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 $288.40 Median $602.56 Typical High $676.08 | Professional | None (both parts) | $288.40 | $602.56 | $676.08 |
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 $218.78 Median $436.52 Typical High $467.74 | Professional | TC · Technical part | $218.78 | $436.52 | $467.74 |
Anthem BCBS Setting Facility Modifier None Typical Low $707.95 Median $1,071.52 Typical High $1,513.56 | Facility | None | $707.95 | $1,071.52 | $1,513.56 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $245.47 Median $501.19 Typical High $933.25 | Professional | None (both parts) | $245.47 | $501.19 | $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 $177.83 Median $316.23 Typical High $776.25 | Professional | TC · Technical part | $177.83 | $316.23 | $776.25 |
Cigna Setting Facility Modifier None Typical Low $426.58 Median $645.65 Typical High $831.76 | Facility | None | $426.58 | $645.65 | $831.76 |
Cigna Setting Professional Modifier None (both parts) Typical Low $338.84 Median $616.60 Typical High $870.96 | Professional | None (both parts) | $338.84 | $616.60 | $870.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $89.13 Typical High $141.25 | Professional | 26 · Professional part | $66.07 | $89.13 | $141.25 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $524.81 Typical High $724.44 | Professional | TC · Technical part | $245.47 | $524.81 | $724.44 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $323.59 Median $575.44 Typical High $724.44 | Professional | None (both parts) | $323.59 | $575.44 | $724.44 |
Health New England Setting Facility Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $1,230.27 | Facility | None | $1,202.26 | $1,202.26 | $1,230.27 |
Health New England Setting Professional Modifier None (both parts) Typical Low $100.00 Median $131.83 Typical High $724.44 | Professional | None (both parts) | $100.00 | $131.83 | $724.44 |
United Setting Professional Modifier None (both parts) Typical Low $234.42 Median $478.63 Typical High $1,122.02 | Professional | None (both parts) | $234.42 | $478.63 | $1,122.02 |
United Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $97.72 Typical High $302.00 | Professional | 26 · Professional part | $63.10 | $97.72 | $302.00 |
United Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $354.81 Typical High $891.25 | Professional | TC · Technical part | $173.78 | $354.81 | $891.25 |
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 6.0 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· 10th of 51
$525
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.