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 $331.13 Median $602.56 Typical High $660.69 | Professional | None (both parts) | $331.13 | $602.56 | $660.69 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $165.96 Typical High $169.82 | Professional | 26 · Professional part | $91.20 | $165.96 | $169.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $436.52 Typical High $467.74 | Professional | TC · Technical part | $257.04 | $436.52 | $467.74 |
Anthem BCBS Setting Facility Modifier None Typical Low $851.14 Median $1,258.93 Typical High $1,621.81 | Facility | None | $851.14 | $1,258.93 | $1,621.81 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $288.40 Median $588.84 Typical High $1,174.90 | Professional | None (both parts) | $288.40 | $588.84 | $1,174.90 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $151.36 Typical High $213.80 | Professional | 26 · Professional part | $83.18 | $151.36 | $213.80 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $371.54 Typical High $1,000.00 | Professional | TC · Technical part | $208.93 | $371.54 | $1,000.00 |
Cigna Setting Facility Modifier None Typical Low $489.78 Median $741.31 Typical High $954.99 | Facility | None | $489.78 | $741.31 | $954.99 |
Cigna Setting Professional Modifier None (both parts) Typical Low $398.11 Median $724.44 Typical High $1,047.13 | Professional | None (both parts) | $398.11 | $724.44 | $1,047.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $104.71 Typical High $165.96 | Professional | 26 · Professional part | $83.18 | $104.71 | $165.96 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $630.96 Typical High $794.33 | Professional | TC · Technical part | $288.40 | $630.96 | $794.33 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $380.19 Median $630.96 Typical High $812.83 | Professional | None (both parts) | $380.19 | $630.96 | $812.83 |
Health New England Setting Professional Modifier None (both parts) Typical Low $204.17 Median $204.17 Typical High $204.17 | Professional | None (both parts) | $204.17 | $204.17 | $204.17 |
United Setting Professional Modifier None (both parts) Typical Low $275.42 Median $549.54 Typical High $1,318.26 | Professional | None (both parts) | $275.42 | $549.54 | $1,318.26 |
United Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $120.23 Typical High $354.81 | Professional | 26 · Professional part | $74.13 | $120.23 | $354.81 |
United Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $407.38 Typical High $1,023.29 | Professional | TC · Technical part | $199.53 | $407.38 | $1,023.29 |
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 5.6 times more in Wyoming than in Texas. 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· 7th 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.