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 Typical Low $223.87 Median $281.84 Typical High $389.05 | Professional | None | $223.87 | $281.84 | $389.05 |
Anthem BCBS Setting Facility Modifier None Typical Low $223.87 Median $457.09 Typical High $1,318.26 | Facility | None | $223.87 | $457.09 | $1,318.26 |
Anthem BCBS Setting Professional Modifier None Typical Low $251.19 Median $346.74 Typical High $501.19 | Professional | None | $251.19 | $346.74 | $501.19 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $1,071.52 Typical High $1,737.80 | Facility | None | $398.11 | $1,071.52 | $1,737.80 |
Cigna Setting Professional Modifier None Typical Low $218.78 Median $354.81 Typical High $426.58 | Professional | None | $218.78 | $354.81 | $426.58 |
ConnectiCare Setting Professional Modifier None Typical Low $190.55 Median $199.53 Typical High $426.58 | Professional | None | $190.55 | $199.53 | $426.58 |
Health New England Setting Facility Modifier None Typical Low $2,137.96 Median $2,630.27 Typical High $2,630.27 | Facility | None | $2,137.96 | $2,630.27 | $2,630.27 |
United Setting Professional Modifier None Typical Low $117.49 Median $269.15 Typical High $467.74 | Professional | None | $117.49 | $269.15 | $467.74 |
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 $112.20 Median $141.25 Typical High $141.25 | Professional | 52 · Reduced service | $112.20 | $141.25 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $56.23 Typical High $56.23 | Professional | 53 · Discontinued | $45.71 | $56.23 | $56.23 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $208.93 Median $223.87 Typical High $223.87 | Professional | FX · Film X-ray | $208.93 | $223.87 | $223.87 |
Where Connecticut sits
The same service costs 4.3 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· 18th of 51
$347
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.