How much rates vary
Facilitymedian $42 · 10th to 90th $13 to $155Professionalmedian $36 · 10th to 90th $25 to $54
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 $28.18 Median $44.67 Typical High $63.10 | Facility | None | $28.18 | $44.67 | $63.10 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $8.32 Median $14.79 Typical High $18.20 | Facility | 26 · Professional part | $8.32 | $14.79 | $18.20 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $18.62 Median $33.11 Typical High $74.13 | Facility | TC · Technical part | $18.62 | $33.11 | $74.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $28.18 Median $32.36 Typical High $58.88 | Professional | None (both parts) | $28.18 | $32.36 | $58.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $9.33 Typical High $17.78 | Professional | 26 · Professional part | $8.32 | $9.33 | $17.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $23.99 Typical High $41.69 | Professional | TC · Technical part | $18.62 | $23.99 | $41.69 |
Anthem BCBS Setting Facility Modifier None Typical Low $104.71 Median $134.90 Typical High $173.78 | Facility | None | $104.71 | $134.90 | $173.78 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $30.20 Median $38.02 Typical High $47.86 | Professional | None (both parts) | $30.20 | $38.02 | $47.86 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $10.47 Typical High $13.49 | Professional | 26 · Professional part | $8.71 | $10.47 | $13.49 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $27.54 Typical High $35.48 | Professional | TC · Technical part | $22.39 | $27.54 | $35.48 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $10.00 Median $33.88 Typical High $42.66 | Professional | None (both parts) | $10.00 | $33.88 | $42.66 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $8.91 Typical High $12.30 | Professional | 26 · Professional part | $8.91 | $8.91 | $12.30 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $27.54 Typical High $27.54 | Professional | TC · Technical part | $25.12 | $27.54 | $27.54 |
Cigna Setting Facility Modifier None Typical Low $53.70 Median $77.62 Typical High $776.25 | Facility | None | $53.70 | $77.62 | $776.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $23.99 Median $33.11 Typical High $60.26 | Professional | None (both parts) | $23.99 | $33.11 | $60.26 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $10.00 Typical High $19.05 | Professional | 26 · Professional part | $6.76 | $10.00 | $19.05 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $23.99 Typical High $42.66 | Professional | TC · Technical part | $16.98 | $23.99 | $42.66 |
Kaiser Permanente Setting Professional Modifier None Typical Low $32.36 Median $38.02 Typical High $47.86 | Professional | None | $32.36 | $38.02 | $47.86 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $10.23 Typical High $12.88 | Professional | 26 · Professional part | $9.12 | $10.23 | $12.88 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $28.18 Typical High $34.67 | Professional | TC · Technical part | $23.44 | $28.18 | $34.67 |
Medcost Setting Professional Modifier None Typical Low $45.71 Median $57.54 Typical High $57.54 | Professional | None | $45.71 | $57.54 | $57.54 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $17.78 Typical High $17.78 | Professional | 26 · Professional part | $14.45 | $17.78 | $17.78 |
Medcost Setting Facility Modifier None Typical Low $45.71 Median $45.71 Typical High $56.23 | Facility | None | $45.71 | $45.71 | $56.23 |
Medcost Setting Professional Modifier None (both parts) Typical Low $31.62 Median $34.67 Typical High $43.65 | Professional | None (both parts) | $31.62 | $34.67 | $43.65 |
Sentara Setting Facility Modifier None Typical Low $10.23 Median $29.51 Typical High $87.10 | Facility | None | $10.23 | $29.51 | $87.10 |
Sentara Setting Professional Modifier None (both parts) Typical Low $12.88 Median $34.67 Typical High $61.66 | Professional | None (both parts) | $12.88 | $34.67 | $61.66 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $12.59 Typical High $22.39 | Professional | 26 · Professional part | $10.00 | $12.59 | $22.39 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $30.90 Typical High $52.48 | Professional | TC · Technical part | $23.99 | $30.90 | $52.48 |
United Setting Facility Modifier None Typical Low $165.96 Median $181.97 Typical High $407.38 | Facility | None | $165.96 | $181.97 | $407.38 |
United Setting Professional Modifier None (both parts) Typical Low $25.12 Median $39.81 Typical High $63.10 | Professional | None (both parts) | $25.12 | $39.81 | $63.10 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $12.02 Typical High $18.62 | Professional | 26 · Professional part | $7.41 | $12.02 | $18.62 |
United Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $26.92 Typical High $44.67 | Professional | TC · Technical part | $17.38 | $26.92 | $44.67 |
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 $13.80 Median $14.13 Typical High $16.22 | Professional | 52 · Reduced service | $13.80 | $14.13 | $16.22 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.62 Median $5.75 Typical High $6.46 | Professional | 53 · Discontinued | $5.62 | $5.75 | $6.46 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $22.39 Median $22.39 Typical High $25.70 | Professional | FX · Film X-ray | $22.39 | $22.39 | $25.70 |
Medcost Setting Professional Modifier 27 · Multiple hospital visits Typical Low $30.90 Median $38.90 Typical High $38.90 | Professional | 27 · Multiple hospital visits | $30.90 | $38.90 | $38.90 |
Where Virginia sits
The same service costs 3.5 times more in Alaska than in Florida. 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· 34th of 51
$36.31
AK $95.50FL $26.92
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.