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 Professional Modifier None (both parts) Typical Low $524.81 Median $776.25 Typical High $2,238.72 | Professional | None (both parts) | $524.81 | $776.25 | $2,238.72 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $43.65 Typical High $43.65 | Professional | 26 · Professional part | $30.90 | $43.65 | $43.65 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $524.81 Median $758.58 Typical High $1,862.09 | Professional | TC · Technical part | $524.81 | $758.58 | $1,862.09 |
Anthem BCBS Setting Facility Modifier None Typical Low $549.54 Median $954.99 Typical High $1,445.44 | Facility | None | $549.54 | $954.99 | $1,445.44 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $831.76 Median $3,467.37 Typical High $4,677.35 | Professional | None (both parts) | $831.76 | $3,467.37 | $4,677.35 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $52.48 Typical High $89.13 | Professional | 26 · Professional part | $34.67 | $52.48 | $89.13 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $776.25 Median $3,467.37 Typical High $4,677.35 | Professional | TC · Technical part | $776.25 | $3,467.37 | $4,677.35 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $891.25 Typical High $2,344.23 | Facility | None | $501.19 | $891.25 | $2,344.23 |
Cigna Setting Professional Modifier None (both parts) Typical Low $338.84 Median $354.81 Typical High $537.03 | Professional | None (both parts) | $338.84 | $354.81 | $537.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $50.12 Typical High $75.86 | Professional | 26 · Professional part | $47.86 | $50.12 | $75.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $309.03 Typical High $457.09 | Professional | TC · Technical part | $288.40 | $309.03 | $457.09 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $275.42 Median $338.84 Typical High $537.03 | Professional | None (both parts) | $275.42 | $338.84 | $537.03 |
United Setting Professional Modifier None (both parts) Typical Low $331.13 Median $1,778.28 Typical High $4,570.88 | Professional | None (both parts) | $331.13 | $1,778.28 | $4,570.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $52.48 Typical High $79.43 | Professional | 26 · Professional part | $32.36 | $52.48 | $79.43 |
United Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $1,949.84 Typical High $4,786.30 | Professional | TC · Technical part | $281.84 | $1,949.84 | $4,786.30 |
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 $263.03 Median $389.05 Typical High $1,122.02 | Professional | 52 · Reduced service | $263.03 | $389.05 | $1,122.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $104.71 Median $154.88 Typical High $446.68 | Professional | 53 · Discontinued | $104.71 | $154.88 | $446.68 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $537.03 Median $616.60 Typical High $616.60 | Professional | FX · Film X-ray | $537.03 | $616.60 | $616.60 |
Where Connecticut sits
The same service costs 15.1 times more in Colorado than in New Jersey. 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· 22nd of 51
$977
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.