How much rates vary
Facilitymedian $741 · 10th to 90th $151 to $2,188Professionalmedian $398 · 10th to 90th $302 to $1,000
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 $1,096.48 Typical High $3,162.28 | Facility | None | $524.81 | $1,096.48 | $3,162.28 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $117.49 Median $181.97 Typical High $223.87 | Facility | 26 · Professional part | $117.49 | $181.97 | $223.87 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $281.84 Median $478.63 Typical High $1,445.44 | Facility | TC · Technical part | $281.84 | $478.63 | $1,445.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $398.11 Median $524.81 Typical High $1,096.48 | Professional | None (both parts) | $398.11 | $524.81 | $1,096.48 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $154.88 Typical High $208.93 | Professional | 26 · Professional part | $117.49 | $154.88 | $208.93 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $371.54 Typical High $741.31 | Professional | TC · Technical part | $281.84 | $371.54 | $741.31 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,000.00 Median $1,288.25 Typical High $1,659.59 | Facility | None | $1,000.00 | $1,288.25 | $1,659.59 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $309.03 Median $371.54 Typical High $501.19 | Professional | None (both parts) | $309.03 | $371.54 | $501.19 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $120.23 Typical High $151.36 | Professional | 26 · Professional part | $100.00 | $120.23 | $151.36 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $245.47 Typical High $323.59 | Professional | TC · Technical part | $204.17 | $245.47 | $323.59 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $323.59 Median $426.58 Typical High $588.84 | Professional | None (both parts) | $323.59 | $426.58 | $588.84 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $147.91 Typical High $177.83 | Professional | 26 · Professional part | $134.90 | $147.91 | $177.83 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $295.12 Typical High $426.58 | Professional | TC · Technical part | $295.12 | $295.12 | $426.58 |
Cigna Setting Facility Modifier None Typical Low $776.25 Median $1,202.26 Typical High $1,737.80 | Facility | None | $776.25 | $1,202.26 | $1,737.80 |
Cigna Setting Professional Modifier None (both parts) Typical Low $281.84 Median $691.83 Typical High $1,348.96 | Professional | None (both parts) | $281.84 | $691.83 | $1,348.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $112.20 Typical High $213.80 | Professional | 26 · Professional part | $81.28 | $112.20 | $213.80 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $489.78 Typical High $1,202.26 | Professional | TC · Technical part | $194.98 | $489.78 | $1,202.26 |
Kaiser Permanente Setting Professional Modifier None Typical Low $309.03 Median $363.08 Typical High $457.09 | Professional | None | $309.03 | $363.08 | $457.09 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $114.82 Typical High $151.36 | Professional | 26 · Professional part | $102.33 | $114.82 | $151.36 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $251.19 Typical High $309.03 | Professional | TC · Technical part | $208.93 | $251.19 | $309.03 |
Medcost Setting Professional Modifier None Typical Low $1,348.96 Median $1,659.59 Typical High $1,698.24 | Professional | None | $1,348.96 | $1,659.59 | $1,698.24 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $165.96 Median $208.93 Typical High $208.93 | Professional | 26 · Professional part | $165.96 | $208.93 | $208.93 |
Medcost Setting Facility Modifier None Typical Low $478.63 Median $1,122.02 Typical High $1,174.90 | Facility | None | $478.63 | $1,122.02 | $1,174.90 |
Medcost Setting Professional Modifier None (both parts) Typical Low $309.03 Median $602.56 Typical High $912.01 | Professional | None (both parts) | $309.03 | $602.56 | $912.01 |
Sentara Setting Facility Modifier None Typical Low $128.82 Median $446.68 Typical High $1,905.46 | Facility | None | $128.82 | $446.68 | $1,905.46 |
Sentara Setting Professional Modifier None (both parts) Typical Low $144.54 Median $602.56 Typical High $1,348.96 | Professional | None (both parts) | $144.54 | $602.56 | $1,348.96 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $147.91 Typical High $229.09 | Professional | 26 · Professional part | $114.82 | $147.91 | $229.09 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $501.19 Typical High $1,071.52 | Professional | TC · Technical part | $251.19 | $501.19 | $1,071.52 |
United Setting Facility Modifier None Typical Low $660.69 Median $724.44 Typical High $1,621.81 | Facility | None | $660.69 | $724.44 | $1,621.81 |
United Setting Professional Modifier None (both parts) Typical Low $295.12 Median $524.81 Typical High $1,479.11 | Professional | None (both parts) | $295.12 | $524.81 | $1,479.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $138.04 Typical High $208.93 | Professional | 26 · Professional part | $81.28 | $138.04 | $208.93 |
United Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $380.19 Typical High $1,318.26 | Professional | TC · Technical part | $199.53 | $380.19 | $1,318.26 |
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 $199.53 Median $239.88 Typical High $263.03 | Professional | 52 · Reduced service | $199.53 | $239.88 | $263.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $79.43 Median $95.50 Typical High $104.71 | Professional | 53 · Discontinued | $79.43 | $95.50 | $104.71 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $323.59 Median $416.87 Typical High $416.87 | Professional | FX · Film X-ray | $323.59 | $416.87 | $416.87 |
Medcost Setting Professional Modifier 27 · Multiple hospital visits Typical Low $1,174.90 Median $1,479.11 Typical High $1,479.11 | Professional | 27 · Multiple hospital visits | $1,174.90 | $1,479.11 | $1,479.11 |
Where Virginia sits
The same service costs 6.6 times more in Vermont 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
$417
VT $1,349UT $204
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.