How much rates vary
Facilitymedian $191 · 10th to 90th $60 to $759Professionalmedian $170 · 10th to 90th $112 to $245
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 $138.04 Median $138.04 Typical High $162.18 | Facility | None | $138.04 | $138.04 | $162.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $144.54 Typical High $162.18 | Professional | None (both parts) | $138.04 | $144.54 | $162.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $53.70 Typical High $53.70 | Professional | 26 · Professional part | $48.98 | $53.70 | $53.70 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $93.33 Typical High $112.20 | Professional | TC · Technical part | $83.18 | $93.33 | $112.20 |
Anthem BCBS Setting Facility Modifier None Typical Low $512.86 Median $645.65 Typical High $831.76 | Facility | None | $512.86 | $645.65 | $831.76 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $151.36 Median $190.55 Typical High $239.88 | Professional | None (both parts) | $151.36 | $190.55 | $239.88 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $61.66 Typical High $79.43 | Professional | 26 · Professional part | $52.48 | $61.66 | $79.43 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $123.03 Typical High $177.83 | Professional | TC · Technical part | $100.00 | $123.03 | $177.83 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $112.20 Median $154.88 Typical High $181.97 | Professional | None (both parts) | $112.20 | $154.88 | $181.97 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $58.88 Typical High $64.57 | Professional | 26 · Professional part | $53.70 | $58.88 | $64.57 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $147.91 Typical High $190.55 | Professional | TC · Technical part | $95.50 | $147.91 | $190.55 |
Cigna Setting Facility Modifier None Typical Low $234.42 Median $354.81 Typical High $1,023.29 | Facility | None | $234.42 | $354.81 | $1,023.29 |
Cigna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $158.49 Typical High $288.40 | Professional | None (both parts) | $117.49 | $158.49 | $288.40 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $58.88 Typical High $109.65 | Professional | 26 · Professional part | $40.74 | $58.88 | $109.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $100.00 Typical High $186.21 | Professional | TC · Technical part | $74.13 | $100.00 | $186.21 |
Kaiser Permanente Setting Professional Modifier None Typical Low $158.49 Median $181.97 Typical High $234.42 | Professional | None | $158.49 | $181.97 | $234.42 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $60.26 Typical High $77.62 | Professional | 26 · Professional part | $53.70 | $60.26 | $77.62 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $123.03 Typical High $154.88 | Professional | TC · Technical part | $104.71 | $123.03 | $154.88 |
Medcost Setting Professional Modifier None Typical Low $151.36 Median $186.21 Typical High $186.21 | Professional | None | $151.36 | $186.21 | $186.21 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $107.15 Typical High $107.15 | Professional | 26 · Professional part | $85.11 | $107.15 | $107.15 |
Medcost Setting Facility Modifier None Typical Low $199.53 Median $199.53 Typical High $275.42 | Facility | None | $199.53 | $199.53 | $275.42 |
Medcost Setting Professional Modifier None (both parts) Typical Low $120.23 Median $120.23 Typical High $194.98 | Professional | None (both parts) | $120.23 | $120.23 | $194.98 |
Sentara Setting Facility Modifier None Typical Low $51.29 Median $117.49 Typical High $302.00 | Facility | None | $51.29 | $117.49 | $302.00 |
Sentara Setting Professional Modifier None (both parts) Typical Low $69.18 Median $144.54 Typical High $281.84 | Professional | None (both parts) | $69.18 | $144.54 | $281.84 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $77.62 Typical High $123.03 | Professional | 26 · Professional part | $58.88 | $77.62 | $123.03 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $131.83 Typical High $245.47 | Professional | TC · Technical part | $79.43 | $131.83 | $245.47 |
United Setting Facility Modifier None Typical Low $1,479.11 Median $1,621.81 Typical High $3,630.78 | Facility | None | $1,479.11 | $1,621.81 | $3,630.78 |
United Setting Professional Modifier None (both parts) Typical Low $107.15 Median $165.96 Typical High $281.84 | Professional | None (both parts) | $107.15 | $165.96 | $281.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $70.79 Typical High $109.65 | Professional | 26 · Professional part | $43.65 | $70.79 | $109.65 |
United Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $104.71 Typical High $177.83 | Professional | TC · Technical part | $57.54 | $104.71 | $177.83 |
4 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 $69.18 Median $72.44 Typical High $81.28 | Professional | 52 · Reduced service | $69.18 | $72.44 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $28.84 Typical High $32.36 | Professional | 53 · Discontinued | $27.54 | $28.84 | $32.36 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $109.65 Median $109.65 Typical High $128.82 | Professional | FX · Film X-ray | $109.65 | $109.65 | $128.82 |
Medcost Setting Professional Modifier 27 · Multiple hospital visits Typical Low $64.57 Median $93.33 Typical High $93.33 | Professional | 27 · Multiple hospital visits | $64.57 | $93.33 | $93.33 |
Where Virginia sits
The same service costs 4.3 times more in Alaska than in Utah. 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.
Virginia· 31st of 51
$170
AK $513UT $120
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.