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 $112.20 Median $162.18 Typical High $239.88 | Professional | None (both parts) | $112.20 | $162.18 | $239.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $72.44 Typical High $74.13 | Professional | 26 · Professional part | $44.67 | $72.44 | $74.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $91.20 Typical High $162.18 | Professional | TC · Technical part | $63.10 | $91.20 | $162.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $154.88 Median $371.54 Typical High $660.69 | Facility | None | $154.88 | $371.54 | $660.69 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $104.71 Median $257.04 Typical High $354.81 | Professional | None (both parts) | $104.71 | $257.04 | $354.81 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $85.11 Typical High $120.23 | Professional | 26 · Professional part | $45.71 | $85.11 | $120.23 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $169.82 Typical High $245.47 | Professional | TC · Technical part | $60.26 | $169.82 | $245.47 |
Cigna Setting Facility Modifier None Typical Low $162.18 Median $234.42 Typical High $457.09 | Facility | None | $162.18 | $234.42 | $457.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $223.87 Typical High $371.54 | Professional | None (both parts) | $190.55 | $223.87 | $371.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $58.88 Typical High $89.13 | Professional | 26 · Professional part | $57.54 | $58.88 | $89.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $165.96 Typical High $251.19 | Professional | TC · Technical part | $131.83 | $165.96 | $251.19 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $173.78 Median $208.93 Typical High $257.04 | Professional | None (both parts) | $173.78 | $208.93 | $257.04 |
Health New England Setting Professional Modifier None (both parts) Typical Low $72.44 Median $112.20 Typical High $112.20 | Professional | None (both parts) | $72.44 | $112.20 | $112.20 |
United Setting Professional Modifier None (both parts) Typical Low $134.90 Median $208.93 Typical High $389.05 | Professional | None (both parts) | $134.90 | $208.93 | $389.05 |
United Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $63.10 Typical High $125.89 | Professional | 26 · Professional part | $40.74 | $63.10 | $125.89 |
United Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $134.90 Typical High $257.04 | Professional | TC · Technical part | $87.10 | $134.90 | $257.04 |
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 $56.23 Median $81.28 Typical High $81.28 | Professional | 52 · Reduced service | $56.23 | $81.28 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $32.36 Typical High $32.36 | Professional | 53 · Discontinued | $22.39 | $32.36 | $32.36 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $91.20 Median $128.82 Typical High $128.82 | Professional | FX · Film X-ray | $91.20 | $128.82 | $128.82 |
Where Connecticut sits
The same service costs 4.3 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· 12th of 51
$251
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.