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 $1,047.13 Median $1,698.24 Typical High $2,398.83 | Facility | None | $1,047.13 | $1,698.24 | $2,398.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $371.54 Median $602.56 Typical High $691.83 | Professional | None (both parts) | $371.54 | $602.56 | $691.83 |
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 $281.84 Median $436.52 Typical High $467.74 | Professional | TC · Technical part | $281.84 | $436.52 | $467.74 |
Anthem BCBS Setting Facility Modifier None Typical Low $691.83 Median $1,047.13 Typical High $1,513.56 | Facility | None | $691.83 | $1,047.13 | $1,513.56 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $281.84 Median $602.56 Typical High $912.01 | Professional | None (both parts) | $281.84 | $602.56 | $912.01 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $120.23 Typical High $165.96 | Professional | 26 · Professional part | $63.10 | $120.23 | $165.96 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $416.87 Median $891.25 Typical High $1,380.38 | Professional | 50 · Both sides | $416.87 | $891.25 | $1,380.38 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $467.74 Typical High $776.25 | Professional | TC · Technical part | $213.80 | $467.74 | $776.25 |
Cigna Setting Facility Modifier None Typical Low $489.78 Median $776.25 Typical High $954.99 | Facility | None | $489.78 | $776.25 | $954.99 |
Cigna Setting Professional Modifier None (both parts) Typical Low $446.68 Median $602.56 Typical High $933.25 | Professional | None (both parts) | $446.68 | $602.56 | $933.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $81.28 Typical High $128.82 | Professional | 26 · Professional part | $60.26 | $81.28 | $128.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $363.08 Median $524.81 Typical High $794.33 | Professional | TC · Technical part | $363.08 | $524.81 | $794.33 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $436.52 Median $575.44 Typical High $724.44 | Professional | None (both parts) | $436.52 | $575.44 | $724.44 |
Health New England Setting Facility Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $1,862.09 | Facility | None | $1,862.09 | $1,862.09 | $1,862.09 |
Health New England Setting Professional Modifier None (both parts) Typical Low $91.20 Median $125.89 Typical High $125.89 | Professional | None (both parts) | $91.20 | $125.89 | $125.89 |
United Setting Professional Modifier None (both parts) Typical Low $316.23 Median $562.34 Typical High $1,348.96 | Professional | None (both parts) | $316.23 | $562.34 | $1,348.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $95.50 Typical High $275.42 | Professional | 26 · Professional part | $58.88 | $95.50 | $275.42 |
United Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $426.58 Typical High $1,230.27 | Professional | TC · Technical part | $257.04 | $426.58 | $1,230.27 |
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 5.1 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· 11th 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.