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 $446.68 Typical High $2,398.83 | Facility | None | $165.96 | $446.68 | $2,398.83 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $54.95 Median $87.10 Typical High $117.49 | Facility | 26 · Professional part | $54.95 | $87.10 | $117.49 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $93.33 Median $173.78 Typical High $380.19 | Facility | TC · Technical part | $93.33 | $173.78 | $380.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $169.82 Typical High $446.68 | Professional | None (both parts) | $147.91 | $169.82 | $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 $93.33 Median $100.00 Typical High $263.03 | Professional | TC · Technical part | $93.33 | $100.00 | $263.03 |
Anthem BCBS Setting Facility Modifier None Typical Low $478.63 Median $602.56 Typical High $776.25 | Facility | None | $478.63 | $602.56 | $776.25 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $144.54 Median $173.78 Typical High $229.09 | Professional | None (both parts) | $144.54 | $173.78 | $229.09 |
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 $87.10 Median $104.71 Typical High $141.25 | Professional | TC · Technical part | $87.10 | $104.71 | $141.25 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $79.43 Median $190.55 Typical High $251.19 | Professional | None (both parts) | $79.43 | $190.55 | $251.19 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $70.79 Typical High $93.33 | Professional | 26 · Professional part | $70.79 | $70.79 | $93.33 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $134.90 Typical High $151.36 | Professional | TC · Technical part | $120.23 | $134.90 | $151.36 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $691.83 Typical High $870.96 | Facility | None | $524.81 | $691.83 | $870.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $275.42 Typical High $416.87 | Professional | None (both parts) | $131.83 | $275.42 | $416.87 |
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 $83.18 Median $190.55 Typical High $316.23 | Professional | TC · Technical part | $83.18 | $190.55 | $316.23 |
Kaiser Permanente Setting Professional Modifier None Typical Low $147.91 Median $169.82 Typical High $218.78 | Professional | None | $147.91 | $169.82 | $218.78 |
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 $89.13 Median $107.15 Typical High $131.83 | Professional | TC · Technical part | $89.13 | $107.15 | $131.83 |
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 $213.80 Median $389.05 Typical High $1,737.80 | Facility | None | $213.80 | $389.05 | $1,737.80 |
Medcost Setting Professional Modifier None (both parts) Typical Low $144.54 Median $239.88 Typical High $346.74 | Professional | None (both parts) | $144.54 | $239.88 | $346.74 |
Sentara Setting Facility Modifier None Typical Low $69.18 Median $186.21 Typical High $891.25 | Facility | None | $69.18 | $186.21 | $891.25 |
Sentara Setting Professional Modifier None (both parts) Typical Low $79.43 Median $223.87 Typical High $416.87 | Professional | None (both parts) | $79.43 | $223.87 | $416.87 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $81.28 Typical High $131.83 | Professional | 26 · Professional part | $64.57 | $81.28 | $131.83 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $162.18 Typical High $251.19 | Professional | TC · Technical part | $100.00 | $162.18 | $251.19 |
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 $131.83 Median $223.87 Typical High $398.11 | Professional | None (both parts) | $131.83 | $223.87 | $398.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $77.62 Typical High $120.23 | Professional | 26 · Professional part | $44.67 | $77.62 | $120.23 |
United Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $141.25 Typical High $288.40 | Professional | TC · Technical part | $81.28 | $141.25 | $288.40 |
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 $74.13 Median $83.18 Typical High $100.00 | Professional | 52 · Reduced service | $74.13 | $83.18 | $100.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $33.11 Typical High $39.81 | Professional | 53 · Discontinued | $29.51 | $33.11 | $39.81 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $125.89 Median $141.25 Typical High $141.25 | Professional | CT · Older CT scanner | $125.89 | $141.25 | $141.25 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $117.49 Median $131.83 Typical High $131.83 | Professional | FX · Film X-ray | $117.49 | $131.83 | $131.83 |
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 5.8 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
$186
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.