How much rates vary
Facilitymedian $47 · 10th to 90th $13 to $162Professionalmedian $40 · 10th to 90th $30 to $59
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 $33.88 Median $53.70 Typical High $66.07 | Facility | None | $33.88 | $53.70 | $66.07 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $7.76 Median $14.45 Typical High $22.91 | Facility | 26 · Professional part | $7.76 | $14.45 | $22.91 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $22.39 Median $36.31 Typical High $53.70 | Facility | TC · Technical part | $22.39 | $36.31 | $53.70 |
Aetna Setting Professional Modifier None (both parts) Typical Low $32.36 Median $34.67 Typical High $66.07 | Professional | None (both parts) | $32.36 | $34.67 | $66.07 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $11.48 Typical High $19.95 | Professional | 26 · Professional part | $7.76 | $11.48 | $19.95 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $26.92 Typical High $44.67 | Professional | TC · Technical part | $22.39 | $26.92 | $44.67 |
Anthem BCBS Setting Facility Modifier None Typical Low $114.82 Median $144.54 Typical High $186.21 | Facility | None | $114.82 | $144.54 | $186.21 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $33.11 Median $40.74 Typical High $52.48 | Professional | None (both parts) | $33.11 | $40.74 | $52.48 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $9.77 Typical High $12.59 | Professional | 26 · Professional part | $7.94 | $9.77 | $12.59 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $30.90 Typical High $38.90 | Professional | TC · Technical part | $25.12 | $30.90 | $38.90 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $31.62 Median $37.15 Typical High $43.65 | Professional | None (both parts) | $31.62 | $37.15 | $43.65 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $9.33 Typical High $11.48 | Professional | 26 · Professional part | $8.32 | $9.33 | $11.48 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $28.18 Typical High $39.81 | Professional | TC · Technical part | $28.18 | $28.18 | $39.81 |
Cigna Setting Facility Modifier None Typical Low $61.66 Median $87.10 Typical High $776.25 | Facility | None | $61.66 | $87.10 | $776.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $25.70 Median $37.15 Typical High $66.07 | Professional | None (both parts) | $25.70 | $37.15 | $66.07 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.31 Median $11.22 Typical High $19.95 | Professional | 26 · Professional part | $6.31 | $11.22 | $19.95 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $27.54 Typical High $47.86 | Professional | TC · Technical part | $19.50 | $27.54 | $47.86 |
Kaiser Permanente Setting Professional Modifier None Typical Low $34.67 Median $41.69 Typical High $51.29 | Professional | None | $34.67 | $41.69 | $51.29 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $9.55 Typical High $12.02 | Professional | 26 · Professional part | $8.51 | $9.55 | $12.02 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $31.62 Typical High $39.81 | Professional | TC · Technical part | $26.30 | $31.62 | $39.81 |
Medcost Setting Professional Modifier None Typical Low $46.77 Median $58.88 Typical High $58.88 | Professional | None | $46.77 | $58.88 | $58.88 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $19.05 Typical High $20.89 | Professional | 26 · Professional part | $16.98 | $19.05 | $20.89 |
Medcost Setting Facility Modifier None Typical Low $50.12 Median $50.12 Typical High $69.18 | Facility | None | $50.12 | $50.12 | $69.18 |
Medcost Setting Professional Modifier None (both parts) Typical Low $33.88 Median $38.90 Typical High $47.86 | Professional | None (both parts) | $33.88 | $38.90 | $47.86 |
Sentara Setting Facility Modifier None Typical Low $12.02 Median $33.11 Typical High $93.33 | Facility | None | $12.02 | $33.11 | $93.33 |
Sentara Setting Professional Modifier None (both parts) Typical Low $15.14 Median $39.81 Typical High $67.61 | Professional | None (both parts) | $15.14 | $39.81 | $67.61 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $14.45 Typical High $20.89 | Professional | 26 · Professional part | $9.77 | $14.45 | $20.89 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $34.67 Typical High $58.88 | Professional | TC · Technical part | $26.92 | $34.67 | $58.88 |
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 $26.92 Median $42.66 Typical High $67.61 | Professional | None (both parts) | $26.92 | $42.66 | $67.61 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $12.59 Typical High $20.89 | Professional | 26 · Professional part | $7.94 | $12.59 | $20.89 |
United Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $30.20 Typical High $46.77 | Professional | TC · Technical part | $18.62 | $30.20 | $46.77 |
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 $15.14 Median $16.98 Typical High $17.38 | Professional | 52 · Reduced service | $15.14 | $16.98 | $17.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.03 Median $6.76 Typical High $6.92 | Professional | 53 · Discontinued | $6.03 | $6.76 | $6.92 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $25.70 Median $26.92 Typical High $27.54 | Professional | FX · Film X-ray | $25.70 | $26.92 | $27.54 |
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 3.6 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
$40.74
AK $105FL $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.