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 Typical Low $19.50 Median $21.38 Typical High $21.38 | Professional | None | $19.50 | $21.38 | $21.38 |
Anthem BCBS Setting Facility Modifier None Typical Low $56.23 Median $138.04 Typical High $302.00 | Facility | None | $56.23 | $138.04 | $302.00 |
Anthem BCBS Setting Professional Modifier None Typical Low $20.42 Median $24.55 Typical High $158.49 | Professional | None | $20.42 | $24.55 | $158.49 |
Cigna Setting Facility Modifier None Typical Low $56.23 Median $97.72 Typical High $151.36 | Facility | None | $56.23 | $97.72 | $151.36 |
Cigna Setting Professional Modifier None Typical Low $25.12 Median $89.13 Typical High $120.23 | Professional | None | $25.12 | $89.13 | $120.23 |
ConnectiCare Setting Professional Modifier None Typical Low $25.70 Median $95.50 Typical High $100.00 | Professional | None | $25.70 | $95.50 | $100.00 |
United Setting Professional Modifier None Typical Low $15.85 Median $32.36 Typical High $91.20 | Professional | None | $15.85 | $32.36 | $91.20 |
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 $9.77 Median $10.47 Typical High $10.47 | Professional | 52 · Reduced service | $9.77 | $10.47 | $10.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.89 Median $4.27 Typical High $4.27 | Professional | 53 · Discontinued | $3.89 | $4.27 | $4.27 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $16.98 Median $16.98 Typical High $16.98 | Professional | FX · Film X-ray | $16.98 | $16.98 | $16.98 |
Where Connecticut sits
The same service costs 5.5 times more in Alabama than in Pennsylvania. 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· 26th of 51
$32.36
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.