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 $426.58 Median $501.19 Typical High $616.60 | Professional | None (both parts) | $426.58 | $501.19 | $616.60 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $42.66 Typical High $52.48 | Professional | 26 · Professional part | $38.90 | $42.66 | $52.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $380.19 Median $467.74 Typical High $562.34 | Professional | TC · Technical part | $380.19 | $467.74 | $562.34 |
Anthem BCBS Setting Facility Modifier None Typical Low $758.58 Median $1,230.27 Typical High $2,187.76 | Facility | None | $758.58 | $1,230.27 | $2,187.76 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $363.08 Median $1,202.26 Typical High $1,318.26 | Professional | None (both parts) | $363.08 | $1,202.26 | $1,318.26 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $46.77 Typical High $107.15 | Professional | 26 · Professional part | $36.31 | $46.77 | $107.15 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $363.08 Median $501.19 Typical High $1,122.02 | Professional | TC · Technical part | $363.08 | $501.19 | $1,122.02 |
Cigna Setting Facility Modifier None Typical Low $870.96 Median $2,041.74 Typical High $2,630.27 | Facility | None | $870.96 | $2,041.74 | $2,630.27 |
Cigna Setting Professional Modifier None (both parts) Typical Low $562.34 Median $630.96 Typical High $954.99 | Professional | None (both parts) | $562.34 | $630.96 | $954.99 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $52.48 Typical High $83.18 | Professional | 26 · Professional part | $47.86 | $52.48 | $83.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $524.81 Median $588.84 Typical High $870.96 | Professional | TC · Technical part | $524.81 | $588.84 | $870.96 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $524.81 Median $575.44 Typical High $741.31 | Professional | None (both parts) | $524.81 | $575.44 | $741.31 |
United Setting Professional Modifier None (both parts) Typical Low $407.38 Median $724.44 Typical High $1,148.15 | Professional | None (both parts) | $407.38 | $724.44 | $1,148.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $48.98 Typical High $81.28 | Professional | 26 · Professional part | $30.20 | $48.98 | $81.28 |
United Setting Professional Modifier TC · Technical part Typical Low $371.54 Median $691.83 Typical High $1,071.52 | Professional | TC · Technical part | $371.54 | $691.83 | $1,071.52 |
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 $208.93 Median $251.19 Typical High $251.19 | Professional | 52 · Reduced service | $208.93 | $251.19 | $251.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $85.11 Median $102.33 Typical High $102.33 | Professional | 53 · Discontinued | $85.11 | $102.33 | $102.33 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $338.84 Median $407.38 Typical High $407.38 | Professional | FX · Film X-ray | $338.84 | $407.38 | $407.38 |
Where Connecticut sits
The same service costs 16.6 times more in Wisconsin than in Oregon. 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· 13th of 51
$661
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.