How much rates vary
Facilitymedian $72 · 10th to 90th $19 to $331Professionalmedian $66 · 10th to 90th $44 to $91
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 $47.86 Median $58.88 Typical High $87.10 | Facility | None | $47.86 | $58.88 | $87.10 |
Aetna Setting Professional Modifier None (both parts) Typical Low $47.86 Median $51.29 Typical High $58.88 | Professional | None (both parts) | $47.86 | $51.29 | $58.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $15.49 Typical High $15.85 | Professional | 26 · Professional part | $14.79 | $15.49 | $15.85 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $35.48 Typical High $43.65 | Professional | TC · Technical part | $31.62 | $35.48 | $43.65 |
Anthem BCBS Setting Facility Modifier None Typical Low $194.98 Median $245.47 Typical High $323.59 | Facility | None | $194.98 | $245.47 | $323.59 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $56.23 Median $69.18 Typical High $87.10 | Professional | None (both parts) | $56.23 | $69.18 | $87.10 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $19.05 Typical High $23.99 | Professional | 26 · Professional part | $15.85 | $19.05 | $23.99 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $50.12 Typical High $63.10 | Professional | TC · Technical part | $40.74 | $50.12 | $63.10 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $54.95 Median $67.61 Typical High $77.62 | Professional | None (both parts) | $54.95 | $67.61 | $77.62 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $18.20 Typical High $20.42 | Professional | 26 · Professional part | $16.22 | $18.20 | $20.42 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $51.29 Typical High $57.54 | Professional | TC · Technical part | $45.71 | $51.29 | $57.54 |
Cigna Setting Facility Modifier None Typical Low $95.50 Median $141.25 Typical High $776.25 | Facility | None | $95.50 | $141.25 | $776.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $43.65 Median $60.26 Typical High $100.00 | Professional | None (both parts) | $43.65 | $60.26 | $100.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $16.98 Typical High $33.11 | Professional | 26 · Professional part | $12.30 | $16.98 | $33.11 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $40.74 Typical High $70.79 | Professional | TC · Technical part | $31.62 | $40.74 | $70.79 |
Kaiser Permanente Setting Professional Modifier None Typical Low $60.26 Median $70.79 Typical High $89.13 | Professional | None | $60.26 | $70.79 | $89.13 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $18.20 Typical High $23.99 | Professional | 26 · Professional part | $16.60 | $18.20 | $23.99 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $52.48 Typical High $66.07 | Professional | TC · Technical part | $43.65 | $52.48 | $66.07 |
Medcost Setting Professional Modifier None Typical Low $60.26 Median $74.13 Typical High $74.13 | Professional | None | $60.26 | $74.13 | $74.13 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $30.20 Typical High $30.20 | Professional | 26 · Professional part | $23.99 | $30.20 | $30.20 |
Medcost Setting Facility Modifier None Typical Low $64.57 Median $64.57 Typical High $97.72 | Facility | None | $64.57 | $64.57 | $97.72 |
Medcost Setting Professional Modifier None (both parts) Typical Low $50.12 Median $50.12 Typical High $63.10 | Professional | None (both parts) | $50.12 | $50.12 | $63.10 |
Sentara Setting Facility Modifier None Typical Low $17.38 Median $44.67 Typical High $194.98 | Facility | None | $17.38 | $44.67 | $194.98 |
Sentara Setting Professional Modifier None (both parts) Typical Low $21.88 Median $56.23 Typical High $104.71 | Professional | None (both parts) | $21.88 | $56.23 | $104.71 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $22.39 Typical High $38.02 | Professional | 26 · Professional part | $16.98 | $22.39 | $38.02 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $53.70 Typical High $93.33 | Professional | TC · Technical part | $33.88 | $53.70 | $93.33 |
United Setting Facility Modifier None Typical Low $1,023.29 Median $1,148.15 Typical High $2,511.89 | Facility | None | $1,023.29 | $1,148.15 | $2,511.89 |
United Setting Professional Modifier None (both parts) Typical Low $38.02 Median $61.66 Typical High $97.72 | Professional | None (both parts) | $38.02 | $61.66 | $97.72 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $20.89 Typical High $32.36 | Professional | 26 · Professional part | $12.59 | $20.89 | $32.36 |
United Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $41.69 Typical High $67.61 | Professional | TC · Technical part | $25.70 | $41.69 | $67.61 |
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 $23.99 Median $25.12 Typical High $29.51 | Professional | 52 · Reduced service | $23.99 | $25.12 | $29.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.55 Median $10.23 Typical High $12.02 | Professional | 53 · Discontinued | $9.55 | $10.23 | $12.02 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $38.02 Median $38.02 Typical High $47.86 | Professional | FX · Film X-ray | $38.02 | $38.02 | $47.86 |
Medcost Setting Professional Modifier 27 · Multiple hospital visits Typical Low $35.48 Median $44.67 Typical High $44.67 | Professional | 27 · Multiple hospital visits | $35.48 | $44.67 | $44.67 |
Where Virginia sits
The same service costs 5.6 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· 26th of 51
$66.07
AK $182UT $32.36
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.