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 $478.63 Median $478.63 Typical High $501.19 | Facility | None | $478.63 | $478.63 | $501.19 |
Aetna Setting Professional Modifier None Typical Low $60.26 Median $112.20 Typical High $131.83 | Professional | None | $60.26 | $112.20 | $131.83 |
Anthem BCBS Setting Facility Modifier None Typical Low $85.11 Median $457.09 Typical High $575.44 | Facility | None | $85.11 | $457.09 | $575.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $77.62 Median $102.33 Typical High $154.88 | Professional | None | $77.62 | $102.33 | $154.88 |
Cigna Setting Facility Modifier None Typical Low $204.17 Median $446.68 Typical High $812.83 | Facility | None | $204.17 | $446.68 | $812.83 |
Cigna Setting Professional Modifier None Typical Low $67.61 Median $120.23 Typical High $204.17 | Professional | None | $67.61 | $120.23 | $204.17 |
ConnectiCare Setting Professional Modifier None Typical Low $64.57 Median $107.15 Typical High $134.90 | Professional | None | $64.57 | $107.15 | $134.90 |
Health New England Setting Facility Modifier None Typical Low $489.78 Median $588.84 Typical High $741.31 | Facility | None | $489.78 | $588.84 | $741.31 |
United Setting Professional Modifier None Typical Low $83.18 Median $144.54 Typical High $194.98 | Professional | None | $83.18 | $144.54 | $194.98 |
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 $41.69 Median $56.23 Typical High $56.23 | Professional | 52 · Reduced service | $41.69 | $56.23 | $56.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $22.91 Typical High $22.91 | Professional | 53 · Discontinued | $16.60 | $22.91 | $22.91 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $83.18 Median $91.20 Typical High $91.20 | Professional | FX · Film X-ray | $83.18 | $91.20 | $91.20 |
Where Connecticut sits
The same service costs 4.5 times more in Alaska than in Kentucky. 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· 29th of 51
$112
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.