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 $97.72 Median $138.04 Typical High $165.96 | Professional | None | $97.72 | $138.04 | $165.96 |
Anthem BCBS Setting Facility Modifier None Typical Low $158.49 Median $501.19 Typical High $691.83 | Facility | None | $158.49 | $501.19 | $691.83 |
Anthem BCBS Setting Professional Modifier None Typical Low $97.72 Median $138.04 Typical High $177.83 | Professional | None | $97.72 | $138.04 | $177.83 |
Cigna Setting Facility Modifier None Typical Low $239.88 Median $457.09 Typical High $645.65 | Facility | None | $239.88 | $457.09 | $645.65 |
Cigna Setting Professional Modifier None Typical Low $107.15 Median $123.03 Typical High $213.80 | Professional | None | $107.15 | $123.03 | $213.80 |
ConnectiCare Setting Professional Modifier None Typical Low $104.71 Median $109.65 Typical High $141.25 | Professional | None | $104.71 | $109.65 | $141.25 |
Health New England Setting Professional Modifier None Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | None | $257.04 | $257.04 | $257.04 |
United Setting Professional Modifier None Typical Low $104.71 Median $144.54 Typical High $245.47 | Professional | None | $104.71 | $144.54 | $245.47 |
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 $69.18 Typical High $69.18 | Professional | 52 · Reduced service | $56.23 | $69.18 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $27.54 Typical High $27.54 | Professional | 53 · Discontinued | $22.39 | $27.54 | $27.54 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $102.33 Median $112.20 Typical High $112.20 | Professional | FX · Film X-ray | $102.33 | $112.20 | $112.20 |
Where Connecticut sits
The same service costs 4.4 times more in Alaska than in New York. 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· 25th of 51
$138
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.