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 $323.59 Median $602.56 Typical High $602.56 | Professional | None (both parts) | $323.59 | $602.56 | $602.56 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $165.96 Typical High $165.96 | Professional | 26 · Professional part | $85.11 | $165.96 | $165.96 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $436.52 Typical High $436.52 | Professional | TC · Technical part | $257.04 | $436.52 | $436.52 |
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 $281.84 Median $575.44 Typical High $1,174.90 | Professional | None (both parts) | $281.84 | $575.44 | $1,174.90 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $141.25 Typical High $199.53 | Professional | 26 · Professional part | $77.62 | $141.25 | $199.53 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $416.87 Median $758.58 Typical High $1,778.28 | Professional | 50 · Both sides | $416.87 | $758.58 | $1,778.28 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $363.08 Typical High $1,000.00 | Professional | TC · Technical part | $208.93 | $363.08 | $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 $389.05 Median $724.44 Typical High $1,023.29 | Professional | None (both parts) | $389.05 | $724.44 | $1,023.29 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $97.72 Typical High $154.88 | Professional | 26 · Professional part | $70.79 | $97.72 | $154.88 |
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 $616.60 Typical High $812.83 | Professional | None (both parts) | $380.19 | $616.60 | $812.83 |
United Setting Professional Modifier None (both parts) Typical Low $269.15 Median $537.03 Typical High $1,288.25 | Professional | None (both parts) | $269.15 | $537.03 | $1,288.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $114.82 Typical High $331.13 | Professional | 26 · Professional part | $70.79 | $114.82 | $331.13 |
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 5.5 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· 6th 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.