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 $331.13 Median $416.87 Typical High $588.84 | Professional | None (both parts) | $331.13 | $416.87 | $588.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $63.10 Typical High $85.11 | Professional | 26 · Professional part | $54.95 | $63.10 | $85.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $346.74 Typical High $501.19 | Professional | TC · Technical part | $269.15 | $346.74 | $501.19 |
Anthem BCBS Setting Facility Modifier None Typical Low $354.81 Median $549.54 Typical High $812.83 | Facility | None | $354.81 | $549.54 | $812.83 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $323.59 Median $398.11 Typical High $562.34 | Professional | None (both parts) | $323.59 | $398.11 | $562.34 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $72.44 Typical High $97.72 | Professional | 26 · Professional part | $53.70 | $72.44 | $97.72 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $323.59 Typical High $467.74 | Professional | TC · Technical part | $269.15 | $323.59 | $467.74 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $851.14 Typical High $1,584.89 | Facility | None | $524.81 | $851.14 | $1,584.89 |
Cigna Setting Professional Modifier None (both parts) Typical Low $263.03 Median $407.38 Typical High $758.58 | Professional | None (both parts) | $263.03 | $407.38 | $758.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $74.13 Typical High $112.20 | Professional | 26 · Professional part | $69.18 | $74.13 | $112.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $338.84 Typical High $645.65 | Professional | TC · Technical part | $194.98 | $338.84 | $645.65 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $269.15 Median $380.19 Typical High $446.68 | Professional | None (both parts) | $269.15 | $380.19 | $446.68 |
Health New England Setting Facility Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $1,778.28 | Facility | None | $1,778.28 | $1,778.28 | $1,778.28 |
Health New England Setting Professional Modifier None (both parts) Typical Low $77.62 Median $79.43 Typical High $114.82 | Professional | None (both parts) | $77.62 | $79.43 | $114.82 |
United Setting Professional Modifier None (both parts) Typical Low $309.03 Median $562.34 Typical High $1,023.29 | Professional | None (both parts) | $309.03 | $562.34 | $1,023.29 |
United Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $100.00 Typical High $162.18 | Professional | 26 · Professional part | $56.23 | $100.00 | $162.18 |
United Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $549.54 Typical High $851.14 | Professional | TC · Technical part | $295.12 | $549.54 | $851.14 |
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 $147.91 Median $204.17 Typical High $204.17 | Professional | 52 · Reduced service | $147.91 | $204.17 | $204.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $58.88 Median $83.18 Typical High $83.18 | Professional | 53 · Discontinued | $58.88 | $83.18 | $83.18 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $331.13 Median $331.13 Typical High $331.13 | Professional | FX · Film X-ray | $331.13 | $331.13 | $331.13 |
Where Connecticut sits
The same service costs 4.0 times more in Alaska than in Kentucky. 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· 24th of 51
$427
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.