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 $524.81 Median $1,995.26 Typical High $3,715.35 | Facility | None | $524.81 | $1,995.26 | $3,715.35 |
Aetna Setting Professional Modifier None (both parts) Typical Low $398.11 Median $524.81 Typical High $954.99 | Professional | None (both parts) | $398.11 | $524.81 | $954.99 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $154.88 Typical High $162.18 | Professional | 26 · Professional part | $117.49 | $154.88 | $162.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $371.54 Typical High $512.86 | Professional | TC · Technical part | $281.84 | $371.54 | $512.86 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $446.68 Median $537.03 Typical High $676.08 | Professional | None (both parts) | $446.68 | $537.03 | $676.08 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $169.82 Typical High $213.80 | Professional | 26 · Professional part | $141.25 | $169.82 | $213.80 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $398.11 Median $478.63 Typical High $602.56 | Professional | TC · Technical part | $398.11 | $478.63 | $602.56 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $208.93 Median $851.14 Typical High $1,047.13 | Professional | None (both parts) | $208.93 | $851.14 | $1,047.13 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $186.21 Median $186.21 Typical High $263.03 | Professional | 26 · Professional part | $186.21 | $186.21 | $263.03 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $380.19 Median $954.99 Typical High $1,202.26 | Professional | TC · Technical part | $380.19 | $954.99 | $1,202.26 |
Cigna Setting Facility Modifier None Typical Low $776.25 Median $1,348.96 Typical High $8,912.51 | Facility | None | $776.25 | $1,348.96 | $8,912.51 |
Cigna Setting Professional Modifier None (both parts) Typical Low $977.24 Median $1,348.96 Typical High $2,570.40 | Professional | None (both parts) | $977.24 | $1,348.96 | $2,570.40 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $158.49 Typical High $295.12 | Professional | 26 · Professional part | $117.49 | $158.49 | $295.12 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $851.14 Median $1,202.26 Typical High $2,290.87 | Professional | TC · Technical part | $851.14 | $1,202.26 | $2,290.87 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,348.96 Median $1,621.81 Typical High $2,041.74 | Professional | None | $1,348.96 | $1,621.81 | $2,041.74 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $151.36 Median $169.82 Typical High $223.87 | Professional | 26 · Professional part | $151.36 | $169.82 | $223.87 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $1,202.26 Median $1,479.11 Typical High $1,819.70 | Professional | TC · Technical part | $1,202.26 | $1,479.11 | $1,819.70 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $208.93 Median $257.04 Typical High $257.04 | Professional | 26 · Professional part | $208.93 | $257.04 | $257.04 |
Medcost Setting Facility Modifier None Typical Low $524.81 Median $1,122.02 Typical High $1,862.09 | Facility | None | $524.81 | $1,122.02 | $1,862.09 |
Medcost Setting Professional Modifier None (both parts) Typical Low $147.91 Median $165.96 Typical High $562.34 | Professional | None (both parts) | $147.91 | $165.96 | $562.34 |
Sentara Setting Facility Modifier None Typical Low $158.49 Median $691.83 Typical High $2,951.21 | Facility | None | $158.49 | $691.83 | $2,951.21 |
Sentara Setting Professional Modifier None (both parts) Typical Low $194.98 Median $660.69 Typical High $1,513.56 | Professional | None (both parts) | $194.98 | $660.69 | $1,513.56 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $151.36 Median $204.17 Typical High $346.74 | Professional | 26 · Professional part | $151.36 | $204.17 | $346.74 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $346.74 Median $645.65 Typical High $1,047.13 | Professional | TC · Technical part | $346.74 | $645.65 | $1,047.13 |
United Setting Facility Modifier None Typical Low $1,023.29 Median $1,148.15 Typical High $2,511.89 | Facility | None | $1,023.29 | $1,148.15 | $2,511.89 |
United Setting Professional Modifier None (both parts) Typical Low $288.40 Median $602.56 Typical High $1,174.90 | Professional | None (both parts) | $288.40 | $602.56 | $1,174.90 |
United Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $177.83 Typical High $288.40 | Professional | 26 · Professional part | $107.15 | $177.83 | $288.40 |
United Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $426.58 Typical High $891.25 | Professional | TC · Technical part | $177.83 | $426.58 | $891.25 |
3 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 $263.03 Typical High $288.40 | Professional | 52 · Reduced service | $199.53 | $263.03 | $288.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $79.43 Median $104.71 Typical High $114.82 | Professional | 53 · Discontinued | $79.43 | $104.71 | $114.82 |
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 |
Where Virginia sits
The same service costs 12.3 times more in Wyoming than in Hawaii. 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
$575
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.