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 $245.47 Median $831.76 Typical High $2,884.03 | Facility | None | $245.47 | $831.76 | $2,884.03 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $67.61 Median $112.20 Typical High $128.82 | Facility | 26 · Professional part | $67.61 | $112.20 | $128.82 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $151.36 Median $281.84 Typical High $645.65 | Facility | TC · Technical part | $151.36 | $281.84 | $645.65 |
Aetna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $245.47 Typical High $660.69 | Professional | None (both parts) | $218.78 | $245.47 | $660.69 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $83.18 Typical High $125.89 | Professional | 26 · Professional part | $66.07 | $83.18 | $125.89 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $162.18 Typical High $436.52 | Professional | TC · Technical part | $151.36 | $162.18 | $436.52 |
Anthem BCBS Setting Facility Modifier None Typical Low $707.95 Median $891.25 Typical High $1,148.15 | Facility | None | $707.95 | $891.25 | $1,148.15 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $204.17 Median $251.19 Typical High $338.84 | Professional | None (both parts) | $204.17 | $251.19 | $338.84 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $85.11 Typical High $107.15 | Professional | 26 · Professional part | $70.79 | $85.11 | $107.15 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $177.83 Typical High $275.42 | Professional | TC · Technical part | $141.25 | $177.83 | $275.42 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $213.80 Median $281.84 Typical High $363.08 | Professional | None (both parts) | $213.80 | $281.84 | $363.08 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $97.72 Typical High $97.72 | Professional | 26 · Professional part | $89.13 | $97.72 | $97.72 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $194.98 Typical High $257.04 | Professional | TC · Technical part | $194.98 | $194.98 | $257.04 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $851.14 Typical High $1,096.48 | Facility | None | $676.08 | $851.14 | $1,096.48 |
Cigna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $398.11 Typical High $602.56 | Professional | None (both parts) | $194.98 | $398.11 | $602.56 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $75.86 Typical High $147.91 | Professional | 26 · Professional part | $56.23 | $75.86 | $147.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $295.12 Typical High $489.78 | Professional | TC · Technical part | $134.90 | $295.12 | $489.78 |
Kaiser Permanente Setting Professional Modifier None Typical Low $213.80 Median $251.19 Typical High $316.23 | Professional | None | $213.80 | $251.19 | $316.23 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $79.43 Typical High $104.71 | Professional | 26 · Professional part | $72.44 | $79.43 | $104.71 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $173.78 Typical High $213.80 | Professional | TC · Technical part | $144.54 | $173.78 | $213.80 |
Medcost Setting Professional Modifier None Typical Low $436.52 Median $524.81 Typical High $549.54 | Professional | None | $436.52 | $524.81 | $549.54 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $125.89 Typical High $125.89 | Professional | 26 · Professional part | $102.33 | $125.89 | $125.89 |
Medcost Setting Facility Modifier None Typical Low $316.23 Median $562.34 Typical High $1,737.80 | Facility | None | $316.23 | $562.34 | $1,737.80 |
Medcost Setting Professional Modifier None (both parts) Typical Low $213.80 Median $275.42 Typical High $501.19 | Professional | None (both parts) | $213.80 | $275.42 | $501.19 |
Sentara Setting Facility Modifier None Typical Low $89.13 Median $281.84 Typical High $1,258.93 | Facility | None | $89.13 | $281.84 | $1,258.93 |
Sentara Setting Professional Modifier None (both parts) Typical Low $95.50 Median $323.59 Typical High $602.56 | Professional | None (both parts) | $95.50 | $323.59 | $602.56 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $95.50 Typical High $162.18 | Professional | 26 · Professional part | $74.13 | $95.50 | $162.18 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $302.00 Typical High $446.68 | Professional | TC · Technical part | $162.18 | $302.00 | $446.68 |
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 $199.53 Median $331.13 Typical High $575.44 | Professional | None (both parts) | $199.53 | $331.13 | $575.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $91.20 Typical High $138.04 | Professional | 26 · Professional part | $53.70 | $91.20 | $138.04 |
United Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $229.09 Typical High $446.68 | Professional | TC · Technical part | $131.83 | $229.09 | $446.68 |
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 $109.65 Median $123.03 Typical High $138.04 | Professional | 52 · Reduced service | $109.65 | $123.03 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $48.98 Typical High $54.95 | Professional | 53 · Discontinued | $43.65 | $48.98 | $54.95 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $186.21 Median $208.93 Typical High $208.93 | Professional | CT · Older CT scanner | $186.21 | $208.93 | $208.93 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $177.83 Median $194.98 Typical High $194.98 | Professional | FX · Film X-ray | $177.83 | $194.98 | $194.98 |
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 6.3 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· 44th of 51
$269
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.