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 $398.11 Median $562.34 Typical High $691.83 | Professional | None | $398.11 | $562.34 | $691.83 |
Anthem BCBS Setting Facility Modifier None Typical Low $691.83 Median $2,187.76 Typical High $2,818.38 | Facility | None | $691.83 | $2,187.76 | $2,818.38 |
Anthem BCBS Setting Professional Modifier None Typical Low $389.05 Median $537.03 Typical High $741.31 | Professional | None | $389.05 | $537.03 | $741.31 |
Cigna Setting Facility Modifier None Typical Low $1,023.29 Median $1,995.26 Typical High $2,630.27 | Facility | None | $1,023.29 | $1,995.26 | $2,630.27 |
Cigna Setting Professional Modifier None Typical Low $467.74 Median $501.19 Typical High $851.14 | Professional | None | $467.74 | $501.19 | $851.14 |
ConnectiCare Setting Professional Modifier None Typical Low $436.52 Median $457.09 Typical High $562.34 | Professional | None | $436.52 | $457.09 | $562.34 |
Health New England Setting Professional Modifier None Typical Low $741.31 Median $741.31 Typical High $741.31 | Professional | None | $741.31 | $741.31 | $741.31 |
United Setting Professional Modifier None Typical Low $416.87 Median $602.56 Typical High $1,000.00 | Professional | None | $416.87 | $602.56 | $1,000.00 |
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 $199.53 Median $281.84 Typical High $281.84 | Professional | 52 · Reduced service | $199.53 | $281.84 | $281.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $79.43 Median $112.20 Typical High $112.20 | Professional | 53 · Discontinued | $79.43 | $112.20 | $112.20 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $416.87 Median $457.09 Typical High $457.09 | Professional | FX · Film X-ray | $416.87 | $457.09 | $457.09 |
Where Connecticut sits
The same service costs 4.2 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
$562
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.