33 Median $141.25 Typical High $1,122.02 | Professional | None (both parts) | $102.33 | $141.25 | $1,122.02 |
United Setting Professional Modifier None (both parts) Typical Low $194.98 Median $416.87 Typical High $933.25 | Professional | None (both parts) | $194.98 | $416.87 | $933.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $104.71 Typical High $302.00 | Professional | 26 · Professional part | $64.57 | $104.71 | $302.00 |
United Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $263.03 Typical High $660.69 | Professional | TC · Technical part | $128.82 | $263.03 | $660.69 |
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 $154.88 Median $302.00 Typical High $302.00 | Professional | 52 · Reduced service | $154.88 | $302.00 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $120.23 Typical High $120.23 | Professional | 53 · Discontinued | $61.66 | $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 24.0 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· 11th of 51
$437
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.