How much rates vary
Facilitymedian $60 · 10th to 90th $18 to $204Professionalmedian $51 · 10th to 90th $35 to $74
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 $38.90 Median $64.57 Typical High $87.10 | Facility | None | $38.90 | $64.57 | $87.10 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $12.02 Median $20.42 Typical High $25.70 | Facility | 26 · Professional part | $12.02 | $20.42 | $25.70 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $26.30 Median $46.77 Typical High $104.71 | Facility | TC · Technical part | $26.30 | $46.77 | $104.71 |
Aetna Setting Professional Modifier None (both parts) Typical Low $38.90 Median $45.71 Typical High $79.43 | Professional | None (both parts) | $38.90 | $45.71 | $79.43 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $12.88 Typical High $24.55 | Professional | 26 · Professional part | $12.02 | $12.88 | $24.55 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $33.88 Typical High $54.95 | Professional | TC · Technical part | $26.30 | $33.88 | $54.95 |
Anthem BCBS Setting Facility Modifier None Typical Low $147.91 Median $190.55 Typical High $245.47 | Facility | None | $147.91 | $190.55 | $245.47 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $43.65 Median $53.70 Typical High $67.61 | Professional | None (both parts) | $43.65 | $53.70 | $67.61 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $14.79 Typical High $18.62 | Professional | 26 · Professional part | $12.59 | $14.79 | $18.62 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $38.90 Typical High $51.29 | Professional | TC · Technical part | $31.62 | $38.90 | $51.29 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $12.88 Median $48.98 Typical High $53.70 | Professional | None (both parts) | $12.88 | $48.98 | $53.70 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $14.13 Typical High $16.98 | Professional | 26 · Professional part | $14.13 | $14.13 | $16.98 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $39.81 Typical High $46.77 | Professional | TC · Technical part | $39.81 | $39.81 | $46.77 |
Cigna Setting Facility Modifier None Typical Low $74.13 Median $109.65 Typical High $776.25 | Facility | None | $74.13 | $109.65 | $776.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $33.88 Median $47.86 Typical High $85.11 | Professional | None (both parts) | $33.88 | $47.86 | $85.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $13.49 Typical High $26.30 | Professional | 26 · Professional part | $9.55 | $13.49 | $26.30 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $33.88 Typical High $60.26 | Professional | TC · Technical part | $24.55 | $33.88 | $60.26 |
Kaiser Permanente Setting Professional Modifier None Typical Low $45.71 Median $53.70 Typical High $67.61 | Professional | None | $45.71 | $53.70 | $67.61 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $14.13 Typical High $18.62 | Professional | 26 · Professional part | $12.88 | $14.13 | $18.62 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $39.81 Typical High $50.12 | Professional | TC · Technical part | $33.11 | $39.81 | $50.12 |
Medcost Setting Professional Modifier None Typical Low $57.54 Median $70.79 Typical High $70.79 | Professional | None | $57.54 | $70.79 | $70.79 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $23.99 Typical High $23.99 | Professional | 26 · Professional part | $19.50 | $23.99 | $23.99 |
Medcost Setting Facility Modifier None Typical Low $61.66 Median $61.66 Typical High $79.43 | Facility | None | $61.66 | $61.66 | $79.43 |
Medcost Setting Professional Modifier None (both parts) Typical Low $44.67 Median $44.67 Typical High $64.57 | Professional | None (both parts) | $44.67 | $44.67 | $64.57 |
Sentara Setting Facility Modifier None Typical Low $14.13 Median $41.69 Typical High $123.03 | Facility | None | $14.13 | $41.69 | $123.03 |
Sentara Setting Professional Modifier None (both parts) Typical Low $17.78 Median $48.98 Typical High $87.10 | Professional | None (both parts) | $17.78 | $48.98 | $87.10 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $18.20 Typical High $31.62 | Professional | 26 · Professional part | $14.13 | $18.20 | $31.62 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $43.65 Typical High $75.86 | Professional | TC · Technical part | $33.11 | $43.65 | $75.86 |
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 $33.88 Median $53.70 Typical High $85.11 | Professional | None (both parts) | $33.88 | $53.70 | $85.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $16.60 Typical High $25.70 | Professional | 26 · Professional part | $10.00 | $16.60 | $25.70 |
United Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $37.15 Typical High $58.88 | Professional | TC · Technical part | $23.44 | $37.15 | $58.88 |
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 $19.50 Median $20.42 Typical High $22.91 | Professional | 52 · Reduced service | $19.50 | $20.42 | $22.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.94 Median $8.13 Typical High $9.33 | Professional | 53 · Discontinued | $7.94 | $8.13 | $9.33 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $31.62 Median $31.62 Typical High $37.15 | Professional | FX · Film X-ray | $31.62 | $31.62 | $37.15 |
Medcost Setting Professional Modifier 27 · Multiple hospital visits Typical Low $38.02 Median $46.77 Typical High $46.77 | Professional | 27 · Multiple hospital visits | $38.02 | $46.77 | $46.77 |
Where Virginia sits
The same service costs 4.1 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· 31st of 51
$52.48
AK $132UT $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.