How much rates vary
Facilitymedian $47 · 10th to 90th $11 to $162Professionalmedian $40 · 10th to 90th $27 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 $38.02 Typical High $63.10 | Facility | None | $30.90 | $38.02 | $63.10 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $7.59 Median $10.96 Typical High $15.49 | Facility | 26 · Professional part | $7.59 | $10.96 | $15.49 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $22.91 Median $33.88 Typical High $54.95 | Facility | TC · Technical part | $22.91 | $33.88 | $54.95 |
Aetna Setting Professional Modifier None (both parts) Typical Low $30.90 Median $37.15 Typical High $58.88 | Professional | None (both parts) | $30.90 | $37.15 | $58.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $7.94 Typical High $15.49 | Professional | 26 · Professional part | $7.41 | $7.94 | $15.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $29.51 Typical High $44.67 | Professional | TC · Technical part | $22.91 | $29.51 | $44.67 |
Anthem BCBS Setting Facility Modifier None Typical Low $120.23 Median $151.36 Typical High $194.98 | Facility | None | $120.23 | $151.36 | $194.98 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $33.88 Median $42.66 Typical High $53.70 | Professional | None (both parts) | $33.88 | $42.66 | $53.70 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $8.91 Typical High $11.48 | Professional | 26 · Professional part | $7.41 | $8.91 | $11.48 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $33.11 Typical High $43.65 | Professional | TC · Technical part | $26.92 | $33.11 | $43.65 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $7.94 Median $36.31 Typical High $42.66 | Professional | None (both parts) | $7.94 | $36.31 | $42.66 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $8.91 Typical High $9.55 | Professional | 26 · Professional part | $8.91 | $8.91 | $9.55 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $30.20 Typical High $44.67 | Professional | TC · Technical part | $30.20 | $30.20 | $44.67 |
Cigna Setting Facility Modifier None Typical Low $61.66 Median $95.50 Typical High $776.25 | Facility | None | $61.66 | $95.50 | $776.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $26.92 Median $37.15 Typical High $66.07 | Professional | None (both parts) | $26.92 | $37.15 | $66.07 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.03 Median $8.51 Typical High $16.60 | Professional | 26 · Professional part | $6.03 | $8.51 | $16.60 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $27.54 Typical High $51.29 | Professional | TC · Technical part | $20.89 | $27.54 | $51.29 |
Kaiser Permanente Setting Professional Modifier None Typical Low $36.31 Median $43.65 Typical High $53.70 | Professional | None | $36.31 | $43.65 | $53.70 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $9.12 Typical High $11.75 | Professional | 26 · Professional part | $8.13 | $9.12 | $11.75 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $33.88 Typical High $42.66 | Professional | TC · Technical part | $28.18 | $33.88 | $42.66 |
Medcost Setting Professional Modifier None Typical Low $36.31 Median $45.71 Typical High $45.71 | Professional | None | $36.31 | $45.71 | $45.71 |
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 $43.65 Median $43.65 Typical High $61.66 | Facility | None | $43.65 | $43.65 | $61.66 |
Medcost Setting Professional Modifier None (both parts) Typical Low $28.84 Median $35.48 Typical High $43.65 | Professional | None (both parts) | $28.84 | $35.48 | $43.65 |
Sentara Setting Facility Modifier None Typical Low $8.71 Median $30.20 Typical High $95.50 | Facility | None | $8.71 | $30.20 | $95.50 |
Sentara Setting Professional Modifier None (both parts) Typical Low $10.96 Median $36.31 Typical High $67.61 | Professional | None (both parts) | $10.96 | $36.31 | $67.61 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $11.22 Typical High $19.05 | Professional | 26 · Professional part | $8.51 | $11.22 | $19.05 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $35.48 Typical High $64.57 | Professional | TC · Technical part | $24.55 | $35.48 | $64.57 |
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 $24.55 Median $39.81 Typical High $66.07 | Professional | None (both parts) | $24.55 | $39.81 | $66.07 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.31 Median $10.47 Typical High $16.22 | Professional | 26 · Professional part | $6.31 | $10.47 | $16.22 |
United Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $28.84 Typical High $47.86 | Professional | TC · Technical part | $17.78 | $28.84 | $47.86 |
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 $29.51 | Professional | FX · Film X-ray | $24.55 | $24.55 | $29.51 |
Medcost Setting Professional Modifier 27 · Multiple hospital visits Typical Low $23.99 Median $30.20 Typical High $30.20 | Professional | 27 · Multiple hospital visits | $23.99 | $30.20 | $30.20 |
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· 34th of 51
$39.81
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.