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 $1,122.02 Median $1,445.44 Typical High $1,445.44 | Professional | None (both parts) | $1,122.02 | $1,445.44 | $1,445.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $128.82 Typical High $128.82 | Professional | 26 · Professional part | $102.33 | $128.82 | $128.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $1,023.29 Median $1,318.26 Typical High $1,318.26 | Professional | TC · Technical part | $1,023.29 | $1,318.26 | $1,318.26 |
Anthem BCBS Setting Facility Modifier None Typical Low $457.09 Median $2,398.83 Typical High $6,309.57 | Facility | None | $457.09 | $2,398.83 | $6,309.57 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $1,000.00 Median $1,380.38 Typical High $2,630.27 | Professional | None (both parts) | $1,000.00 | $1,380.38 | $2,630.27 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $123.03 Typical High $269.15 | Professional | 26 · Professional part | $89.13 | $123.03 | $269.15 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $912.01 Median $1,258.93 Typical High $2,344.23 | Professional | TC · Technical part | $912.01 | $1,258.93 | $2,344.23 |
Cigna Setting Facility Modifier None Typical Low $933.25 Median $2,570.40 Typical High $6,309.57 | Facility | None | $933.25 | $2,570.40 | $6,309.57 |
Cigna Setting Professional Modifier None (both parts) Typical Low $316.23 Median $1,230.27 Typical High $2,187.76 | Professional | None (both parts) | $316.23 | $1,230.27 | $2,187.76 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $125.89 Typical High $213.80 | Professional | 26 · Professional part | $120.23 | $125.89 | $213.80 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $1,122.02 Typical High $2,041.74 | Professional | TC · Technical part | $194.98 | $1,122.02 | $2,041.74 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $812.83 Median $851.14 Typical High $1,445.44 | Professional | None (both parts) | $812.83 | $851.14 | $1,445.44 |
United Setting Professional Modifier None (both parts) Typical Low $371.54 Median $1,513.56 Typical High $2,570.40 | Professional | None (both parts) | $371.54 | $1,513.56 | $2,570.40 |
United Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $151.36 Typical High $223.87 | Professional | 26 · Professional part | $95.50 | $151.36 | $223.87 |
United Setting Professional Modifier TC · Technical part Typical Low $870.96 Median $1,513.56 Typical High $2,344.23 | Professional | TC · Technical part | $870.96 | $1,513.56 | $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 $562.34 Median $724.44 Typical High $724.44 | Professional | 52 · Reduced service | $562.34 | $724.44 | $724.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $229.09 Median $288.40 Typical High $288.40 | Professional | 53 · Discontinued | $229.09 | $288.40 | $288.40 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $1,096.48 Median $1,148.15 Typical High $1,148.15 | Professional | FX · Film X-ray | $1,096.48 | $1,148.15 | $1,148.15 |
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· 19th of 51
$1,380
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.