How much rates vary
Facilitymedian $39 · 10th to 90th $11 to $135Professionalmedian $34 · 10th to 90th $23 to $48
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 $26.92 Median $38.90 Typical High $51.29 | Facility | None | $26.92 | $38.90 | $51.29 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $7.59 Median $10.96 Typical High $15.49 | Facility | 26 · Professional part | $7.59 | $10.96 | $15.49 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $19.05 Median $26.92 Typical High $44.67 | Facility | TC · Technical part | $19.05 | $26.92 | $44.67 |
Aetna Setting Professional Modifier None (both parts) Typical Low $26.92 Median $30.20 Typical High $51.29 | Professional | None (both parts) | $26.92 | $30.20 | $51.29 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $7.76 Typical High $15.49 | Professional | 26 · Professional part | $7.59 | $7.76 | $15.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $22.91 Typical High $36.31 | Professional | TC · Technical part | $19.05 | $22.91 | $36.31 |
Anthem BCBS Setting Facility Modifier None Typical Low $100.00 Median $125.89 Typical High $162.18 | Facility | None | $100.00 | $125.89 | $162.18 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $28.18 Median $35.48 Typical High $43.65 | Professional | None (both parts) | $28.18 | $35.48 | $43.65 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $9.77 Typical High $12.02 | Professional | 26 · Professional part | $7.94 | $9.77 | $12.02 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $25.12 Typical High $30.90 | Professional | TC · Technical part | $20.42 | $25.12 | $30.90 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $14.13 Median $31.62 Typical High $39.81 | Professional | None (both parts) | $14.13 | $31.62 | $39.81 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $9.33 Typical High $9.33 | Professional | 26 · Professional part | $8.32 | $9.33 | $9.33 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $26.30 Typical High $30.20 | Professional | TC · Technical part | $23.44 | $26.30 | $30.20 |
Cigna Setting Facility Modifier None Typical Low $46.77 Median $72.44 Typical High $776.25 | Facility | None | $46.77 | $72.44 | $776.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $22.39 Median $31.62 Typical High $54.95 | Professional | None (both parts) | $22.39 | $31.62 | $54.95 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.17 Median $8.71 Typical High $16.98 | Professional | 26 · Professional part | $6.17 | $8.71 | $16.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $21.88 Typical High $39.81 | Professional | TC · Technical part | $16.22 | $21.88 | $39.81 |
Kaiser Permanente Setting Professional Modifier None Typical Low $30.20 Median $35.48 Typical High $44.67 | Professional | None | $30.20 | $35.48 | $44.67 |
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 $21.88 Median $26.30 Typical High $33.11 | Professional | TC · Technical part | $21.88 | $26.30 | $33.11 |
Medcost Setting Professional Modifier None Typical Low $32.36 Median $39.81 Typical High $39.81 | Professional | None | $32.36 | $39.81 | $39.81 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $15.49 Typical High $15.49 | Professional | 26 · Professional part | $12.30 | $15.49 | $15.49 |
Medcost Setting Facility Modifier None Typical Low $37.15 Median $37.15 Typical High $53.70 | Facility | None | $37.15 | $37.15 | $53.70 |
Medcost Setting Professional Modifier None (both parts) Typical Low $25.12 Median $29.51 Typical High $36.31 | Professional | None (both parts) | $25.12 | $29.51 | $36.31 |
Sentara Setting Facility Modifier None Typical Low $8.91 Median $25.12 Typical High $77.62 | Facility | None | $8.91 | $25.12 | $77.62 |
Sentara Setting Professional Modifier None (both parts) Typical Low $10.96 Median $30.90 Typical High $57.54 | Professional | None (both parts) | $10.96 | $30.90 | $57.54 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $11.22 Typical High $19.05 | Professional | 26 · Professional part | $8.91 | $11.22 | $19.05 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $28.18 Typical High $50.12 | Professional | TC · Technical part | $19.95 | $28.18 | $50.12 |
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 $20.42 Median $33.88 Typical High $53.70 | Professional | None (both parts) | $20.42 | $33.88 | $53.70 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.46 Median $10.47 Typical High $15.85 | Professional | 26 · Professional part | $6.46 | $10.47 | $15.85 |
United Setting Professional Modifier TC · Technical part Typical Low $14.13 Median $22.39 Typical High $38.90 | Professional | TC · Technical part | $14.13 | $22.39 | $38.90 |
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 $13.49 Median $13.49 Typical High $15.14 | Professional | 52 · Reduced service | $13.49 | $13.49 | $15.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.37 Median $5.37 Typical High $6.17 | Professional | 53 · Discontinued | $5.37 | $5.37 | $6.17 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $21.38 Median $21.38 Typical High $24.55 | Professional | FX · Film X-ray | $21.38 | $21.38 | $24.55 |
Medcost Setting Professional Modifier 27 · Multiple hospital visits Typical Low $19.50 Median $24.55 Typical High $24.55 | Professional | 27 · Multiple hospital visits | $19.50 | $24.55 | $24.55 |
Where Virginia sits
The same service costs 4.3 times more in Alaska than in New York. 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· 34th of 51
$33.88
AK $93.33NY $21.88
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.