How much rates vary
Facilitymedian $40 · 10th to 90th $11 to $155Professionalmedian $35 · 10th to 90th $24 to $50
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 $28.18 Median $30.90 Typical High $66.07 | Facility | None | $28.18 | $30.90 | $66.07 |
Aetna Setting Professional Modifier None (both parts) Typical Low $27.54 Median $29.51 Typical High $50.12 | Professional | None (both parts) | $27.54 | $29.51 | $50.12 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $7.94 Typical High $13.18 | Professional | 26 · Professional part | $7.41 | $7.94 | $13.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $21.38 Typical High $35.48 | Professional | TC · Technical part | $20.42 | $21.38 | $35.48 |
Anthem BCBS Setting Facility Modifier None Typical Low $102.33 Median $131.83 Typical High $169.82 | Facility | None | $102.33 | $131.83 | $169.82 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $28.84 Median $36.31 Typical High $45.71 | Professional | None (both parts) | $28.84 | $36.31 | $45.71 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $9.33 Typical High $11.48 | Professional | 26 · Professional part | $7.76 | $9.33 | $11.48 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $26.92 Typical High $34.67 | Professional | TC · Technical part | $22.39 | $26.92 | $34.67 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $8.91 Median $33.11 Typical High $38.90 | Professional | None (both parts) | $8.91 | $33.11 | $38.90 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $7.94 Typical High $10.47 | Professional | 26 · Professional part | $7.94 | $7.94 | $10.47 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $25.12 Typical High $32.36 | Professional | TC · Technical part | $25.12 | $25.12 | $32.36 |
Cigna Setting Facility Modifier None Typical Low $56.23 Median $75.86 Typical High $776.25 | Facility | None | $56.23 | $75.86 | $776.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $22.91 Median $32.36 Typical High $57.54 | Professional | None (both parts) | $22.91 | $32.36 | $57.54 |
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 $16.98 Median $23.99 Typical High $42.66 | Professional | TC · Technical part | $16.98 | $23.99 | $42.66 |
Kaiser Permanente Setting Professional Modifier None Typical Low $31.62 Median $37.15 Typical High $46.77 | Professional | None | $31.62 | $37.15 | $46.77 |
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 $23.44 Median $28.18 Typical High $35.48 | Professional | TC · Technical part | $23.44 | $28.18 | $35.48 |
Medcost Setting Professional Modifier None Typical Low $42.66 Median $52.48 Typical High $52.48 | Professional | None | $42.66 | $52.48 | $52.48 |
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 $40.74 Median $40.74 Typical High $57.54 | Facility | None | $40.74 | $40.74 | $57.54 |
Medcost Setting Professional Modifier None (both parts) Typical Low $30.20 Median $35.48 Typical High $39.81 | Professional | None (both parts) | $30.20 | $35.48 | $39.81 |
Sentara Setting Facility Modifier None Typical Low $8.71 Median $29.51 Typical High $81.28 | Facility | None | $8.71 | $29.51 | $81.28 |
Sentara Setting Professional Modifier None (both parts) Typical Low $10.96 Median $33.88 Typical High $58.88 | Professional | None (both parts) | $10.96 | $33.88 | $58.88 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $11.48 Typical High $19.95 | Professional | 26 · Professional part | $8.71 | $11.48 | $19.95 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $30.90 Typical High $51.29 | Professional | TC · Technical part | $23.99 | $30.90 | $51.29 |
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 $23.44 Median $37.15 Typical High $58.88 | Professional | None (both parts) | $23.44 | $37.15 | $58.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.31 Median $10.23 Typical High $15.49 | Professional | 26 · Professional part | $6.31 | $10.23 | $15.49 |
United Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $26.30 Typical High $43.65 | Professional | TC · Technical part | $16.60 | $26.30 | $43.65 |
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 $14.13 Typical High $15.49 | Professional | 52 · Reduced service | $13.49 | $14.13 | $15.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.50 Median $5.62 Typical High $6.31 | Professional | 53 · Discontinued | $5.50 | $5.62 | $6.31 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $22.39 Median $22.39 Typical High $25.12 | Professional | FX · Film X-ray | $22.39 | $22.39 | $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 3.5 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 $87.10FL $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.