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 $154.88 Median $223.87 Typical High $295.12 | Professional | None (both parts) | $154.88 | $223.87 | $295.12 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $87.10 Typical High $104.71 | Professional | 26 · Professional part | $56.23 | $87.10 | $104.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $138.04 Typical High $213.80 | Professional | TC · Technical part | $93.33 | $138.04 | $213.80 |
Anthem BCBS Setting Facility Modifier None Typical Low $234.42 Median $398.11 Typical High $575.44 | Facility | None | $234.42 | $398.11 | $575.44 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $141.25 Median $263.03 Typical High $524.81 | Professional | None (both parts) | $141.25 | $263.03 | $524.81 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $104.71 Typical High $144.54 | Professional | 26 · Professional part | $56.23 | $104.71 | $144.54 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $158.49 Typical High $398.11 | Professional | TC · Technical part | $85.11 | $158.49 | $398.11 |
Cigna Setting Facility Modifier None Typical Low $204.17 Median $218.78 Typical High $457.09 | Facility | None | $204.17 | $218.78 | $457.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $199.53 Median $338.84 Typical High $478.63 | Professional | None (both parts) | $199.53 | $338.84 | $478.63 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $72.44 Typical High $109.65 | Professional | 26 · Professional part | $69.18 | $72.44 | $109.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $269.15 Typical High $338.84 | Professional | TC · Technical part | $123.03 | $269.15 | $338.84 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $186.21 Median $269.15 Typical High $363.08 | Professional | None (both parts) | $186.21 | $269.15 | $363.08 |
Health New England Setting Facility Modifier None Typical Low $741.31 Median $741.31 Typical High $741.31 | Facility | None | $741.31 | $741.31 | $741.31 |
Health New England Setting Professional Modifier None (both parts) Typical Low $81.28 Median $107.15 Typical High $524.81 | Professional | None (both parts) | $81.28 | $107.15 | $524.81 |
United Setting Professional Modifier None (both parts) Typical Low $138.04 Median $245.47 Typical High $436.52 | Professional | None (both parts) | $138.04 | $245.47 | $436.52 |
United Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $77.62 Typical High $154.88 | Professional | 26 · Professional part | $50.12 | $77.62 | $154.88 |
United Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $144.54 Typical High $251.19 | Professional | TC · Technical part | $81.28 | $144.54 | $251.19 |
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 $77.62 Median $112.20 Typical High $112.20 | Professional | 52 · Reduced service | $77.62 | $112.20 | $112.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $44.67 Typical High $44.67 | Professional | 53 · Discontinued | $30.90 | $44.67 | $44.67 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $131.83 Median $190.55 Typical High $190.55 | Professional | CT · Older CT scanner | $131.83 | $190.55 | $190.55 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $123.03 Median $177.83 Typical High $177.83 | Professional | FX · Film X-ray | $123.03 | $177.83 | $177.83 |
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· 17th of 51
$263
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.