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 $2,570.40 Median $2,630.27 Typical High $2,630.27 | Professional | None | $2,570.40 | $2,630.27 | $2,630.27 |
Anthem BCBS Setting Professional Modifier None Typical Low $181.97 Median $891.25 Typical High $1,047.13 | Professional | None | $181.97 | $891.25 | $1,047.13 |
Cigna Setting Facility Modifier None Typical Low $1,513.56 Median $3,467.37 Typical High $7,079.46 | Facility | None | $1,513.56 | $3,467.37 | $7,079.46 |
Cigna Setting Professional Modifier None Typical Low $2,238.72 Median $2,238.72 Typical High $2,238.72 | Professional | None | $2,238.72 | $2,238.72 | $2,238.72 |
ConnectiCare Setting Professional Modifier None Typical Low $1,258.93 Median $1,479.11 Typical High $1,548.82 | Professional | None | $1,258.93 | $1,479.11 | $1,548.82 |
United Setting Professional Modifier None Typical Low $794.33 Median $1,412.54 Typical High $2,344.23 | Professional | None | $794.33 | $1,412.54 | $2,344.23 |
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 $1,096.48 Median $1,318.26 Typical High $1,318.26 | Professional | 52 · Reduced service | $1,096.48 | $1,318.26 | $1,318.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $467.74 Median $524.81 Typical High $524.81 | Professional | 53 · Discontinued | $467.74 | $524.81 | $524.81 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $2,041.74 Median $2,089.30 Typical High $2,089.30 | Professional | FX · Film X-ray | $2,041.74 | $2,089.30 | $2,089.30 |
Where Connecticut sits
The same service costs 70.8 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· 45th of 51
$1,047
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.