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 $1,000.00 Median $2,238.72 Typical High $3,090.30 | Facility | None | $1,000.00 | $2,238.72 | $3,090.30 |
Aetna Setting Professional Modifier None (both parts) Typical Low $199.53 Median $338.84 Typical High $407.38 | Professional | None (both parts) | $199.53 | $338.84 | $407.38 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $85.11 Typical High $102.33 | Professional | 26 · Professional part | $53.70 | $85.11 | $102.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $257.04 Typical High $309.03 | Professional | TC · Technical part | $138.04 | $257.04 | $309.03 |
Anthem BCBS Setting Facility Modifier None Typical Low $436.52 Median $660.69 Typical High $851.14 | Facility | None | $436.52 | $660.69 | $851.14 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $177.83 Median $323.59 Typical High $660.69 | Professional | None (both parts) | $177.83 | $323.59 | $660.69 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $102.33 Typical High $141.25 | Professional | 26 · Professional part | $56.23 | $102.33 | $141.25 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $263.03 Median $478.63 Typical High $977.24 | Professional | 50 · Both sides | $263.03 | $478.63 | $977.24 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $229.09 Typical High $524.81 | Professional | TC · Technical part | $123.03 | $229.09 | $524.81 |
Cigna Setting Facility Modifier None Typical Low $281.84 Median $309.03 Typical High $478.63 | Facility | None | $281.84 | $309.03 | $478.63 |
Cigna Setting Professional Modifier None (both parts) Typical Low $245.47 Median $346.74 Typical High $549.54 | Professional | None (both parts) | $245.47 | $346.74 | $549.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $70.79 Typical High $112.20 | Professional | 26 · Professional part | $67.61 | $70.79 | $112.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $281.84 Typical High $416.87 | Professional | TC · Technical part | $169.82 | $281.84 | $416.87 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $234.42 Median $331.13 Typical High $407.38 | Professional | None (both parts) | $234.42 | $331.13 | $407.38 |
Health New England Setting Facility Modifier None Typical Low $933.25 Median $1,000.00 Typical High $1,174.90 | Facility | None | $933.25 | $1,000.00 | $1,174.90 |
Health New England Setting Professional Modifier None (both parts) Typical Low $79.43 Median $104.71 Typical High $141.25 | Professional | None (both parts) | $79.43 | $104.71 | $141.25 |
United Setting Professional Modifier None (both parts) Typical Low $181.97 Median $302.00 Typical High $512.86 | Professional | None (both parts) | $181.97 | $302.00 | $512.86 |
United Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $75.86 Typical High $147.91 | Professional | 26 · Professional part | $48.98 | $75.86 | $147.91 |
United Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $204.17 Typical High $380.19 | Professional | TC · Technical part | $125.89 | $204.17 | $380.19 |
4 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 $91.20 Median $169.82 Typical High $169.82 | Professional | 52 · Reduced service | $91.20 | $169.82 | $169.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $67.61 Typical High $67.61 | Professional | 53 · Discontinued | $36.31 | $67.61 | $67.61 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $199.53 Median $288.40 Typical High $288.40 | Professional | CT · Older CT scanner | $199.53 | $288.40 | $288.40 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $186.21 Median $275.42 Typical High $275.42 | Professional | FX · Film X-ray | $186.21 | $275.42 | $275.42 |
Where Connecticut sits
The same service costs 5.4 times more in Alaska 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· 14th of 51
$339
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.