How much rates vary
Facilitymedian $23 · 10th to 90th $10 to $107Professionalmedian $19 · 10th to 90th $11 to $34
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 $16.98 Median $16.98 Typical High $33.88 | Facility | None | $16.98 | $16.98 | $33.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $15.85 Median $17.78 Typical High $37.15 | Professional | None (both parts) | $15.85 | $17.78 | $37.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $9.77 Typical High $16.98 | Professional | 26 · Professional part | $8.71 | $9.77 | $16.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $7.59 Median $8.32 Typical High $17.78 | Professional | TC · Technical part | $7.59 | $8.32 | $17.78 |
Anthem BCBS Setting Facility Modifier None Typical Low $61.66 Median $77.62 Typical High $100.00 | Facility | None | $61.66 | $77.62 | $100.00 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $10.47 Median $17.38 Typical High $24.55 | Professional | None (both parts) | $10.47 | $17.38 | $24.55 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $10.72 Typical High $17.78 | Professional | 26 · Professional part | $9.12 | $10.72 | $17.78 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $8.13 Median $10.23 Typical High $19.95 | Professional | TC · Technical part | $8.13 | $10.23 | $19.95 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $12.59 Median $20.89 Typical High $26.92 | Professional | None (both parts) | $12.59 | $20.89 | $26.92 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $10.72 Typical High $10.72 | Professional | 26 · Professional part | $9.55 | $10.72 | $10.72 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $9.33 Median $10.47 Typical High $12.88 | Professional | TC · Technical part | $9.33 | $10.47 | $12.88 |
Cigna Setting Facility Modifier None Typical Low $20.42 Median $30.20 Typical High $776.25 | Facility | None | $20.42 | $30.20 | $776.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $13.49 Median $21.38 Typical High $42.66 | Professional | None (both parts) | $13.49 | $21.38 | $42.66 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $10.23 Typical High $19.95 | Professional | 26 · Professional part | $7.24 | $10.23 | $19.95 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $6.46 Median $10.00 Typical High $26.30 | Professional | TC · Technical part | $6.46 | $10.00 | $26.30 |
Kaiser Permanente Setting Professional Modifier None Typical Low $19.50 Median $22.39 Typical High $28.18 | Professional | None | $19.50 | $22.39 | $28.18 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $10.96 Typical High $13.80 | Professional | 26 · Professional part | $9.77 | $10.96 | $13.80 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $9.33 Median $11.48 Typical High $14.13 | Professional | TC · Technical part | $9.33 | $11.48 | $14.13 |
Medcost Setting Professional Modifier None Typical Low $41.69 Median $50.12 Typical High $52.48 | Professional | None | $41.69 | $50.12 | $52.48 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $17.78 Typical High $17.78 | Professional | 26 · Professional part | $14.45 | $17.78 | $17.78 |
Medcost Setting Facility Modifier None Typical Low $31.62 Median $31.62 Typical High $35.48 | Facility | None | $31.62 | $31.62 | $35.48 |
Medcost Setting Professional Modifier None (both parts) Typical Low $15.85 Median $16.98 Typical High $29.51 | Professional | None (both parts) | $15.85 | $16.98 | $29.51 |
Sentara Setting Facility Modifier None Typical Low $9.33 Median $19.50 Typical High $60.26 | Facility | None | $9.33 | $19.50 | $60.26 |
Sentara Setting Professional Modifier None (both parts) Typical Low $10.96 Median $24.55 Typical High $41.69 | Professional | None (both parts) | $10.96 | $24.55 | $41.69 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $13.49 Typical High $22.91 | Professional | 26 · Professional part | $10.23 | $13.49 | $22.91 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $8.51 Median $13.80 Typical High $26.30 | Professional | TC · Technical part | $8.51 | $13.80 | $26.30 |
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 $15.49 Median $25.70 Typical High $44.67 | Professional | None (both parts) | $15.49 | $25.70 | $44.67 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $12.59 Typical High $19.50 | Professional | 26 · Professional part | $7.59 | $12.59 | $19.50 |
United Setting Professional Modifier TC · Technical part Typical Low $6.92 Median $11.75 Typical High $27.54 | Professional | TC · Technical part | $6.92 | $11.75 | $27.54 |
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 $7.94 Median $8.51 Typical High $8.91 | Professional | 52 · Reduced service | $7.94 | $8.51 | $8.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.16 Median $3.39 Typical High $3.55 | Professional | 53 · Discontinued | $3.16 | $3.39 | $3.55 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $13.18 Median $14.13 Typical High $14.13 | Professional | FX · Film X-ray | $13.18 | $14.13 | $14.13 |
Medcost Setting Professional Modifier 27 · Multiple hospital visits Typical Low $27.54 Median $33.88 Typical High $34.67 | Professional | 27 · Multiple hospital visits | $27.54 | $33.88 | $34.67 |
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· 45th of 51
$19.50
AK $56.23FL $15.49
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.