How much rates vary
Facilitymedian $759 · 10th to 90th $355 to $1,549Professionalmedian $468 · 10th to 90th $129 to $912
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 $269.15 Median $602.56 Typical High $660.69 | Professional | None (both parts) | $269.15 | $602.56 | $660.69 |
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 $199.53 Median $436.52 Typical High $446.68 | Professional | TC · Technical part | $199.53 | $436.52 | $446.68 |
Anthem BCBS Setting Facility Modifier None Typical Low $436.52 Median $724.44 Typical High $1,000.00 | Facility | None | $436.52 | $724.44 | $1,000.00 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $218.78 Median $416.87 Typical High $933.25 | Professional | None (both parts) | $218.78 | $416.87 | $933.25 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $120.23 Typical High $165.96 | Professional | 26 · Professional part | $66.07 | $120.23 | $165.96 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $323.59 Median $588.84 Typical High $1,380.38 | Professional | 50 · Both sides | $323.59 | $588.84 | $1,380.38 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $275.42 Typical High $776.25 | Professional | TC · Technical part | $151.36 | $275.42 | $776.25 |
Cigna Setting Facility Modifier None Typical Low $354.81 Median $537.03 Typical High $831.76 | Facility | None | $354.81 | $537.03 | $831.76 |
Cigna Setting Professional Modifier None (both parts) Typical Low $302.00 Median $602.56 Typical High $831.76 | Professional | None (both parts) | $302.00 | $602.56 | $831.76 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $81.28 Typical High $128.82 | Professional | 26 · Professional part | $61.66 | $81.28 | $128.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $524.81 Typical High $660.69 | Professional | TC · Technical part | $213.80 | $524.81 | $660.69 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $288.40 Median $630.96 Typical High $758.58 | Professional | None (both parts) | $288.40 | $630.96 | $758.58 |
Health New England Setting Facility Modifier None Typical Low $831.76 Median $1,047.13 Typical High $1,479.11 | Facility | None | $831.76 | $1,047.13 | $1,479.11 |
Health New England Setting Professional Modifier None (both parts) Typical Low $100.00 Median $125.89 Typical High $954.99 | Professional | None (both parts) | $100.00 | $125.89 | $954.99 |
United Setting Professional Modifier None (both parts) Typical Low $204.17 Median $436.52 Typical High $954.99 | Professional | None (both parts) | $204.17 | $436.52 | $954.99 |
United Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $91.20 Typical High $275.42 | Professional | 26 · Professional part | $58.88 | $91.20 | $275.42 |
United Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $295.12 Typical High $691.83 | Professional | TC · Technical part | $144.54 | $295.12 | $691.83 |
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 $165.96 Median $302.00 Typical High $302.00 | Professional | 52 · Reduced service | $165.96 | $302.00 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $120.23 Typical High $120.23 | Professional | 53 · Discontinued | $66.07 | $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 13.5 times more in Vermont 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
$468
VT $2,089UT $155
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.