How much rates vary
Facilitymedian $68 · 10th to 90th $15 to $229Professionalmedian $56 · 10th to 90th $41 to $79
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 $43.65 Median $69.18 Typical High $95.50 | Facility | None | $43.65 | $69.18 | $95.50 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $10.23 Median $17.78 Typical High $21.88 | Facility | 26 · Professional part | $10.23 | $17.78 | $21.88 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $33.11 Median $52.48 Typical High $128.82 | Facility | TC · Technical part | $33.11 | $52.48 | $128.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $43.65 Median $51.29 Typical High $77.62 | Professional | None (both parts) | $43.65 | $51.29 | $77.62 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $11.22 Typical High $19.05 | Professional | 26 · Professional part | $10.23 | $11.22 | $19.05 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $39.81 Typical High $57.54 | Professional | TC · Technical part | $33.11 | $39.81 | $57.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $169.82 Median $218.78 Typical High $281.84 | Facility | None | $169.82 | $218.78 | $281.84 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $47.86 Median $58.88 Typical High $75.86 | Professional | None (both parts) | $47.86 | $58.88 | $75.86 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $12.59 Typical High $16.22 | Professional | 26 · Professional part | $10.72 | $12.59 | $16.22 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $46.77 Typical High $60.26 | Professional | TC · Technical part | $38.02 | $46.77 | $60.26 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $12.02 Median $53.70 Typical High $60.26 | Professional | None (both parts) | $12.02 | $53.70 | $60.26 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $10.96 Typical High $15.85 | Professional | 26 · Professional part | $10.96 | $10.96 | $15.85 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $47.86 Typical High $56.23 | Professional | TC · Technical part | $47.86 | $47.86 | $56.23 |
Cigna Setting Facility Modifier None Typical Low $89.13 Median $131.83 Typical High $776.25 | Facility | None | $89.13 | $131.83 | $776.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $38.02 Median $52.48 Typical High $93.33 | Professional | None (both parts) | $38.02 | $52.48 | $93.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $12.02 Typical High $22.91 | Professional | 26 · Professional part | $8.13 | $12.02 | $22.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $41.69 Typical High $72.44 | Professional | TC · Technical part | $29.51 | $41.69 | $72.44 |
Kaiser Permanente Setting Professional Modifier None Typical Low $52.48 Median $61.66 Typical High $77.62 | Professional | None | $52.48 | $61.66 | $77.62 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $12.30 Typical High $15.85 | Professional | 26 · Professional part | $11.22 | $12.30 | $15.85 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $50.12 Typical High $61.66 | Professional | TC · Technical part | $41.69 | $50.12 | $61.66 |
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 $16.98 Median $20.89 Typical High $20.89 | Professional | 26 · Professional part | $16.98 | $20.89 | $20.89 |
Medcost Setting Facility Modifier None Typical Low $64.57 Median $64.57 Typical High $89.13 | Facility | None | $64.57 | $64.57 | $89.13 |
Medcost Setting Professional Modifier None (both parts) Typical Low $47.86 Median $48.98 Typical High $63.10 | Professional | None (both parts) | $47.86 | $48.98 | $63.10 |
Sentara Setting Facility Modifier None Typical Low $12.02 Median $43.65 Typical High $141.25 | Facility | None | $12.02 | $43.65 | $141.25 |
Sentara Setting Professional Modifier None (both parts) Typical Low $15.49 Median $53.70 Typical High $97.72 | Professional | None (both parts) | $15.49 | $53.70 | $97.72 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $15.85 Typical High $26.92 | Professional | 26 · Professional part | $12.02 | $15.85 | $26.92 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $51.29 Typical High $91.20 | Professional | TC · Technical part | $39.81 | $51.29 | $91.20 |
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 $36.31 Median $58.88 Typical High $93.33 | Professional | None (both parts) | $36.31 | $58.88 | $93.33 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $14.45 Typical High $22.39 | Professional | 26 · Professional part | $8.71 | $14.45 | $22.39 |
United Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $44.67 Typical High $67.61 | Professional | TC · Technical part | $26.92 | $44.67 | $67.61 |
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 $21.88 Median $22.39 Typical High $25.70 | Professional | 52 · Reduced service | $21.88 | $22.39 | $25.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.71 Median $9.12 Typical High $10.23 | Professional | 53 · Discontinued | $8.71 | $9.12 | $10.23 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $35.48 Median $35.48 Typical High $40.74 | Professional | FX · Film X-ray | $35.48 | $35.48 | $40.74 |
Medcost Setting Professional Modifier 27 · Multiple hospital visits Typical Low $39.81 Median $50.12 Typical High $50.12 | Professional | 27 · Multiple hospital visits | $39.81 | $50.12 | $50.12 |
Where Virginia sits
The same service costs 4.5 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· 32nd of 51
$56.23
AK $148UT $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.