How much rates vary
Facilitymedian $275 · 10th to 90th $72 to $1,778Professionalmedian $166 · 10th to 90th $126 to $363
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 $158.49 Median $436.52 Typical High $2,398.83 | Facility | None | $158.49 | $436.52 | $2,398.83 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $45.71 Median $74.13 Typical High $102.33 | Facility | 26 · Professional part | $45.71 | $74.13 | $102.33 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $85.11 Median $158.49 Typical High $398.11 | Facility | TC · Technical part | $85.11 | $158.49 | $398.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $162.18 Typical High $436.52 | Professional | None (both parts) | $131.83 | $162.18 | $436.52 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $58.88 Typical High $95.50 | Professional | 26 · Professional part | $45.71 | $58.88 | $95.50 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $100.00 Typical High $288.40 | Professional | TC · Technical part | $85.11 | $100.00 | $288.40 |
Anthem BCBS Setting Facility Modifier None Typical Low $416.87 Median $537.03 Typical High $691.83 | Facility | None | $416.87 | $537.03 | $691.83 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $128.82 Median $154.88 Typical High $208.93 | Professional | None (both parts) | $128.82 | $154.88 | $208.93 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $56.23 Typical High $74.13 | Professional | 26 · Professional part | $47.86 | $56.23 | $74.13 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $95.50 Typical High $128.82 | Professional | TC · Technical part | $79.43 | $95.50 | $128.82 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $158.49 Median $190.55 Typical High $245.47 | Professional | None (both parts) | $158.49 | $190.55 | $245.47 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $66.07 Typical High $69.18 | Professional | 26 · Professional part | $60.26 | $66.07 | $69.18 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $123.03 Typical High $123.03 | Professional | TC · Technical part | $109.65 | $123.03 | $123.03 |
Cigna Setting Facility Modifier None Typical Low $478.63 Median $691.83 Typical High $870.96 | Facility | None | $478.63 | $691.83 | $870.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $281.84 Typical High $426.58 | Professional | None (both parts) | $117.49 | $281.84 | $426.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $51.29 Typical High $104.71 | Professional | 26 · Professional part | $37.15 | $51.29 | $104.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $199.53 Typical High $338.84 | Professional | TC · Technical part | $77.62 | $199.53 | $338.84 |
Kaiser Permanente Setting Professional Modifier None Typical Low $128.82 Median $151.36 Typical High $194.98 | Professional | None | $128.82 | $151.36 | $194.98 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $53.70 Typical High $70.79 | Professional | 26 · Professional part | $48.98 | $53.70 | $70.79 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $97.72 Typical High $123.03 | Professional | TC · Technical part | $81.28 | $97.72 | $123.03 |
Medcost Setting Professional Modifier None Typical Low $363.08 Median $436.52 Typical High $457.09 | Professional | None | $363.08 | $436.52 | $457.09 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $102.33 Typical High $102.33 | Professional | 26 · Professional part | $81.28 | $102.33 | $102.33 |
Medcost Setting Facility Modifier None Typical Low $208.93 Median $398.11 Typical High $1,737.80 | Facility | None | $208.93 | $398.11 | $1,737.80 |
Medcost Setting Professional Modifier None (both parts) Typical Low $128.82 Median $223.87 Typical High $354.81 | Professional | None (both parts) | $128.82 | $223.87 | $354.81 |
Sentara Setting Facility Modifier None Typical Low $60.26 Median $186.21 Typical High $1,202.26 | Facility | None | $60.26 | $186.21 | $1,202.26 |
Sentara Setting Professional Modifier None (both parts) Typical Low $70.79 Median $223.87 Typical High $436.52 | Professional | None (both parts) | $70.79 | $223.87 | $436.52 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $69.18 Typical High $114.82 | Professional | 26 · Professional part | $53.70 | $69.18 | $114.82 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $186.21 Typical High $288.40 | Professional | TC · Technical part | $95.50 | $186.21 | $288.40 |
United Setting Facility Modifier None Typical Low $199.53 Median $218.78 Typical High $489.78 | Facility | None | $199.53 | $218.78 | $489.78 |
United Setting Professional Modifier None (both parts) Typical Low $128.82 Median $218.78 Typical High $426.58 | Professional | None (both parts) | $128.82 | $218.78 | $426.58 |
United Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $67.61 Typical High $102.33 | Professional | 26 · Professional part | $39.81 | $67.61 | $102.33 |
United Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $144.54 Typical High $338.84 | Professional | TC · Technical part | $81.28 | $144.54 | $338.84 |
5 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 $66.07 Median $79.43 Typical High $91.20 | Professional | 52 · Reduced service | $66.07 | $79.43 | $91.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $31.62 Typical High $36.31 | Professional | 53 · Discontinued | $26.30 | $31.62 | $36.31 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $112.20 Median $134.90 Typical High $134.90 | Professional | CT · Older CT scanner | $112.20 | $134.90 | $134.90 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $104.71 Median $128.82 Typical High $128.82 | Professional | FX · Film X-ray | $104.71 | $128.82 | $128.82 |
Medcost Setting Professional Modifier 27 · Multiple hospital visits Typical Low $281.84 Median $346.74 Typical High $346.74 | Professional | 27 · Multiple hospital visits | $281.84 | $346.74 | $346.74 |
Where Virginia sits
The same service costs 6.2 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· 45th of 51
$166
VT $617UT $100
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.