How much rates vary
Facilitymedian $40 · 10th to 90th $12 to $155Professionalmedian $35 · 10th to 90th $23 to $51
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 $27.54 Median $30.90 Typical High $66.07 | Facility | None | $27.54 | $30.90 | $66.07 |
Aetna Setting Professional Modifier None (both parts) Typical Low $27.54 Median $30.90 Typical High $52.48 | Professional | None (both parts) | $27.54 | $30.90 | $52.48 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $9.33 Typical High $16.60 | Professional | 26 · Professional part | $8.51 | $9.33 | $16.60 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $21.88 Typical High $38.02 | Professional | TC · Technical part | $18.20 | $21.88 | $38.02 |
Anthem BCBS Setting Facility Modifier None Typical Low $100.00 Median $128.82 Typical High $165.96 | Facility | None | $100.00 | $128.82 | $165.96 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $28.84 Median $36.31 Typical High $46.77 | Professional | None (both parts) | $28.84 | $36.31 | $46.77 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $10.47 Typical High $13.18 | Professional | 26 · Professional part | $8.71 | $10.47 | $13.18 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $26.92 Typical High $36.31 | Professional | TC · Technical part | $21.38 | $26.92 | $36.31 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $9.33 Median $25.70 Typical High $36.31 | Professional | None (both parts) | $9.33 | $25.70 | $36.31 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $10.23 Typical High $13.49 | Professional | 26 · Professional part | $10.23 | $10.23 | $13.49 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $29.51 Typical High $36.31 | Professional | TC · Technical part | $21.88 | $29.51 | $36.31 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $72.44 Typical High $776.25 | Facility | None | $50.12 | $72.44 | $776.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $22.91 Median $31.62 Typical High $58.88 | Professional | None (both parts) | $22.91 | $31.62 | $58.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $9.77 Typical High $19.05 | Professional | 26 · Professional part | $6.92 | $9.77 | $19.05 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $22.39 Typical High $40.74 | Professional | TC · Technical part | $15.85 | $22.39 | $40.74 |
Kaiser Permanente Setting Professional Modifier None Typical Low $30.90 Median $36.31 Typical High $45.71 | Professional | None | $30.90 | $36.31 | $45.71 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $10.72 Typical High $13.49 | Professional | 26 · Professional part | $9.55 | $10.72 | $13.49 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $25.70 Typical High $32.36 | Professional | TC · Technical part | $21.38 | $25.70 | $32.36 |
Medcost Setting Professional Modifier None Typical Low $43.65 Median $53.70 Typical High $53.70 | Professional | None | $43.65 | $53.70 | $53.70 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $16.60 Typical High $16.60 | Professional | 26 · Professional part | $13.49 | $16.60 | $16.60 |
Medcost Setting Facility Modifier None Typical Low $41.69 Median $41.69 Typical High $54.95 | Facility | None | $41.69 | $41.69 | $54.95 |
Medcost Setting Professional Modifier None (both parts) Typical Low $30.20 Median $34.67 Typical High $39.81 | Professional | None (both parts) | $30.20 | $34.67 | $39.81 |
Sentara Setting Facility Modifier None Typical Low $9.55 Median $28.18 Typical High $83.18 | Facility | None | $9.55 | $28.18 | $83.18 |
Sentara Setting Professional Modifier None (both parts) Typical Low $12.30 Median $33.11 Typical High $58.88 | Professional | None (both parts) | $12.30 | $33.11 | $58.88 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $12.30 Typical High $22.39 | Professional | 26 · Professional part | $9.55 | $12.30 | $22.39 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $29.51 Typical High $48.98 | Professional | TC · Technical part | $22.91 | $29.51 | $48.98 |
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 $23.99 Median $38.02 Typical High $58.88 | Professional | None (both parts) | $23.99 | $38.02 | $58.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $11.48 Typical High $18.20 | Professional | 26 · Professional part | $6.92 | $11.48 | $18.20 |
United Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $25.12 Typical High $41.69 | Professional | TC · Technical part | $15.85 | $25.12 | $41.69 |
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 $13.49 Median $13.80 Typical High $15.49 | Professional | 52 · Reduced service | $13.49 | $13.80 | $15.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.50 Median $5.50 Typical High $6.17 | Professional | 53 · Discontinued | $5.50 | $5.50 | $6.17 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $21.88 Median $21.88 Typical High $25.12 | Professional | FX · Film X-ray | $21.88 | $21.88 | $25.12 |
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 3.8 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· 35th of 51
$34.67
AK $95.50FL $25.12
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.