How much rates vary
Facilitymedian $490 · 10th to 90th $132 to $1,778Professionalmedian $339 · 10th to 90th $234 to $646
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 $288.40 Median $707.95 Typical High $2,398.83 | Facility | None | $288.40 | $707.95 | $2,398.83 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $77.62 Median $120.23 Typical High $169.82 | Facility | 26 · Professional part | $77.62 | $120.23 | $169.82 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $173.78 Median $323.59 Typical High $794.33 | Facility | TC · Technical part | $173.78 | $323.59 | $794.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $251.19 Median $288.40 Typical High $707.95 | Professional | None (both parts) | $251.19 | $288.40 | $707.95 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $93.33 Typical High $165.96 | Professional | 26 · Professional part | $77.62 | $93.33 | $165.96 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $199.53 Typical High $467.74 | Professional | TC · Technical part | $173.78 | $199.53 | $467.74 |
Anthem BCBS Setting Facility Modifier None Typical Low $891.25 Median $1,122.02 Typical High $1,479.11 | Facility | None | $891.25 | $1,122.02 | $1,479.11 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $269.15 Median $331.13 Typical High $426.58 | Professional | None (both parts) | $269.15 | $331.13 | $426.58 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $95.50 Typical High $120.23 | Professional | 26 · Professional part | $79.43 | $95.50 | $120.23 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $229.09 Typical High $302.00 | Professional | TC · Technical part | $190.55 | $229.09 | $302.00 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $100.00 Median $288.40 Typical High $398.11 | Professional | None (both parts) | $100.00 | $288.40 | $398.11 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $346.74 Typical High $446.68 | Professional | TC · Technical part | $288.40 | $346.74 | $446.68 |
Cigna Setting Facility Modifier None Typical Low $776.25 Median $870.96 Typical High $1,445.44 | Facility | None | $776.25 | $870.96 | $1,445.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $245.47 Median $524.81 Typical High $776.25 | Professional | None (both parts) | $245.47 | $524.81 | $776.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $93.33 Typical High $169.82 | Professional | 26 · Professional part | $64.57 | $93.33 | $169.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $398.11 Typical High $630.96 | Professional | TC · Technical part | $173.78 | $398.11 | $630.96 |
Kaiser Permanente Setting Professional Modifier None Typical Low $275.42 Median $323.59 Typical High $407.38 | Professional | None | $275.42 | $323.59 | $407.38 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $91.20 Typical High $120.23 | Professional | 26 · Professional part | $81.28 | $91.20 | $120.23 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $234.42 Typical High $288.40 | Professional | TC · Technical part | $194.98 | $234.42 | $288.40 |
Medcost Setting Professional Modifier None Typical Low $707.95 Median $870.96 Typical High $870.96 | Professional | None | $707.95 | $870.96 | $870.96 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $169.82 Typical High $169.82 | Professional | 26 · Professional part | $134.90 | $169.82 | $169.82 |
Medcost Setting Facility Modifier None Typical Low $380.19 Median $724.44 Typical High $1,445.44 | Facility | None | $380.19 | $724.44 | $1,445.44 |
Medcost Setting Professional Modifier None (both parts) Typical Low $239.88 Median $239.88 Typical High $616.60 | Professional | None (both parts) | $239.88 | $239.88 | $616.60 |
Sentara Setting Facility Modifier None Typical Low $107.15 Median $323.59 Typical High $1,621.81 | Facility | None | $107.15 | $323.59 | $1,621.81 |
Sentara Setting Professional Modifier None (both parts) Typical Low $114.82 Median $407.38 Typical High $724.44 | Professional | None (both parts) | $114.82 | $407.38 | $724.44 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $128.82 Typical High $186.21 | Professional | 26 · Professional part | $91.20 | $128.82 | $186.21 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $363.08 Typical High $588.84 | Professional | TC · Technical part | $181.97 | $363.08 | $588.84 |
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 $245.47 Median $407.38 Typical High $794.33 | Professional | None (both parts) | $245.47 | $407.38 | $794.33 |
United Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $112.20 Typical High $162.18 | Professional | 26 · Professional part | $66.07 | $112.20 | $162.18 |
United Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $288.40 Typical High $660.69 | Professional | TC · Technical part | $169.82 | $288.40 | $660.69 |
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 $125.89 Median $144.54 Typical High $144.54 | Professional | 52 · Reduced service | $125.89 | $144.54 | $144.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $58.88 Typical High $58.88 | Professional | 53 · Discontinued | $50.12 | $58.88 | $58.88 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $213.80 Median $245.47 Typical High $245.47 | Professional | CT · Older CT scanner | $213.80 | $245.47 | $245.47 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $199.53 Median $234.42 Typical High $234.42 | Professional | FX · Film X-ray | $199.53 | $234.42 | $234.42 |
Medcost Setting Professional Modifier 27 · Multiple hospital visits Typical Low $562.34 Median $707.95 Typical High $707.95 | Professional | 27 · Multiple hospital visits | $562.34 | $707.95 | $707.95 |
Where Virginia sits
The same service costs 12.3 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· 39th of 51
$339
VT $2,089UT $170
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.