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 (both parts) Typical Low $912.01 Median $1,096.48 Typical High $1,096.48 | Professional | None (both parts) | $912.01 | $1,096.48 | $1,096.48 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $138.04 Typical High $138.04 | Professional | 26 · Professional part | $107.15 | $138.04 | $138.04 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $831.76 Median $954.99 Typical High $954.99 | Professional | TC · Technical part | $831.76 | $954.99 | $954.99 |
Anthem BCBS Setting Facility Modifier None Typical Low $457.09 Median $1,737.80 Typical High $4,677.35 | Facility | None | $457.09 | $1,737.80 | $4,677.35 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $977.24 Median $1,348.96 Typical High $1,862.09 | Professional | None (both parts) | $977.24 | $1,348.96 | $1,862.09 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $134.90 Typical High $295.12 | Professional | 26 · Professional part | $97.72 | $134.90 | $295.12 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $891.25 Median $1,230.27 Typical High $1,548.82 | Professional | TC · Technical part | $891.25 | $1,230.27 | $1,548.82 |
Cigna Setting Facility Modifier None Typical Low $812.83 Median $2,238.72 Typical High $5,754.40 | Facility | None | $812.83 | $2,238.72 | $5,754.40 |
Cigna Setting Professional Modifier None (both parts) Typical Low $316.23 Median $1,174.90 Typical High $1,949.84 | Professional | None (both parts) | $316.23 | $1,174.90 | $1,949.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $131.83 Typical High $208.93 | Professional | 26 · Professional part | $123.03 | $131.83 | $208.93 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $1,047.13 Typical High $1,737.80 | Professional | TC · Technical part | $194.98 | $1,047.13 | $1,737.80 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $630.96 Median $660.69 Typical High $1,412.54 | Professional | None (both parts) | $630.96 | $660.69 | $1,412.54 |
United Setting Professional Modifier None (both parts) Typical Low $371.54 Median $1,318.26 Typical High $2,041.74 | Professional | None (both parts) | $371.54 | $1,318.26 | $2,041.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $151.36 Typical High $239.88 | Professional | 26 · Professional part | $100.00 | $151.36 | $239.88 |
United Setting Professional Modifier TC · Technical part Typical Low $676.08 Median $1,202.26 Typical High $2,041.74 | Professional | TC · Technical part | $676.08 | $1,202.26 | $2,041.74 |
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 $457.09 Median $549.54 Typical High $549.54 | Professional | 52 · Reduced service | $457.09 | $549.54 | $549.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $186.21 Median $218.78 Typical High $218.78 | Professional | 53 · Discontinued | $186.21 | $218.78 | $218.78 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $831.76 Median $891.25 Typical High $891.25 | Professional | FX · Film X-ray | $831.76 | $891.25 | $891.25 |
Where Connecticut sits
The same service costs 5.5 times more in Alaska than in Indiana. 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· 20th of 51
$1,202
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.