How much rates vary
Facilitymedian $457 · 10th to 90th $123 to $2,570Professionalmedian $331 · 10th to 90th $251 to $646
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 $288.40 Median $691.83 Typical High $2,398.83 | Facility | None | $288.40 | $691.83 | $2,398.83 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $74.13 Median $109.65 Typical High $158.49 | Facility | 26 · Professional part | $74.13 | $109.65 | $158.49 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $173.78 Median $331.13 Typical High $794.33 | Facility | TC · Technical part | $173.78 | $331.13 | $794.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $251.19 Median $288.40 Typical High $691.83 | Professional | None (both parts) | $251.19 | $288.40 | $691.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $89.13 Typical High $154.88 | Professional | 26 · Professional part | $74.13 | $89.13 | $154.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $199.53 Typical High $489.78 | Professional | TC · Technical part | $173.78 | $199.53 | $489.78 |
Anthem BCBS Setting Facility Modifier None Typical Low $870.96 Median $1,096.48 Typical High $1,445.44 | Facility | None | $870.96 | $1,096.48 | $1,445.44 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $263.03 Median $316.23 Typical High $426.58 | Professional | None (both parts) | $263.03 | $316.23 | $426.58 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $91.20 Typical High $117.49 | Professional | 26 · Professional part | $75.86 | $91.20 | $117.49 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $223.87 Typical High $346.74 | Professional | TC · Technical part | $186.21 | $223.87 | $346.74 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $288.40 Median $354.81 Typical High $467.74 | Professional | None (both parts) | $288.40 | $354.81 | $467.74 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $107.15 Typical High $120.23 | Professional | 26 · Professional part | $95.50 | $107.15 | $120.23 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $257.04 Typical High $371.54 | Professional | TC · Technical part | $257.04 | $257.04 | $371.54 |
Cigna Setting Facility Modifier None Typical Low $776.25 Median $870.96 Typical High $1,445.44 | Facility | None | $776.25 | $870.96 | $1,445.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $245.47 Median $524.81 Typical High $870.96 | Professional | None (both parts) | $245.47 | $524.81 | $870.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $85.11 Typical High $165.96 | Professional | 26 · Professional part | $61.66 | $85.11 | $165.96 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $416.87 Typical High $707.95 | Professional | TC · Technical part | $169.82 | $416.87 | $707.95 |
Kaiser Permanente Setting Professional Modifier None Typical Low $269.15 Median $316.23 Typical High $398.11 | Professional | None | $269.15 | $316.23 | $398.11 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $87.10 Typical High $114.82 | Professional | 26 · Professional part | $79.43 | $87.10 | $114.82 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $229.09 Typical High $288.40 | Professional | TC · Technical part | $190.55 | $229.09 | $288.40 |
Medcost Setting Professional Modifier None Typical Low $630.96 Median $758.58 Typical High $776.25 | Professional | None | $630.96 | $758.58 | $776.25 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $154.88 Typical High $154.88 | Professional | 26 · Professional part | $123.03 | $154.88 | $154.88 |
Medcost Setting Facility Modifier None Typical Low $371.54 Median $912.01 Typical High $1,258.93 | Facility | None | $371.54 | $912.01 | $1,258.93 |
Medcost Setting Professional Modifier None (both parts) Typical Low $245.47 Median $275.42 Typical High $602.56 | Professional | None (both parts) | $245.47 | $275.42 | $602.56 |
Sentara Setting Facility Modifier None Typical Low $100.00 Median $316.23 Typical High $2,630.27 | Facility | None | $100.00 | $316.23 | $2,630.27 |
Sentara Setting Professional Modifier None (both parts) Typical Low $112.20 Median $398.11 Typical High $676.08 | Professional | None (both parts) | $112.20 | $398.11 | $676.08 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $123.03 Typical High $173.78 | Professional | 26 · Professional part | $87.10 | $123.03 | $173.78 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $363.08 Typical High $524.81 | Professional | TC · Technical part | $181.97 | $363.08 | $524.81 |
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 $239.88 Median $398.11 Typical High $831.76 | Professional | None (both parts) | $239.88 | $398.11 | $831.76 |
United Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $104.71 Typical High $151.36 | Professional | 26 · Professional part | $60.26 | $104.71 | $151.36 |
United Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $302.00 Typical High $707.95 | Professional | TC · Technical part | $165.96 | $302.00 | $707.95 |
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 $125.89 Median $144.54 Typical High $144.54 | Professional | 52 · Reduced service | $125.89 | $144.54 | $144.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $57.54 Typical High $57.54 | Professional | 53 · Discontinued | $50.12 | $57.54 | $57.54 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $213.80 Median $245.47 Typical High $245.47 | Professional | CT · Older CT scanner | $213.80 | $245.47 | $245.47 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $199.53 Median $229.09 Typical High $229.09 | Professional | FX · Film X-ray | $199.53 | $229.09 | $229.09 |
Medcost Setting Professional Modifier 27 · Multiple hospital visits Typical Low $501.19 Median $630.96 Typical High $630.96 | Professional | 27 · Multiple hospital visits | $501.19 | $630.96 | $630.96 |
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· 41st of 51
$331
AK $1,000UT $170
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.