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 $134.90 Median $181.97 Typical High $199.53 | Professional | None (both parts) | $134.90 | $181.97 | $199.53 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $85.11 Typical High $87.10 | Professional | 26 · Professional part | $58.88 | $85.11 | $87.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $95.50 Typical High $112.20 | Professional | TC · Technical part | $70.79 | $95.50 | $112.20 |
Anthem BCBS Setting Facility Modifier None Typical Low $162.18 Median $346.74 Typical High $602.56 | Facility | None | $162.18 | $346.74 | $602.56 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $114.82 Median $158.49 Typical High $346.74 | Professional | None (both parts) | $114.82 | $158.49 | $346.74 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $75.86 Typical High $151.36 | Professional | 26 · Professional part | $54.95 | $75.86 | $151.36 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $83.18 Typical High $199.53 | Professional | TC · Technical part | $60.26 | $83.18 | $199.53 |
Cigna Setting Facility Modifier None Typical Low $154.88 Median $323.59 Typical High $660.69 | Facility | None | $154.88 | $323.59 | $660.69 |
Cigna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $229.09 Typical High $257.04 | Professional | None (both parts) | $162.18 | $229.09 | $257.04 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $74.13 Typical High $112.20 | Professional | 26 · Professional part | $69.18 | $74.13 | $112.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $158.49 Typical High $162.18 | Professional | TC · Technical part | $87.10 | $158.49 | $162.18 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $147.91 Median $151.36 Typical High $199.53 | Professional | None (both parts) | $147.91 | $151.36 | $199.53 |
United Setting Professional Modifier None (both parts) Typical Low $91.20 Median $151.36 Typical High $239.88 | Professional | None (both parts) | $91.20 | $151.36 | $239.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $69.18 Typical High $109.65 | Professional | 26 · Professional part | $43.65 | $69.18 | $109.65 |
United Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $87.10 Typical High $128.82 | Professional | TC · Technical part | $46.77 | $87.10 | $128.82 |
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 $64.57 Median $89.13 Typical High $89.13 | Professional | 52 · Reduced service | $64.57 | $89.13 | $89.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $36.31 Typical High $36.31 | Professional | 53 · Discontinued | $25.70 | $36.31 | $36.31 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $112.20 Median $144.54 Typical High $144.54 | Professional | FX · Film X-ray | $112.20 | $144.54 | $144.54 |
Where Connecticut sits
The same service costs 5.6 times more in Alaska than in Texas. 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· 21st of 51
$158
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.