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 $204.17 Median $933.25 Typical High $2,884.03 | Facility | None | $204.17 | $933.25 | $2,884.03 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $53.70 Median $100.00 Typical High $125.89 | Facility | 26 · Professional part | $53.70 | $100.00 | $125.89 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $128.82 Median $323.59 Typical High $549.54 | Facility | TC · Technical part | $128.82 | $323.59 | $549.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $204.17 Typical High $660.69 | Professional | None (both parts) | $181.97 | $204.17 | $660.69 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $64.57 Typical High $109.65 | Professional | 26 · Professional part | $53.70 | $64.57 | $109.65 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $138.04 Typical High $363.08 | Professional | TC · Technical part | $128.82 | $138.04 | $363.08 |
Anthem BCBS Setting Facility Modifier None Typical Low $588.84 Median $741.31 Typical High $954.99 | Facility | None | $588.84 | $741.31 | $954.99 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $173.78 Median $213.80 Typical High $288.40 | Professional | None (both parts) | $173.78 | $213.80 | $288.40 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $66.07 Typical High $87.10 | Professional | 26 · Professional part | $54.95 | $66.07 | $87.10 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $144.54 Typical High $194.98 | Professional | TC · Technical part | $120.23 | $144.54 | $194.98 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $165.96 Median $234.42 Typical High $309.03 | Professional | None (both parts) | $165.96 | $234.42 | $309.03 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $77.62 Typical High $87.10 | Professional | 26 · Professional part | $70.79 | $77.62 | $87.10 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $186.21 Typical High $239.88 | Professional | TC · Technical part | $186.21 | $186.21 | $239.88 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $776.25 Typical High $933.25 | Facility | None | $588.84 | $776.25 | $933.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $371.54 Typical High $602.56 | Professional | None (both parts) | $162.18 | $371.54 | $602.56 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $67.61 Typical High $123.03 | Professional | 26 · Professional part | $45.71 | $67.61 | $123.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $275.42 Typical High $467.74 | Professional | TC · Technical part | $112.20 | $275.42 | $467.74 |
Kaiser Permanente Setting Professional Modifier None Typical Low $181.97 Median $213.80 Typical High $269.15 | Professional | None | $181.97 | $213.80 | $269.15 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $63.10 Typical High $83.18 | Professional | 26 · Professional part | $57.54 | $63.10 | $83.18 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $147.91 Typical High $186.21 | Professional | TC · Technical part | $123.03 | $147.91 | $186.21 |
Medcost Setting Professional Modifier None Typical Low $436.52 Median $524.81 Typical High $537.03 | Professional | None | $436.52 | $524.81 | $537.03 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $123.03 Typical High $123.03 | Professional | 26 · Professional part | $100.00 | $123.03 | $123.03 |
Medcost Setting Facility Modifier None Typical Low $263.03 Median $575.44 Typical High $1,737.80 | Facility | None | $263.03 | $575.44 | $1,737.80 |
Medcost Setting Professional Modifier None (both parts) Typical Low $177.83 Median $275.42 Typical High $512.86 | Professional | None (both parts) | $177.83 | $275.42 | $512.86 |
Sentara Setting Facility Modifier None Typical Low $72.44 Median $257.04 Typical High $1,047.13 | Facility | None | $72.44 | $257.04 | $1,047.13 |
Sentara Setting Professional Modifier None (both parts) Typical Low $87.10 Median $309.03 Typical High $602.56 | Professional | None (both parts) | $87.10 | $309.03 | $602.56 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $87.10 Typical High $141.25 | Professional | 26 · Professional part | $64.57 | $87.10 | $141.25 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $263.03 Typical High $416.87 | Professional | TC · Technical part | $141.25 | $263.03 | $416.87 |
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 $165.96 Median $275.42 Typical High $562.34 | Professional | None (both parts) | $165.96 | $275.42 | $562.34 |
United Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $77.62 Typical High $120.23 | Professional | 26 · Professional part | $46.77 | $77.62 | $120.23 |
United Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $199.53 Typical High $457.09 | Professional | TC · Technical part | $112.20 | $199.53 | $457.09 |
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 $91.20 Median $102.33 Typical High $123.03 | Professional | 52 · Reduced service | $91.20 | $102.33 | $123.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $37.15 Median $40.74 Typical High $48.98 | Professional | 53 · Discontinued | $37.15 | $40.74 | $48.98 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $154.88 Median $173.78 Typical High $173.78 | Professional | CT · Older CT scanner | $154.88 | $173.78 | $173.78 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $147.91 Median $162.18 Typical High $162.18 | Professional | FX · Film X-ray | $147.91 | $162.18 | $162.18 |
Medcost Setting Professional Modifier 27 · Multiple hospital visits Typical Low $338.84 Median $416.87 Typical High $416.87 | Professional | 27 · Multiple hospital visits | $338.84 | $416.87 | $416.87 |
Where Virginia sits
The same service costs 5.1 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
$229
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.