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 $218.78 Median $309.03 Typical High $380.19 | Professional | None (both parts) | $218.78 | $309.03 | $380.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $91.20 Typical High $109.65 | Professional | 26 · Professional part | $67.61 | $91.20 | $109.65 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $218.78 Typical High $269.15 | Professional | TC · Technical part | $151.36 | $218.78 | $269.15 |
Anthem BCBS Setting Facility Modifier None Typical Low $186.21 Median $316.23 Typical High $398.11 | Facility | None | $186.21 | $316.23 | $398.11 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $251.19 Median $316.23 Typical High $446.68 | Professional | None (both parts) | $251.19 | $316.23 | $446.68 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $93.33 Typical High $144.54 | Professional | 26 · Professional part | $70.79 | $93.33 | $144.54 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $223.87 Typical High $316.23 | Professional | TC · Technical part | $177.83 | $223.87 | $316.23 |
Cigna Setting Facility Modifier None Typical Low $251.19 Median $537.03 Typical High $1,096.48 | Facility | None | $251.19 | $537.03 | $1,096.48 |
Cigna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $269.15 Typical High $537.03 | Professional | None (both parts) | $190.55 | $269.15 | $537.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $104.71 Typical High $151.36 | Professional | 26 · Professional part | $95.50 | $104.71 | $151.36 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $138.04 Typical High $398.11 | Professional | TC · Technical part | $93.33 | $138.04 | $398.11 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $213.80 Median $251.19 Typical High $354.81 | Professional | None (both parts) | $213.80 | $251.19 | $354.81 |
ConnectiCare Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $91.20 Typical High $120.23 | Professional | 26 · Professional part | $75.86 | $91.20 | $120.23 |
ConnectiCare Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $194.98 Typical High $263.03 | Professional | TC · Technical part | $138.04 | $194.98 | $263.03 |
Health New England Setting Facility Modifier None Typical Low $575.44 Median $1,174.90 Typical High $2,344.23 | Facility | None | $575.44 | $1,174.90 | $2,344.23 |
Health New England Setting Professional Modifier None (both parts) Typical Low $131.83 Median $165.96 Typical High $239.88 | Professional | None (both parts) | $131.83 | $165.96 | $239.88 |
United Setting Professional Modifier None (both parts) Typical Low $213.80 Median $295.12 Typical High $602.56 | Professional | None (both parts) | $213.80 | $295.12 | $602.56 |
United Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $95.50 Typical High $173.78 | Professional | 26 · Professional part | $70.79 | $95.50 | $173.78 |
United Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $218.78 Typical High $426.58 | Professional | TC · Technical part | $134.90 | $218.78 | $426.58 |
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 $107.15 Median $154.88 Typical High $154.88 | Professional | 52 · Reduced service | $107.15 | $154.88 | $154.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $61.66 Typical High $61.66 | Professional | 53 · Discontinued | $42.66 | $61.66 | $61.66 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $177.83 Median $251.19 Typical High $251.19 | Professional | FX · Film X-ray | $177.83 | $251.19 | $251.19 |
Where Connecticut sits
The same service costs 5.0 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· 21st of 51
$309
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.