How much rates vary
Facilitymedian $214 · 10th to 90th $56 to $1,738Professionalmedian $132 · 10th to 90th $91 to $288
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 $114.82 Median $407.38 Typical High $2,398.83 | Facility | None | $114.82 | $407.38 | $2,398.83 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $35.48 Median $53.70 Typical High $77.62 | Facility | 26 · Professional part | $35.48 | $53.70 | $77.62 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $69.18 Median $117.49 Typical High $331.13 | Facility | TC · Technical part | $69.18 | $117.49 | $331.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $120.23 Typical High $407.38 | Professional | None (both parts) | $104.71 | $120.23 | $407.38 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $43.65 Typical High $75.86 | Professional | 26 · Professional part | $35.48 | $43.65 | $75.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $72.44 Typical High $239.88 | Professional | TC · Technical part | $69.18 | $72.44 | $239.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $338.84 Median $426.58 Typical High $562.34 | Facility | None | $338.84 | $426.58 | $562.34 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $100.00 Median $123.03 Typical High $173.78 | Professional | None (both parts) | $100.00 | $123.03 | $173.78 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $44.67 Typical High $57.54 | Professional | 26 · Professional part | $37.15 | $44.67 | $57.54 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $81.28 Typical High $128.82 | Professional | TC · Technical part | $64.57 | $81.28 | $128.82 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $46.77 Median $134.90 Typical High $181.97 | Professional | None (both parts) | $46.77 | $134.90 | $181.97 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $52.48 Typical High $67.61 | Professional | 26 · Professional part | $52.48 | $52.48 | $67.61 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $97.72 Typical High $117.49 | Professional | TC · Technical part | $89.13 | $97.72 | $117.49 |
Cigna Setting Facility Modifier None Typical Low $389.05 Median $691.83 Typical High $870.96 | Facility | None | $389.05 | $691.83 | $870.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $218.78 Typical High $338.84 | Professional | None (both parts) | $93.33 | $218.78 | $338.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $40.74 Typical High $83.18 | Professional | 26 · Professional part | $30.20 | $40.74 | $83.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $151.36 Typical High $257.04 | Professional | TC · Technical part | $58.88 | $151.36 | $257.04 |
Kaiser Permanente Setting Professional Modifier None Typical Low $104.71 Median $123.03 Typical High $154.88 | Professional | None | $104.71 | $123.03 | $154.88 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $42.66 Typical High $56.23 | Professional | 26 · Professional part | $38.90 | $42.66 | $56.23 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $79.43 Typical High $97.72 | Professional | TC · Technical part | $66.07 | $79.43 | $97.72 |
Medcost Setting Professional Modifier None Typical Low $281.84 Median $346.74 Typical High $354.81 | Professional | None | $281.84 | $346.74 | $354.81 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $74.13 Typical High $74.13 | Professional | 26 · Professional part | $60.26 | $74.13 | $74.13 |
Medcost Setting Facility Modifier None Typical Low $151.36 Median $302.00 Typical High $1,737.80 | Facility | None | $151.36 | $302.00 | $1,737.80 |
Medcost Setting Professional Modifier None (both parts) Typical Low $102.33 Median $223.87 Typical High $269.15 | Professional | None (both parts) | $102.33 | $223.87 | $269.15 |
Sentara Setting Facility Modifier None Typical Low $46.77 Median $141.25 Typical High $891.25 | Facility | None | $46.77 | $141.25 | $891.25 |
Sentara Setting Professional Modifier None (both parts) Typical Low $52.48 Median $173.78 Typical High $331.13 | Professional | None (both parts) | $52.48 | $173.78 | $331.13 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $53.70 Typical High $93.33 | Professional | 26 · Professional part | $42.66 | $53.70 | $93.33 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $147.91 Typical High $223.87 | Professional | TC · Technical part | $72.44 | $147.91 | $223.87 |
United Setting Facility Modifier None Typical Low $199.53 Median $218.78 Typical High $489.78 | Facility | None | $199.53 | $218.78 | $489.78 |
United Setting Professional Modifier None (both parts) Typical Low $93.33 Median $158.49 Typical High $338.84 | Professional | None (both parts) | $93.33 | $158.49 | $338.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $51.29 Typical High $79.43 | Professional | 26 · Professional part | $29.51 | $51.29 | $79.43 |
United Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $104.71 Typical High $257.04 | Professional | TC · Technical part | $58.88 | $104.71 | $257.04 |
5 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 $52.48 Median $57.54 Typical High $81.28 | Professional | 52 · Reduced service | $52.48 | $57.54 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $23.44 Typical High $32.36 | Professional | 53 · Discontinued | $20.89 | $23.44 | $32.36 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $89.13 Median $97.72 Typical High $97.72 | Professional | CT · Older CT scanner | $89.13 | $97.72 | $97.72 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $83.18 Median $93.33 Typical High $93.33 | Professional | FX · Film X-ray | $83.18 | $93.33 | $93.33 |
Medcost Setting Professional Modifier 27 · Multiple hospital visits Typical Low $223.87 Median $281.84 Typical High $281.84 | Professional | 27 · Multiple hospital visits | $223.87 | $281.84 | $281.84 |
Where Virginia sits
The same service costs 20.4 times more in Vermont 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· 43rd of 51
$132
VT $1,585UT $77.62
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.