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 $1,096.48 Median $1,819.70 Typical High $2,398.83 | Facility | None | $1,096.48 | $1,819.70 | $2,398.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $371.54 Median $602.56 Typical High $645.65 | Professional | None (both parts) | $371.54 | $602.56 | $645.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $165.96 Typical High $169.82 | Professional | 26 · Professional part | $104.71 | $165.96 | $169.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $436.52 Typical High $478.63 | Professional | TC · Technical part | $281.84 | $436.52 | $478.63 |
Anthem BCBS Setting Facility Modifier None Typical Low $891.25 Median $1,288.25 Typical High $1,862.09 | Facility | None | $891.25 | $1,288.25 | $1,862.09 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $323.59 Median $645.65 Typical High $1,174.90 | Professional | None (both parts) | $323.59 | $645.65 | $1,174.90 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $151.36 Typical High $208.93 | Professional | 26 · Professional part | $81.28 | $151.36 | $208.93 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $436.52 Typical High $1,000.00 | Professional | TC · Technical part | $245.47 | $436.52 | $1,000.00 |
Cigna Setting Facility Modifier None Typical Low $489.78 Median $812.83 Typical High $954.99 | Facility | None | $489.78 | $812.83 | $954.99 |
Cigna Setting Professional Modifier None (both parts) Typical Low $446.68 Median $724.44 Typical High $1,047.13 | Professional | None (both parts) | $446.68 | $724.44 | $1,047.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $104.71 Typical High $165.96 | Professional | 26 · Professional part | $79.43 | $104.71 | $165.96 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $630.96 Typical High $891.25 | Professional | TC · Technical part | $338.84 | $630.96 | $891.25 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $467.74 Median $691.83 Typical High $870.96 | Professional | None (both parts) | $467.74 | $691.83 | $870.96 |
United Setting Professional Modifier None (both parts) Typical Low $316.23 Median $616.60 Typical High $1,479.11 | Professional | None (both parts) | $316.23 | $616.60 | $1,479.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $120.23 Typical High $354.81 | Professional | 26 · Professional part | $74.13 | $120.23 | $354.81 |
United Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $457.09 Typical High $1,230.27 | Professional | TC · Technical part | $239.88 | $457.09 | $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 5.6 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· 10th of 51
$646
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.