How much rates vary
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 $177.83 Median $489.78 Typical High $2,884.03 | Facility | None | $177.83 | $489.78 | $2,884.03 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $54.95 Median $93.33 Typical High $117.49 | Facility | 26 · Professional part | $54.95 | $93.33 | $117.49 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $102.33 Median $190.55 Typical High $363.08 | Facility | TC · Technical part | $102.33 | $190.55 | $363.08 |
Aetna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $177.83 Typical High $446.68 | Professional | None (both parts) | $154.88 | $177.83 | $446.68 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $64.57 Typical High $114.82 | Professional | 26 · Professional part | $54.95 | $64.57 | $114.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $112.20 Typical High $288.40 | Professional | TC · Technical part | $102.33 | $112.20 | $288.40 |
Anthem BCBS Setting Facility Modifier None Typical Low $501.19 Median $630.96 Typical High $831.76 | Facility | None | $501.19 | $630.96 | $831.76 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $147.91 Median $181.97 Typical High $245.47 | Professional | None (both parts) | $147.91 | $181.97 | $245.47 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $67.61 Typical High $87.10 | Professional | 26 · Professional part | $56.23 | $67.61 | $87.10 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $114.82 Typical High $154.88 | Professional | TC · Technical part | $95.50 | $114.82 | $154.88 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $70.79 Median $204.17 Typical High $251.19 | Professional | None (both parts) | $70.79 | $204.17 | $251.19 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $79.43 Typical High $89.13 | Professional | 26 · Professional part | $79.43 | $79.43 | $89.13 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $147.91 Typical High $190.55 | Professional | TC · Technical part | $147.91 | $147.91 | $190.55 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $724.44 Typical High $870.96 | Facility | None | $524.81 | $724.44 | $870.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $302.00 Typical High $501.19 | Professional | None (both parts) | $141.25 | $302.00 | $501.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $61.66 Typical High $120.23 | Professional | 26 · Professional part | $45.71 | $61.66 | $120.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $223.87 Typical High $363.08 | Professional | TC · Technical part | $95.50 | $223.87 | $363.08 |
Kaiser Permanente Setting Professional Modifier None Typical Low $154.88 Median $181.97 Typical High $229.09 | Professional | None | $154.88 | $181.97 | $229.09 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $64.57 Typical High $85.11 | Professional | 26 · Professional part | $57.54 | $64.57 | $85.11 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $117.49 Typical High $144.54 | Professional | TC · Technical part | $97.72 | $117.49 | $144.54 |
Medcost Setting Professional Modifier None Typical Low $316.23 Median $380.19 Typical High $389.05 | Professional | None | $316.23 | $380.19 | $389.05 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $112.20 Typical High $112.20 | Professional | 26 · Professional part | $89.13 | $112.20 | $112.20 |
Medcost Setting Facility Modifier None Typical Low $229.09 Median $467.74 Typical High $1,737.80 | Facility | None | $229.09 | $467.74 | $1,737.80 |
Medcost Setting Professional Modifier None (both parts) Typical Low $154.88 Median $223.87 Typical High $363.08 | Professional | None (both parts) | $154.88 | $223.87 | $363.08 |
Sentara Setting Facility Modifier None Typical Low $69.18 Median $199.53 Typical High $891.25 | Facility | None | $69.18 | $199.53 | $891.25 |
Sentara Setting Professional Modifier None (both parts) Typical Low $79.43 Median $229.09 Typical High $426.58 | Professional | None (both parts) | $79.43 | $229.09 | $426.58 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $81.28 Typical High $128.82 | Professional | 26 · Professional part | $64.57 | $81.28 | $128.82 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $204.17 Typical High $295.12 | Professional | TC · Technical part | $107.15 | $204.17 | $295.12 |
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 $158.49 Median $263.03 Typical High $457.09 | Professional | None (both parts) | $158.49 | $263.03 | $457.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $75.86 Typical High $112.20 | Professional | 26 · Professional part | $44.67 | $75.86 | $112.20 |
United Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $181.97 Typical High $338.84 | Professional | TC · Technical part | $107.15 | $181.97 | $338.84 |
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 $77.62 Median $89.13 Typical High $104.71 | Professional | 52 · Reduced service | $77.62 | $89.13 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $35.48 Typical High $41.69 | Professional | 53 · Discontinued | $31.62 | $35.48 | $41.69 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $131.83 Median $151.36 Typical High $151.36 | Professional | CT · Older CT scanner | $131.83 | $151.36 | $151.36 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $125.89 Median $141.25 Typical High $141.25 | Professional | FX · Film X-ray | $125.89 | $141.25 | $141.25 |
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 6.2 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· 42nd of 51
$195
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.