How much rates vary
Facilitymedian $40 · 10th to 90th $11 to $155Professionalmedian $35 · 10th to 90th $23 to $50
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 $26.30 Median $41.69 Typical High $53.70 | Facility | None | $26.30 | $41.69 | $53.70 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $7.59 Median $12.30 Typical High $15.49 | Facility | 26 · Professional part | $7.59 | $12.30 | $15.49 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $18.62 Median $30.20 Typical High $74.13 | Facility | TC · Technical part | $18.62 | $30.20 | $74.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $26.30 Median $31.62 Typical High $50.12 | Professional | None (both parts) | $26.30 | $31.62 | $50.12 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $7.76 Typical High $15.14 | Professional | 26 · Professional part | $7.59 | $7.76 | $15.14 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $23.44 Typical High $36.31 | Professional | TC · Technical part | $18.62 | $23.44 | $36.31 |
Anthem BCBS Setting Facility Modifier None Typical Low $104.71 Median $131.83 Typical High $173.78 | Facility | None | $104.71 | $131.83 | $173.78 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $29.51 Median $38.02 Typical High $47.86 | Professional | None (both parts) | $29.51 | $38.02 | $47.86 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $9.33 Typical High $11.75 | Professional | 26 · Professional part | $7.76 | $9.33 | $11.75 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $38.02 Median $53.70 Typical High $66.07 | Professional | 50 · Both sides | $38.02 | $53.70 | $66.07 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $27.54 Typical High $34.67 | Professional | TC · Technical part | $22.39 | $27.54 | $34.67 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $9.33 Median $33.88 Typical High $38.02 | Professional | None (both parts) | $9.33 | $33.88 | $38.02 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $8.32 Typical High $10.23 | Professional | 26 · Professional part | $8.32 | $8.32 | $10.23 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $28.18 Typical High $28.18 | Professional | TC · Technical part | $25.12 | $28.18 | $28.18 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $75.86 Typical High $776.25 | Facility | None | $50.12 | $75.86 | $776.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $23.44 Median $32.36 Typical High $56.23 | Professional | None (both parts) | $23.44 | $32.36 | $56.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.17 Median $8.71 Typical High $16.60 | Professional | 26 · Professional part | $6.17 | $8.71 | $16.60 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $22.39 Typical High $41.69 | Professional | TC · Technical part | $17.38 | $22.39 | $41.69 |
Kaiser Permanente Setting Professional Modifier None Typical Low $32.36 Median $38.02 Typical High $47.86 | Professional | None | $32.36 | $38.02 | $47.86 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $9.55 Typical High $12.02 | Professional | 26 · Professional part | $8.51 | $9.55 | $12.02 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $28.18 Typical High $35.48 | Professional | TC · Technical part | $23.44 | $28.18 | $35.48 |
Medcost Setting Professional Modifier None Typical Low $32.36 Median $39.81 Typical High $39.81 | Professional | None | $32.36 | $39.81 | $39.81 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $15.49 Typical High $15.49 | Professional | 26 · Professional part | $12.30 | $15.49 | $15.49 |
Medcost Setting Facility Modifier None Typical Low $38.90 Median $38.90 Typical High $52.48 | Facility | None | $38.90 | $38.90 | $52.48 |
Medcost Setting Professional Modifier None (both parts) Typical Low $30.20 Median $32.36 Typical High $44.67 | Professional | None (both parts) | $30.20 | $32.36 | $44.67 |
Sentara Setting Facility Modifier None Typical Low $8.91 Median $24.55 Typical High $85.11 | Facility | None | $8.91 | $24.55 | $85.11 |
Sentara Setting Professional Modifier None (both parts) Typical Low $10.72 Median $31.62 Typical High $58.88 | Professional | None (both parts) | $10.72 | $31.62 | $58.88 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $11.22 Typical High $19.05 | Professional | 26 · Professional part | $8.71 | $11.22 | $19.05 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $29.51 Typical High $52.48 | Professional | TC · Technical part | $19.95 | $29.51 | $52.48 |
United Setting Facility Modifier None Typical Low $165.96 Median $181.97 Typical High $407.38 | Facility | None | $165.96 | $181.97 | $407.38 |
United Setting Professional Modifier None (both parts) Typical Low $21.38 Median $34.67 Typical High $54.95 | Professional | None (both parts) | $21.38 | $34.67 | $54.95 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.17 Median $10.00 Typical High $15.49 | Professional | 26 · Professional part | $6.17 | $10.00 | $15.49 |
United Setting Professional Modifier TC · Technical part Typical Low $15.14 Median $23.44 Typical High $38.90 | Professional | TC · Technical part | $15.14 | $23.44 | $38.90 |
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 $13.18 Median $13.49 Typical High $15.85 | Professional | 52 · Reduced service | $13.18 | $13.49 | $15.85 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.25 Median $5.50 Typical High $6.31 | Professional | 53 · Discontinued | $5.25 | $5.50 | $6.31 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $20.89 Median $20.89 Typical High $25.12 | Professional | FX · Film X-ray | $20.89 | $20.89 | $25.12 |
Medcost Setting Professional Modifier 27 · Multiple hospital visits Typical Low $19.50 Median $24.55 Typical High $24.55 | Professional | 27 · Multiple hospital visits | $19.50 | $24.55 | $24.55 |
Where Virginia sits
The same service costs 4.1 times more in Alaska than in New York. 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· 32nd of 51
$35.48
AK $95.50NY $23.44
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.