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 $1,659.59 Median $1,659.59 Typical High $1,698.24 | Facility | None | $1,659.59 | $1,659.59 | $1,698.24 |
Aetna Setting Professional Modifier None (both parts) Typical Low $173.78 Median $199.53 Typical High $263.03 | Professional | None (both parts) | $173.78 | $199.53 | $263.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $141.25 Typical High $173.78 | Professional | 26 · Professional part | $104.71 | $141.25 | $173.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $54.95 Typical High $112.20 | Professional | TC · Technical part | $48.98 | $54.95 | $112.20 |
Anthem BCBS Setting Facility Modifier None Typical Low $218.78 Median $338.84 Typical High $1,905.46 | Facility | None | $218.78 | $338.84 | $1,905.46 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $134.90 Median $186.21 Typical High $323.59 | Professional | None (both parts) | $134.90 | $186.21 | $323.59 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $134.90 Typical High $190.55 | Professional | 26 · Professional part | $97.72 | $134.90 | $190.55 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $51.29 Typical High $131.83 | Professional | TC · Technical part | $37.15 | $51.29 | $131.83 |
Cigna Setting Facility Modifier None Typical Low $72.44 Median $169.82 Typical High $2,041.74 | Facility | None | $72.44 | $169.82 | $2,041.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $186.21 Median $295.12 Typical High $691.83 | Professional | None (both parts) | $186.21 | $295.12 | $691.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $125.89 Typical High $218.78 | Professional | 26 · Professional part | $120.23 | $125.89 | $218.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $125.89 Typical High $562.34 | Professional | TC · Technical part | $45.71 | $125.89 | $562.34 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $194.98 Median $426.58 Typical High $446.68 | Professional | None (both parts) | $194.98 | $426.58 | $446.68 |
Health New England Setting Facility Modifier None Typical Low $3,388.44 Median $3,388.44 Typical High $3,388.44 | Facility | None | $3,388.44 | $3,388.44 | $3,388.44 |
Health New England Setting Professional Modifier None (both parts) Typical Low $194.98 Median $194.98 Typical High $204.17 | Professional | None (both parts) | $194.98 | $194.98 | $204.17 |
United Setting Professional Modifier None (both parts) Typical Low $134.90 Median $275.42 Typical High $676.08 | Professional | None (both parts) | $134.90 | $275.42 | $676.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $158.49 Typical High $251.19 | Professional | 26 · Professional part | $104.71 | $158.49 | $251.19 |
United Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $50.12 Typical High $75.86 | Professional | TC · Technical part | $26.30 | $50.12 | $75.86 |
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 $97.72 Median $97.72 Typical High $97.72 | Professional | 52 · Reduced service | $97.72 | $97.72 | $97.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $39.81 Typical High $39.81 | Professional | 53 · Discontinued | $38.90 | $39.81 | $39.81 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | FX · Film X-ray | $158.49 | $158.49 | $158.49 |
Where Connecticut sits
The same service costs 5.1 times more in Alaska than in Florida. 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· 34th of 51
$204
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.