How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $2,511.89 Median $2,630.27 Typical High $2,630.27 | Professional | None | $2,511.89 | $2,630.27 | $2,630.27 |
Anthem BCBS Setting Facility Modifier None Typical Low $263.03 Median $446.68 Typical High $630.96 | Facility | None | $263.03 | $446.68 | $630.96 |
Anthem BCBS Setting Professional Modifier None Typical Low $173.78 Median $812.83 Typical High $954.99 | Professional | None | $173.78 | $812.83 | $954.99 |
Cigna Setting Facility Modifier None Typical Low $1,513.56 Median $3,235.94 Typical High $6,456.54 | Facility | None | $1,513.56 | $3,235.94 | $6,456.54 |
Cigna Setting Professional Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $2,041.74 | Professional | None | $2,041.74 | $2,041.74 | $2,041.74 |
ConnectiCare Setting Professional Modifier None Typical Low $1,000.00 Median $1,318.26 Typical High $1,380.38 | Professional | None | $1,000.00 | $1,318.26 | $1,380.38 |
United Setting Professional Modifier None Typical Low $64.57 Median $1,288.25 Typical High $2,137.96 | Professional | None | $64.57 | $1,288.25 | $2,137.96 |
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 $977.24 Median $1,318.26 Typical High $1,318.26 | Professional | 52 · Reduced service | $977.24 | $1,318.26 | $1,318.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $457.09 Median $524.81 Typical High $524.81 | Professional | 53 · Discontinued | $457.09 | $524.81 | $524.81 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $1,995.26 Median $2,137.96 Typical High $2,137.96 | Professional | FX · Film X-ray | $1,995.26 | $2,137.96 | $2,137.96 |
Where Connecticut sits
The same service costs 64.6 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· 42nd of 51
$955
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.