How much rates vary
Facilitymedian $46 · 10th to 90th $10 to $174Professionalmedian $41 · 10th to 90th $29 to $58
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 $30.20 Median $36.31 Typical High $79.43 | Facility | None | $30.20 | $36.31 | $79.43 |
Aetna Setting Professional Modifier None (both parts) Typical Low $30.20 Median $31.62 Typical High $36.31 | Professional | None (both parts) | $30.20 | $31.62 | $36.31 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $7.59 Typical High $7.59 | Professional | 26 · Professional part | $6.92 | $7.59 | $7.59 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $24.55 Typical High $29.51 | Professional | TC · Technical part | $22.39 | $24.55 | $29.51 |
Anthem BCBS Setting Facility Modifier None Typical Low $117.49 Median $147.91 Typical High $194.98 | Facility | None | $117.49 | $147.91 | $194.98 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $34.67 Median $42.66 Typical High $53.70 | Professional | None (both parts) | $34.67 | $42.66 | $53.70 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $8.91 Typical High $11.48 | Professional | 26 · Professional part | $7.41 | $8.91 | $11.48 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $33.11 Typical High $44.67 | Professional | TC · Technical part | $26.92 | $33.11 | $44.67 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $7.59 Median $38.02 Typical High $45.71 | Professional | None (both parts) | $7.59 | $38.02 | $45.71 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $8.51 Typical High $10.47 | Professional | 26 · Professional part | $8.51 | $8.51 | $10.47 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $33.88 Typical High $36.31 | Professional | TC · Technical part | $30.20 | $33.88 | $36.31 |
Cigna Setting Facility Modifier None Typical Low $70.79 Median $93.33 Typical High $776.25 | Facility | None | $70.79 | $93.33 | $776.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $26.92 Median $38.02 Typical High $67.61 | Professional | None (both parts) | $26.92 | $38.02 | $67.61 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $5.75 Median $8.51 Typical High $15.85 | Professional | 26 · Professional part | $5.75 | $8.51 | $15.85 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $29.51 Typical High $51.29 | Professional | TC · Technical part | $20.89 | $29.51 | $51.29 |
Kaiser Permanente Setting Professional Modifier None Typical Low $36.31 Median $42.66 Typical High $53.70 | Professional | None | $36.31 | $42.66 | $53.70 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $8.71 Typical High $11.22 | Professional | 26 · Professional part | $7.94 | $8.71 | $11.22 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $33.88 Typical High $42.66 | Professional | TC · Technical part | $28.18 | $33.88 | $42.66 |
Medcost Setting Professional Modifier None Typical Low $44.67 Median $54.95 Typical High $54.95 | Professional | None | $44.67 | $54.95 | $54.95 |
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 $51.29 Median $51.29 Typical High $60.26 | Facility | None | $51.29 | $51.29 | $60.26 |
Medcost Setting Professional Modifier None (both parts) Typical Low $34.67 Median $37.15 Typical High $50.12 | Professional | None (both parts) | $34.67 | $37.15 | $50.12 |
Sentara Setting Facility Modifier None Typical Low $8.71 Median $33.11 Typical High $95.50 | Facility | None | $8.71 | $33.11 | $95.50 |
Sentara Setting Professional Modifier None (both parts) Typical Low $11.22 Median $39.81 Typical High $69.18 | Professional | None (both parts) | $11.22 | $39.81 | $69.18 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $11.22 Typical High $19.05 | Professional | 26 · Professional part | $8.71 | $11.22 | $19.05 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $38.90 Typical High $69.18 | Professional | TC · Technical part | $29.51 | $38.90 | $69.18 |
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 $28.18 Median $43.65 Typical High $69.18 | Professional | None (both parts) | $28.18 | $43.65 | $69.18 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.17 Median $10.00 Typical High $16.22 | Professional | 26 · Professional part | $6.17 | $10.00 | $16.22 |
United Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $33.11 Typical High $52.48 | Professional | TC · Technical part | $21.38 | $33.11 | $52.48 |
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 $15.14 Median $15.85 Typical High $18.20 | Professional | 52 · Reduced service | $15.14 | $15.85 | $18.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.03 Median $6.31 Typical High $7.24 | Professional | 53 · Discontinued | $6.03 | $6.31 | $7.24 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $23.99 Median $23.99 Typical High $29.51 | Professional | FX · Film X-ray | $23.99 | $23.99 | $29.51 |
Medcost Setting Professional Modifier 27 · Multiple hospital visits Typical Low $32.36 Median $39.81 Typical High $39.81 | Professional | 27 · Multiple hospital visits | $32.36 | $39.81 | $39.81 |
Where Virginia sits
The same service costs 3.7 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· 33rd of 51
$40.74
AK $110FL $29.51
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.