How much rates vary
Facilitymedian $229 · 10th to 90th $60 to $1,738Professionalmedian $158 · 10th to 90th $120 to $339
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 $138.04 Median $436.52 Typical High $2,398.83 | Facility | None | $138.04 | $436.52 | $2,398.83 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $36.31 Median $61.66 Typical High $102.33 | Facility | 26 · Professional part | $36.31 | $61.66 | $102.33 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $91.20 Median $154.88 Typical High $380.19 | Facility | TC · Technical part | $91.20 | $154.88 | $380.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $158.49 Typical High $436.52 | Professional | None (both parts) | $128.82 | $158.49 | $436.52 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $43.65 Typical High $89.13 | Professional | 26 · Professional part | $36.31 | $43.65 | $89.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $97.72 Typical High $288.40 | Professional | TC · Technical part | $91.20 | $97.72 | $288.40 |
Anthem BCBS Setting Facility Modifier None Typical Low $407.38 Median $512.86 Typical High $676.08 | Facility | None | $407.38 | $512.86 | $676.08 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $123.03 Median $147.91 Typical High $199.53 | Professional | None (both parts) | $123.03 | $147.91 | $199.53 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $44.67 Typical High $58.88 | Professional | 26 · Professional part | $37.15 | $44.67 | $58.88 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $102.33 Typical High $134.90 | Professional | TC · Technical part | $85.11 | $102.33 | $134.90 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $144.54 Median $181.97 Typical High $229.09 | Professional | None (both parts) | $144.54 | $181.97 | $229.09 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $52.48 Typical High $58.88 | Professional | 26 · Professional part | $46.77 | $52.48 | $58.88 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $131.83 Typical High $144.54 | Professional | TC · Technical part | $117.49 | $131.83 | $144.54 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $691.83 Typical High $870.96 | Facility | None | $512.86 | $691.83 | $870.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $263.03 Typical High $426.58 | Professional | None (both parts) | $112.20 | $263.03 | $426.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $48.98 Typical High $91.20 | Professional | 26 · Professional part | $30.20 | $48.98 | $91.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $190.55 Typical High $316.23 | Professional | TC · Technical part | $77.62 | $190.55 | $316.23 |
Kaiser Permanente Setting Professional Modifier None Typical Low $125.89 Median $147.91 Typical High $186.21 | Professional | None | $125.89 | $147.91 | $186.21 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $43.65 Typical High $56.23 | Professional | 26 · Professional part | $38.90 | $43.65 | $56.23 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $104.71 Typical High $128.82 | Professional | TC · Technical part | $87.10 | $104.71 | $128.82 |
Medcost Setting Professional Modifier None Typical Low $302.00 Median $371.54 Typical High $380.19 | Professional | None | $302.00 | $371.54 | $380.19 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $87.10 Typical High $100.00 | Professional | 26 · Professional part | $79.43 | $87.10 | $100.00 |
Medcost Setting Facility Modifier None Typical Low $181.97 Median $389.05 Typical High $1,737.80 | Facility | None | $181.97 | $389.05 | $1,737.80 |
Medcost Setting Professional Modifier None (both parts) Typical Low $123.03 Median $223.87 Typical High $354.81 | Professional | None (both parts) | $123.03 | $223.87 | $354.81 |
Sentara Setting Facility Modifier None Typical Low $54.95 Median $173.78 Typical High $741.31 | Facility | None | $54.95 | $173.78 | $741.31 |
Sentara Setting Professional Modifier None (both parts) Typical Low $61.66 Median $218.78 Typical High $398.11 | Professional | None (both parts) | $61.66 | $218.78 | $398.11 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $61.66 Typical High $95.50 | Professional | 26 · Professional part | $43.65 | $61.66 | $95.50 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $177.83 Typical High $288.40 | Professional | TC · Technical part | $95.50 | $177.83 | $288.40 |
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 $112.20 Median $190.55 Typical High $389.05 | Professional | None (both parts) | $112.20 | $190.55 | $389.05 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $52.48 Typical High $89.13 | Professional | 26 · Professional part | $33.88 | $52.48 | $89.13 |
United Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $134.90 Typical High $295.12 | Professional | TC · Technical part | $77.62 | $134.90 | $295.12 |
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 $63.10 Median $69.18 Typical High $85.11 | Professional | 52 · Reduced service | $63.10 | $69.18 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $28.18 Typical High $33.88 | Professional | 53 · Discontinued | $25.70 | $28.18 | $33.88 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $107.15 Median $117.49 Typical High $117.49 | Professional | CT · Older CT scanner | $107.15 | $117.49 | $117.49 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $102.33 Median $112.20 Typical High $112.20 | Professional | FX · Film X-ray | $102.33 | $112.20 | $112.20 |
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 4.9 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· 45th of 51
$158
AK $513UT $105
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.