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 $165.96 Median $549.54 Typical High $2,398.83 | Facility | None | $165.96 | $549.54 | $2,398.83 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $47.86 Median $81.28 Typical High $117.49 | Facility | 26 · Professional part | $47.86 | $81.28 | $117.49 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $102.33 Median $190.55 Typical High $436.52 | Facility | TC · Technical part | $102.33 | $190.55 | $436.52 |
Aetna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $173.78 Typical High $549.54 | Professional | None (both parts) | $151.36 | $173.78 | $549.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $57.54 Typical High $104.71 | Professional | 26 · Professional part | $47.86 | $57.54 | $104.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $109.65 Typical High $316.23 | Professional | TC · Technical part | $102.33 | $109.65 | $316.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $478.63 Median $616.60 Typical High $794.33 | Facility | None | $478.63 | $616.60 | $794.33 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $144.54 Median $177.83 Typical High $239.88 | Professional | None (both parts) | $144.54 | $177.83 | $239.88 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $58.88 Typical High $77.62 | Professional | 26 · Professional part | $48.98 | $58.88 | $77.62 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $114.82 Typical High $154.88 | Professional | TC · Technical part | $97.72 | $114.82 | $154.88 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $165.96 Median $218.78 Typical High $269.15 | Professional | None (both parts) | $165.96 | $218.78 | $269.15 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $69.18 Typical High $72.44 | Professional | 26 · Professional part | $61.66 | $69.18 | $72.44 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $147.91 Typical High $173.78 | Professional | TC · Technical part | $131.83 | $147.91 | $173.78 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $776.25 Typical High $870.96 | Facility | None | $524.81 | $776.25 | $870.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $302.00 Typical High $501.19 | Professional | None (both parts) | $134.90 | $302.00 | $501.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $60.26 Typical High $109.65 | Professional | 26 · Professional part | $39.81 | $60.26 | $109.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $223.87 Typical High $371.54 | Professional | TC · Technical part | $89.13 | $223.87 | $371.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $147.91 Median $173.78 Typical High $218.78 | Professional | None | $147.91 | $173.78 | $218.78 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $56.23 Typical High $74.13 | Professional | 26 · Professional part | $51.29 | $56.23 | $74.13 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $117.49 Typical High $147.91 | Professional | TC · Technical part | $97.72 | $117.49 | $147.91 |
Medcost Setting Professional Modifier None Typical Low $363.08 Median $436.52 Typical High $446.68 | Professional | None | $363.08 | $436.52 | $446.68 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $114.82 Typical High $114.82 | Professional | 26 · Professional part | $91.20 | $114.82 | $114.82 |
Medcost Setting Facility Modifier None Typical Low $218.78 Median $478.63 Typical High $1,737.80 | Facility | None | $218.78 | $478.63 | $1,737.80 |
Medcost Setting Professional Modifier None (both parts) Typical Low $147.91 Median $223.87 Typical High $426.58 | Professional | None (both parts) | $147.91 | $223.87 | $426.58 |
Sentara Setting Facility Modifier None Typical Low $66.07 Median $204.17 Typical High $851.14 | Facility | None | $66.07 | $204.17 | $851.14 |
Sentara Setting Professional Modifier None (both parts) Typical Low $77.62 Median $257.04 Typical High $501.19 | Professional | None (both parts) | $77.62 | $257.04 | $501.19 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $79.43 Typical High $125.89 | Professional | 26 · Professional part | $57.54 | $79.43 | $125.89 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $208.93 Typical High $331.13 | Professional | TC · Technical part | $109.65 | $208.93 | $331.13 |
United Setting Facility Modifier None Typical Low $331.13 Median $363.08 Typical High $812.83 | Facility | None | $331.13 | $363.08 | $812.83 |
United Setting Professional Modifier None (both parts) Typical Low $134.90 Median $223.87 Typical High $457.09 | Professional | None (both parts) | $134.90 | $223.87 | $457.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $69.18 Typical High $112.20 | Professional | 26 · Professional part | $41.69 | $69.18 | $112.20 |
United Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $158.49 Typical High $363.08 | Professional | TC · Technical part | $89.13 | $158.49 | $363.08 |
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 $75.86 Median $83.18 Typical High $100.00 | Professional | 52 · Reduced service | $75.86 | $83.18 | $100.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $33.88 Typical High $40.74 | Professional | 53 · Discontinued | $30.20 | $33.88 | $40.74 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $128.82 Median $141.25 Typical High $141.25 | Professional | CT · Older CT scanner | $128.82 | $141.25 | $141.25 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $120.23 Median $134.90 Typical High $134.90 | Professional | FX · Film X-ray | $120.23 | $134.90 | $134.90 |
Medcost Setting Professional Modifier 27 · Multiple hospital visits Typical Low $269.15 Median $331.13 Typical High $338.84 | Professional | 27 · Multiple hospital visits | $269.15 | $331.13 | $338.84 |
Where Virginia sits
The same service costs 5.9 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· 43rd of 51
$191
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.