How much rates vary
Facilitymedian $63 · 10th to 90th $19 to $347Professionalmedian $50 · 10th to 90th $36 to $76
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 $42.66 Median $70.79 Typical High $91.20 | Facility | None | $42.66 | $70.79 | $91.20 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $12.02 Median $22.39 Typical High $30.90 | Facility | 26 · Professional part | $12.02 | $22.39 | $30.90 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $26.30 Median $44.67 Typical High $104.71 | Facility | TC · Technical part | $26.30 | $44.67 | $104.71 |
Aetna Setting Professional Modifier None (both parts) Typical Low $39.81 Median $42.66 Typical High $81.28 | Professional | None (both parts) | $39.81 | $42.66 | $81.28 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $15.85 Typical High $25.70 | Professional | 26 · Professional part | $12.02 | $15.85 | $25.70 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $30.90 Typical High $53.70 | Professional | TC · Technical part | $26.30 | $30.90 | $53.70 |
Anthem BCBS Setting Facility Modifier None Typical Low $138.04 Median $177.83 Typical High $229.09 | Facility | None | $138.04 | $177.83 | $229.09 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $40.74 Median $50.12 Typical High $64.57 | Professional | None (both parts) | $40.74 | $50.12 | $64.57 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $14.79 Typical High $19.50 | Professional | 26 · Professional part | $12.59 | $14.79 | $19.50 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $35.48 Typical High $45.71 | Professional | TC · Technical part | $28.84 | $35.48 | $45.71 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $29.51 Median $50.12 Typical High $58.88 | Professional | None (both parts) | $29.51 | $50.12 | $58.88 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $14.13 Typical High $14.13 | Professional | 26 · Professional part | $12.88 | $14.13 | $14.13 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $36.31 Typical High $36.31 | Professional | TC · Technical part | $32.36 | $36.31 | $36.31 |
Cigna Setting Facility Modifier None Typical Low $74.13 Median $100.00 Typical High $776.25 | Facility | None | $74.13 | $100.00 | $776.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $32.36 Median $47.86 Typical High $83.18 | Professional | None (both parts) | $32.36 | $47.86 | $83.18 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $16.22 Typical High $28.18 | Professional | 26 · Professional part | $9.55 | $16.22 | $28.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $30.90 Typical High $57.54 | Professional | TC · Technical part | $22.39 | $30.90 | $57.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $42.66 Median $50.12 Typical High $63.10 | Professional | None | $42.66 | $50.12 | $63.10 |
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 $30.20 Median $36.31 Typical High $45.71 | Professional | TC · Technical part | $30.20 | $36.31 | $45.71 |
Medcost Setting Professional Modifier None Typical Low $67.61 Median $85.11 Typical High $85.11 | Professional | None | $67.61 | $85.11 | $85.11 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $29.51 Typical High $30.20 | Professional | 26 · Professional part | $23.99 | $29.51 | $30.20 |
Medcost Setting Facility Modifier None Typical Low $66.07 Median $66.07 Typical High $85.11 | Facility | None | $66.07 | $66.07 | $85.11 |
Medcost Setting Professional Modifier None (both parts) Typical Low $41.69 Median $44.67 Typical High $63.10 | Professional | None (both parts) | $41.69 | $44.67 | $63.10 |
Sentara Setting Facility Modifier None Typical Low $17.38 Median $46.77 Typical High $346.74 | Facility | None | $17.38 | $46.77 | $346.74 |
Sentara Setting Professional Modifier None (both parts) Typical Low $21.38 Median $51.29 Typical High $100.00 | Professional | None (both parts) | $21.38 | $51.29 | $100.00 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $20.42 Typical High $31.62 | Professional | 26 · Professional part | $14.79 | $20.42 | $31.62 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $42.66 Typical High $69.18 | Professional | TC · Technical part | $31.62 | $42.66 | $69.18 |
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 $34.67 Median $53.70 Typical High $89.13 | Professional | None (both parts) | $34.67 | $53.70 | $89.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $17.78 Typical High $29.51 | Professional | 26 · Professional part | $11.48 | $17.78 | $29.51 |
United Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $35.48 Typical High $60.26 | Professional | TC · Technical part | $23.44 | $35.48 | $60.26 |
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 $19.05 Median $21.38 Typical High $21.38 | Professional | 52 · Reduced service | $19.05 | $21.38 | $21.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.59 Median $8.51 Typical High $8.51 | Professional | 53 · Discontinued | $7.59 | $8.51 | $8.51 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $32.36 Median $33.88 Typical High $34.67 | Professional | FX · Film X-ray | $32.36 | $33.88 | $34.67 |
Medcost Setting Professional Modifier 27 · Multiple hospital visits Typical Low $42.66 Median $53.70 Typical High $53.70 | Professional | 27 · Multiple hospital visits | $42.66 | $53.70 | $53.70 |
Where Virginia sits
The same service costs 4.0 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· 35th of 51
$50.12
AK $132UT $33.11
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.