How much rates vary
Facilitymedian $525 · 10th to 90th $87 to $2,138Professionalmedian $295 · 10th to 90th $214 to $617
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 $524.81 Median $1,698.24 Typical High $3,715.35 | Facility | None | $524.81 | $1,698.24 | $3,715.35 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $104.71 Median $120.23 Typical High $194.98 | Facility | 26 · Professional part | $104.71 | $120.23 | $194.98 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $281.84 Median $524.81 Typical High $1,445.44 | Facility | TC · Technical part | $281.84 | $524.81 | $1,445.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $371.54 Median $524.81 Typical High $870.96 | Professional | None (both parts) | $371.54 | $524.81 | $870.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $125.89 Typical High $154.88 | Professional | 26 · Professional part | $97.72 | $125.89 | $154.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $354.81 Typical High $524.81 | Professional | TC · Technical part | $257.04 | $354.81 | $524.81 |
Anthem BCBS Setting Facility Modifier None Typical Low $724.44 Median $912.01 Typical High $1,174.90 | Facility | None | $724.44 | $912.01 | $1,174.90 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $218.78 Median $263.03 Typical High $354.81 | Professional | None (both parts) | $218.78 | $263.03 | $354.81 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $70.79 Typical High $91.20 | Professional | 26 · Professional part | $58.88 | $70.79 | $91.20 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $190.55 Typical High $251.19 | Professional | TC · Technical part | $158.49 | $190.55 | $251.19 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $223.87 Median $302.00 Typical High $416.87 | Professional | None (both parts) | $223.87 | $302.00 | $416.87 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $87.10 Typical High $100.00 | Professional | 26 · Professional part | $77.62 | $87.10 | $100.00 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $251.19 Typical High $295.12 | Professional | TC · Technical part | $251.19 | $251.19 | $295.12 |
Cigna Setting Facility Modifier None Typical Low $776.25 Median $912.01 Typical High $1,348.96 | Facility | None | $776.25 | $912.01 | $1,348.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $199.53 Median $501.19 Typical High $812.83 | Professional | None (both parts) | $199.53 | $501.19 | $812.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $66.07 Typical High $131.83 | Professional | 26 · Professional part | $47.86 | $66.07 | $131.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $380.19 Typical High $660.69 | Professional | TC · Technical part | $154.88 | $380.19 | $660.69 |
Kaiser Permanente Setting Professional Modifier None Typical Low $218.78 Median $257.04 Typical High $323.59 | Professional | None | $218.78 | $257.04 | $323.59 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $67.61 Typical High $87.10 | Professional | 26 · Professional part | $60.26 | $67.61 | $87.10 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $190.55 Typical High $239.88 | Professional | TC · Technical part | $158.49 | $190.55 | $239.88 |
Medcost Setting Professional Modifier None Typical Low $602.56 Median $758.58 Typical High $758.58 | Professional | None | $602.56 | $758.58 | $758.58 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $117.49 Typical High $117.49 | Professional | 26 · Professional part | $95.50 | $117.49 | $117.49 |
Medcost Setting Facility Modifier None Typical Low $346.74 Median $758.58 Typical High $1,122.02 | Facility | None | $346.74 | $758.58 | $1,122.02 |
Medcost Setting Professional Modifier None (both parts) Typical Low $218.78 Median $338.84 Typical High $588.84 | Professional | None (both parts) | $218.78 | $338.84 | $588.84 |
Sentara Setting Facility Modifier None Typical Low $74.13 Median $316.23 Typical High $1,698.24 | Facility | None | $74.13 | $316.23 | $1,698.24 |
Sentara Setting Professional Modifier None (both parts) Typical Low $87.10 Median $389.05 Typical High $724.44 | Professional | None (both parts) | $87.10 | $389.05 | $724.44 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $87.10 Typical High $141.25 | Professional | 26 · Professional part | $67.61 | $87.10 | $141.25 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $346.74 Typical High $537.03 | Professional | TC · Technical part | $190.55 | $346.74 | $537.03 |
United Setting Facility Modifier None Typical Low $446.68 Median $501.19 Typical High $1,096.48 | Facility | None | $446.68 | $501.19 | $1,096.48 |
United Setting Professional Modifier None (both parts) Typical Low $208.93 Median $371.54 Typical High $776.25 | Professional | None (both parts) | $208.93 | $371.54 | $776.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $79.43 Typical High $128.82 | Professional | 26 · Professional part | $45.71 | $79.43 | $128.82 |
United Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $288.40 Typical High $660.69 | Professional | TC · Technical part | $154.88 | $288.40 | $660.69 |
4 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 $173.78 Median $213.80 Typical High $263.03 | Professional | 52 · Reduced service | $173.78 | $213.80 | $263.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $69.18 Median $85.11 Typical High $104.71 | Professional | 53 · Discontinued | $69.18 | $85.11 | $104.71 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $323.59 Median $380.19 Typical High $416.87 | Professional | FX · Film X-ray | $323.59 | $380.19 | $416.87 |
Medcost Setting Professional Modifier 27 · Multiple hospital visits Typical Low $512.86 Median $645.65 Typical High $645.65 | Professional | 27 · Multiple hospital visits | $512.86 | $645.65 | $645.65 |
Where Virginia sits
The same service costs 5.8 times more in Wyoming 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· 42nd of 51
$302
WY $912UT $158
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.