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 $331.13 Median $512.86 Typical High $851.14 | Professional | None (both parts) | $331.13 | $512.86 | $851.14 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $154.88 Typical High $165.96 | Professional | 26 · Professional part | $117.49 | $154.88 | $165.96 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $302.00 Typical High $371.54 | Professional | TC · Technical part | $251.19 | $302.00 | $371.54 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $162.18 Median $204.17 Typical High $302.00 | Professional | None (both parts) | $162.18 | $204.17 | $302.00 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $144.54 Median $173.78 Typical High $218.78 | Professional | 26 · Professional part | $144.54 | $173.78 | $218.78 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $162.18 Typical High $229.09 | Professional | TC · Technical part | $138.04 | $162.18 | $229.09 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $275.42 Median $446.68 Typical High $616.60 | Professional | None (both parts) | $275.42 | $446.68 | $616.60 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $194.98 Median $218.78 Typical High $234.42 | Professional | 26 · Professional part | $194.98 | $218.78 | $234.42 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $245.47 Typical High $426.58 | Professional | TC · Technical part | $245.47 | $245.47 | $426.58 |
Cigna Setting Facility Modifier None Typical Low $776.25 Median $2,187.76 Typical High $8,912.51 | Facility | None | $776.25 | $2,187.76 | $8,912.51 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,023.29 Median $1,412.54 Typical High $2,511.89 | Professional | None (both parts) | $1,023.29 | $1,412.54 | $2,511.89 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $162.18 Typical High $302.00 | Professional | 26 · Professional part | $114.82 | $162.18 | $302.00 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $891.25 Median $1,258.93 Typical High $2,290.87 | Professional | TC · Technical part | $891.25 | $1,258.93 | $2,290.87 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,380.38 Median $1,659.59 Typical High $2,089.30 | Professional | None | $1,380.38 | $1,659.59 | $2,089.30 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $154.88 Median $169.82 Typical High $218.78 | Professional | 26 · Professional part | $154.88 | $169.82 | $218.78 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $1,230.27 Median $1,479.11 Typical High $1,862.09 | Professional | TC · Technical part | $1,230.27 | $1,479.11 | $1,862.09 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $229.09 Median $288.40 Typical High $288.40 | Professional | 26 · Professional part | $229.09 | $288.40 | $288.40 |
Medcost Setting Facility Modifier None Typical Low $478.63 Median $1,122.02 Typical High $2,089.30 | Facility | None | $478.63 | $1,122.02 | $2,089.30 |
Medcost Setting Professional Modifier None (both parts) Typical Low $162.18 Median $181.97 Typical High $794.33 | Professional | None (both parts) | $162.18 | $181.97 | $794.33 |
Sentara Setting Facility Modifier None Typical Low $169.82 Median $436.52 Typical High $2,818.38 | Facility | None | $169.82 | $436.52 | $2,818.38 |
Sentara Setting Professional Modifier None (both parts) Typical Low $199.53 Median $588.84 Typical High $1,348.96 | Professional | None (both parts) | $199.53 | $588.84 | $1,348.96 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $158.49 Median $208.93 Typical High $338.84 | Professional | 26 · Professional part | $158.49 | $208.93 | $338.84 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $416.87 Typical High $977.24 | Professional | TC · Technical part | $181.97 | $416.87 | $977.24 |
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 $269.15 Median $457.09 Typical High $1,258.93 | Professional | None (both parts) | $269.15 | $457.09 | $1,258.93 |
United Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $190.55 Typical High $295.12 | Professional | 26 · Professional part | $107.15 | $190.55 | $295.12 |
United Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $239.88 Typical High $954.99 | Professional | TC · Technical part | $141.25 | $239.88 | $954.99 |
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 $151.36 Median $213.80 Typical High $263.03 | Professional | 52 · Reduced service | $151.36 | $213.80 | $263.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $60.26 Median $85.11 Typical High $104.71 | Professional | 53 · Discontinued | $60.26 | $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 |
Where Virginia sits
The same service costs 13.5 times more in Wyoming than in Washington. 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· 50th of 51
$288
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.