How much rates vary
Facilitymedian $66 · 10th to 90th $17 to $363Professionalmedian $195 · 10th to 90th $37 to $302
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 $204.17 Median $204.17 Typical High $229.09 | Facility | None | $204.17 | $204.17 | $229.09 |
Aetna Setting Professional Modifier None (both parts) Typical Low $199.53 Median $204.17 Typical High $229.09 | Professional | None (both parts) | $199.53 | $204.17 | $229.09 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $13.49 Typical High $13.80 | Professional | 26 · Professional part | $12.30 | $13.49 | $13.80 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $204.17 Typical High $229.09 | Professional | TC · Technical part | $194.98 | $204.17 | $229.09 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $186.21 Median $218.78 Typical High $275.42 | Professional | None (both parts) | $186.21 | $218.78 | $275.42 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $16.22 Typical High $20.42 | Professional | 26 · Professional part | $13.49 | $16.22 | $20.42 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $213.80 Typical High $269.15 | Professional | TC · Technical part | $181.97 | $213.80 | $269.15 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $13.80 Median $257.04 Typical High $302.00 | Professional | None (both parts) | $13.80 | $257.04 | $302.00 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $288.40 Typical High $288.40 | Professional | TC · Technical part | $257.04 | $288.40 | $288.40 |
Cigna Setting Facility Modifier None Typical Low $83.18 Median $109.65 Typical High $870.96 | Facility | None | $83.18 | $109.65 | $870.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $35.48 Median $52.48 Typical High $93.33 | Professional | None (both parts) | $35.48 | $52.48 | $93.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $14.79 Typical High $28.18 | Professional | 26 · Professional part | $10.23 | $14.79 | $28.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $36.31 Typical High $67.61 | Professional | TC · Technical part | $25.70 | $36.31 | $67.61 |
Kaiser Permanente Setting Professional Modifier None Typical Low $46.77 Median $56.23 Typical High $69.18 | Professional | None | $46.77 | $56.23 | $69.18 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $15.14 Typical High $19.95 | Professional | 26 · Professional part | $13.80 | $15.14 | $19.95 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $40.74 Typical High $50.12 | Professional | TC · Technical part | $33.11 | $40.74 | $50.12 |
Medcost Setting Professional Modifier None Typical Low $66.07 Median $83.18 Typical High $83.18 | Professional | None | $66.07 | $83.18 | $83.18 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $26.30 Typical High $26.30 | Professional | 26 · Professional part | $20.89 | $26.30 | $26.30 |
Medcost Setting Facility Modifier None Typical Low $72.44 Median $72.44 Typical High $316.23 | Facility | None | $72.44 | $72.44 | $316.23 |
Medcost Setting Professional Modifier None (both parts) Typical Low $54.95 Median $54.95 Typical High $295.12 | Professional | None (both parts) | $54.95 | $54.95 | $295.12 |
Sentara Setting Facility Modifier None Typical Low $15.49 Median $47.86 Typical High $154.88 | Facility | None | $15.49 | $47.86 | $154.88 |
Sentara Setting Professional Modifier None (both parts) Typical Low $18.62 Median $54.95 Typical High $97.72 | Professional | None (both parts) | $18.62 | $54.95 | $97.72 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $19.50 Typical High $33.11 | Professional | 26 · Professional part | $15.14 | $19.50 | $33.11 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $46.77 Typical High $75.86 | Professional | TC · Technical part | $34.67 | $46.77 | $75.86 |
United Setting Facility Modifier None Typical Low $446.68 Median $501.19 Typical High $1,096.48 | Facility | None | $446.68 | $501.19 | $1,096.48 |
United Setting Professional Modifier None (both parts) Typical Low $46.77 Median $223.87 Typical High $537.03 | Professional | None (both parts) | $46.77 | $223.87 | $537.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $17.78 Typical High $27.54 | Professional | 26 · Professional part | $10.47 | $17.78 | $27.54 |
United Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $213.80 Typical High $512.86 | Professional | TC · Technical part | $33.11 | $213.80 | $512.86 |
3 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 $100.00 Median $102.33 Typical High $114.82 | Professional | 52 · Reduced service | $100.00 | $102.33 | $114.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $41.69 Typical High $45.71 | Professional | 53 · Discontinued | $39.81 | $41.69 | $45.71 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $165.96 Median $165.96 Typical High $186.21 | Professional | FX · Film X-ray | $165.96 | $165.96 | $186.21 |
Where Virginia sits
The same service costs 6.6 times more in Colorado than in Michigan. 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· 21st of 51
$195
CO $316MI $47.86
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.