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 Facility Modifier None Typical Low $4,677.35 Median $6,606.93 Typical High $9,120.11 | Facility | None | $4,677.35 | $6,606.93 | $9,120.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,071.52 Median $1,071.52 Typical High $2,511.89 | Professional | None (both parts) | $1,071.52 | $1,071.52 | $2,511.89 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $134.90 Typical High $162.18 | Professional | 26 · Professional part | $95.50 | $134.90 | $162.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $954.99 Median $954.99 Typical High $2,398.83 | Professional | TC · Technical part | $954.99 | $954.99 | $2,398.83 |
Anthem BCBS Setting Facility Modifier None Typical Low $251.19 Median $562.34 Typical High $2,290.87 | Facility | None | $251.19 | $562.34 | $2,290.87 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $1,318.26 Median $2,884.03 Typical High $3,548.13 | Professional | None (both parts) | $1,318.26 | $2,884.03 | $3,548.13 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $154.88 Typical High $208.93 | Professional | 26 · Professional part | $85.11 | $154.88 | $208.93 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $1,258.93 Median $2,884.03 Typical High $3,467.37 | Professional | TC · Technical part | $1,258.93 | $2,884.03 | $3,467.37 |
Cigna Setting Facility Modifier None Typical Low $1,148.15 Median $1,659.59 Typical High $2,691.53 | Facility | None | $1,148.15 | $1,659.59 | $2,691.53 |
Cigna Setting Professional Modifier None (both parts) Typical Low $380.19 Median $741.31 Typical High $1,995.26 | Professional | None (both parts) | $380.19 | $741.31 | $1,995.26 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $120.23 Typical High $169.82 | Professional | 26 · Professional part | $107.15 | $120.23 | $169.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $549.54 Typical High $1,698.24 | Professional | TC · Technical part | $263.03 | $549.54 | $1,698.24 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $426.58 Median $1,230.27 Typical High $1,479.11 | Professional | None (both parts) | $426.58 | $1,230.27 | $1,479.11 |
United Setting Professional Modifier None (both parts) Typical Low $1,202.26 Median $2,137.96 Typical High $3,467.37 | Professional | None (both parts) | $1,202.26 | $2,137.96 | $3,467.37 |
United Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $112.20 Typical High $190.55 | Professional | 26 · Professional part | $81.28 | $112.20 | $190.55 |
United Setting Professional Modifier TC · Technical part Typical Low $1,348.96 Median $1,995.26 Typical High $3,235.94 | Professional | TC · Technical part | $1,348.96 | $1,995.26 | $3,235.94 |
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 $501.19 Median $537.03 Typical High $537.03 | Professional | 52 · Reduced service | $501.19 | $537.03 | $537.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $199.53 Median $213.80 Typical High $213.80 | Professional | 53 · Discontinued | $199.53 | $213.80 | $213.80 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $870.96 Median $870.96 Typical High $870.96 | Professional | FX · Film X-ray | $870.96 | $870.96 | $870.96 |
Where Connecticut sits
The same service costs 15.1 times more in Nebraska than in Washington. 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· 15th of 51
$1,778
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.