How much rates vary
Facilitymedian $47 · 10th to 90th $9 to $186Professionalmedian $43 · 10th to 90th $28 to $60
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 $33.88 Typical High $38.02 | Facility | None | $33.88 | $33.88 | $38.02 |
Aetna Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.88 Typical High $41.69 | Professional | None (both parts) | $33.11 | $33.88 | $41.69 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.61 Median $7.08 Typical High $8.71 | Professional | 26 · Professional part | $6.61 | $7.08 | $8.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $26.92 Typical High $33.11 | Professional | TC · Technical part | $26.30 | $26.92 | $33.11 |
Anthem BCBS Setting Facility Modifier None Typical Low $138.04 Median $173.78 Typical High $223.87 | Facility | None | $138.04 | $173.78 | $223.87 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $36.31 Median $45.71 Typical High $56.23 | Professional | None (both parts) | $36.31 | $45.71 | $56.23 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $8.91 Typical High $11.22 | Professional | 26 · Professional part | $7.41 | $8.91 | $11.22 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $36.31 Typical High $47.86 | Professional | TC · Technical part | $29.51 | $36.31 | $47.86 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $8.51 Median $41.69 Typical High $48.98 | Professional | None (both parts) | $8.51 | $41.69 | $48.98 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $7.76 Typical High $10.72 | Professional | 26 · Professional part | $7.76 | $7.76 | $10.72 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $38.02 Typical High $38.02 | Professional | TC · Technical part | $33.88 | $38.02 | $38.02 |
Cigna Setting Facility Modifier None Typical Low $72.44 Median $100.00 Typical High $776.25 | Facility | None | $72.44 | $100.00 | $776.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $28.84 Median $38.02 Typical High $69.18 | Professional | None (both parts) | $28.84 | $38.02 | $69.18 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $5.75 Median $8.13 Typical High $15.14 | Professional | 26 · Professional part | $5.75 | $8.13 | $15.14 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $30.20 Typical High $56.23 | Professional | TC · Technical part | $22.91 | $30.20 | $56.23 |
Kaiser Permanente Setting Professional Modifier None Typical Low $41.69 Median $50.12 Typical High $61.66 | Professional | None | $41.69 | $50.12 | $61.66 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $8.71 Typical High $10.96 | Professional | 26 · Professional part | $7.94 | $8.71 | $10.96 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $40.74 Typical High $51.29 | Professional | TC · Technical part | $33.88 | $40.74 | $51.29 |
Medcost Setting Professional Modifier None Typical Low $32.36 Median $40.74 Typical High $40.74 | Professional | None | $32.36 | $40.74 | $40.74 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $15.85 Typical High $15.85 | Professional | 26 · Professional part | $12.59 | $15.85 | $15.85 |
Medcost Setting Facility Modifier None Typical Low $46.77 Median $46.77 Typical High $67.61 | Facility | None | $46.77 | $46.77 | $67.61 |
Medcost Setting Professional Modifier None (both parts) Typical Low $25.12 Median $25.12 Typical High $47.86 | Professional | None (both parts) | $25.12 | $25.12 | $47.86 |
Sentara Setting Facility Modifier None Typical Low $8.71 Median $30.20 Typical High $79.43 | Facility | None | $8.71 | $30.20 | $79.43 |
Sentara Setting Professional Modifier None (both parts) Typical Low $9.77 Median $37.15 Typical High $72.44 | Professional | None (both parts) | $9.77 | $37.15 | $72.44 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $10.23 Typical High $17.78 | Professional | 26 · Professional part | $8.51 | $10.23 | $17.78 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $38.90 Typical High $72.44 | Professional | TC · Technical part | $23.44 | $38.90 | $72.44 |
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 $24.55 Median $40.74 Typical High $69.18 | Professional | None (both parts) | $24.55 | $40.74 | $69.18 |
United Setting Professional Modifier 26 · Professional part Typical Low $5.89 Median $9.55 Typical High $15.49 | Professional | 26 · Professional part | $5.89 | $9.55 | $15.49 |
United Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $31.62 Typical High $53.70 | Professional | TC · Technical part | $18.20 | $31.62 | $53.70 |
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 $16.22 Median $16.60 Typical High $19.05 | Professional | 52 · Reduced service | $16.22 | $16.60 | $19.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.46 Median $6.76 Typical High $7.59 | Professional | 53 · Discontinued | $6.46 | $6.76 | $7.59 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $26.92 Median $26.92 Typical High $30.20 | Professional | FX · Film X-ray | $26.92 | $26.92 | $30.20 |
Medcost Setting Professional Modifier 27 · Multiple hospital visits Typical Low $19.50 Median $30.20 Typical High $30.20 | Professional | 27 · Multiple hospital visits | $19.50 | $30.20 | $30.20 |
Where Virginia sits
The same service costs 3.6 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· 30th of 51
$42.66
AK $115UT $31.62
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.