How much rates vary
Facilitymedian $47 · 10th to 90th $11 to $186Professionalmedian $42 · 10th to 90th $30 to $58
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 $30.90 Median $30.90 Typical High $37.15 | Facility | None | $30.90 | $30.90 | $37.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $30.90 Median $32.36 Typical High $37.15 | Professional | None (both parts) | $30.90 | $32.36 | $37.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $8.32 Typical High $8.51 | Professional | 26 · Professional part | $7.59 | $8.32 | $8.51 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $25.12 Typical High $29.51 | Professional | TC · Technical part | $22.39 | $25.12 | $29.51 |
Anthem BCBS Setting Facility Modifier None Typical Low $123.03 Median $158.49 Typical High $204.17 | Facility | None | $123.03 | $158.49 | $204.17 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $34.67 Median $43.65 Typical High $54.95 | Professional | None (both parts) | $34.67 | $43.65 | $54.95 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $9.77 Typical High $12.30 | Professional | 26 · Professional part | $8.13 | $9.77 | $12.30 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $45.71 Median $61.66 Typical High $77.62 | Professional | 50 · Both sides | $45.71 | $61.66 | $77.62 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $33.11 Typical High $42.66 | Professional | TC · Technical part | $26.92 | $33.11 | $42.66 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $38.02 Median $43.65 Typical High $51.29 | Professional | None (both parts) | $38.02 | $43.65 | $51.29 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $9.33 Typical High $10.47 | Professional | 26 · Professional part | $8.32 | $9.33 | $10.47 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $34.67 Typical High $38.90 | Professional | TC · Technical part | $30.90 | $34.67 | $38.90 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $95.50 Typical High $776.25 | Facility | None | $66.07 | $95.50 | $776.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $27.54 Median $38.02 Typical High $67.61 | Professional | None (both parts) | $27.54 | $38.02 | $67.61 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.31 Median $8.91 Typical High $17.38 | Professional | 26 · Professional part | $6.31 | $8.91 | $17.38 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $29.51 Typical High $51.29 | Professional | TC · Technical part | $21.38 | $29.51 | $51.29 |
Kaiser Permanente Setting Professional Modifier None Typical Low $38.02 Median $44.67 Typical High $56.23 | Professional | None | $38.02 | $44.67 | $56.23 |
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 $29.51 Median $35.48 Typical High $44.67 | Professional | TC · Technical part | $29.51 | $35.48 | $44.67 |
Medcost Setting Professional Modifier None Typical Low $42.66 Median $53.70 Typical High $53.70 | Professional | None | $42.66 | $53.70 | $53.70 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $16.22 Typical High $16.22 | Professional | 26 · Professional part | $12.88 | $16.22 | $16.22 |
Medcost Setting Facility Modifier None Typical Low $45.71 Median $45.71 Typical High $61.66 | Facility | None | $45.71 | $45.71 | $61.66 |
Medcost Setting Professional Modifier None (both parts) Typical Low $36.31 Median $44.67 Typical High $45.71 | Professional | None (both parts) | $36.31 | $44.67 | $45.71 |
Sentara Setting Facility Modifier None Typical Low $9.12 Median $32.36 Typical High $97.72 | Facility | None | $9.12 | $32.36 | $97.72 |
Sentara Setting Professional Modifier None (both parts) Typical Low $11.48 Median $38.90 Typical High $69.18 | Professional | None (both parts) | $11.48 | $38.90 | $69.18 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $11.75 Typical High $20.42 | Professional | 26 · Professional part | $9.12 | $11.75 | $20.42 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $38.02 Typical High $64.57 | Professional | TC · Technical part | $27.54 | $38.02 | $64.57 |
United Setting Facility Modifier None Typical Low $199.53 Median $218.78 Typical High $489.78 | Facility | None | $199.53 | $218.78 | $489.78 |
United Setting Professional Modifier None (both parts) Typical Low $25.70 Median $42.66 Typical High $66.07 | Professional | None (both parts) | $25.70 | $42.66 | $66.07 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.61 Median $10.72 Typical High $16.98 | Professional | 26 · Professional part | $6.61 | $10.72 | $16.98 |
United Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $32.36 Typical High $50.12 | Professional | TC · Technical part | $19.05 | $32.36 | $50.12 |
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 $15.49 Median $16.22 Typical High $18.62 | Professional | 52 · Reduced service | $15.49 | $16.22 | $18.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.17 Median $6.46 Typical High $7.41 | Professional | 53 · Discontinued | $6.17 | $6.46 | $7.41 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $24.55 Median $24.55 Typical High $30.20 | Professional | FX · Film X-ray | $24.55 | $24.55 | $30.20 |
Medcost Setting Professional Modifier 27 · Multiple hospital visits Typical Low $30.20 Median $37.15 Typical High $37.15 | Professional | 27 · Multiple hospital visits | $30.20 | $37.15 | $37.15 |
Where Virginia sits
The same service costs 3.9 times more in Alaska than in Florida. 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· 29th of 51
$41.69
AK $112FL $28.84
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.