How much rates vary
Facilitymedian $562 · 10th to 90th $95 to $2,138Professionalmedian $417 · 10th to 90th $302 to $724
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 $1,445.44 Typical High $3,162.28 | Facility | None | $524.81 | $1,445.44 | $3,162.28 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $112.20 Median $128.82 Typical High $194.98 | Facility | 26 · Professional part | $112.20 | $128.82 | $194.98 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $281.84 Median $524.81 Typical High $1,445.44 | Facility | TC · Technical part | $281.84 | $524.81 | $1,445.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $398.11 Median $524.81 Typical High $870.96 | Professional | None (both parts) | $398.11 | $524.81 | $870.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $128.82 Typical High $154.88 | Professional | 26 · Professional part | $95.50 | $128.82 | $154.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $371.54 Typical High $562.34 | Professional | TC · Technical part | $281.84 | $371.54 | $562.34 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,071.52 Median $1,348.96 Typical High $1,737.80 | Facility | None | $1,071.52 | $1,348.96 | $1,737.80 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $323.59 Median $389.05 Typical High $512.86 | Professional | None (both parts) | $323.59 | $389.05 | $512.86 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $75.86 Typical High $100.00 | Professional | 26 · Professional part | $64.57 | $75.86 | $100.00 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $316.23 Typical High $407.38 | Professional | TC · Technical part | $257.04 | $316.23 | $407.38 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $457.09 Median $501.19 Typical High $616.60 | Professional | None (both parts) | $457.09 | $501.19 | $616.60 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $95.50 Typical High $95.50 | Professional | 26 · Professional part | $85.11 | $95.50 | $95.50 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $363.08 Median $407.38 Typical High $478.63 | Professional | TC · Technical part | $363.08 | $407.38 | $478.63 |
Cigna Setting Facility Modifier None Typical Low $776.25 Median $1,348.96 Typical High $1,995.26 | Facility | None | $776.25 | $1,348.96 | $1,995.26 |
Cigna Setting Professional Modifier None (both parts) Typical Low $295.12 Median $575.44 Typical High $912.01 | Professional | None (both parts) | $295.12 | $575.44 | $912.01 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $70.79 Typical High $141.25 | Professional | 26 · Professional part | $51.29 | $70.79 | $141.25 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $489.78 Typical High $812.83 | Professional | TC · Technical part | $251.19 | $489.78 | $812.83 |
Kaiser Permanente Setting Professional Modifier None Typical Low $331.13 Median $389.05 Typical High $489.78 | Professional | None | $331.13 | $389.05 | $489.78 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $72.44 Typical High $95.50 | Professional | 26 · Professional part | $66.07 | $72.44 | $95.50 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $316.23 Typical High $389.05 | Professional | TC · Technical part | $263.03 | $316.23 | $389.05 |
Medcost Setting Professional Modifier None Typical Low $616.60 Median $776.25 Typical High $776.25 | Professional | None | $616.60 | $776.25 | $776.25 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $128.82 Typical High $128.82 | Professional | 26 · Professional part | $102.33 | $128.82 | $128.82 |
Medcost Setting Facility Modifier None Typical Low $389.05 Median $851.14 Typical High $1,122.02 | Facility | None | $389.05 | $851.14 | $1,122.02 |
Medcost Setting Professional Modifier None (both parts) Typical Low $281.84 Median $398.11 Typical High $588.84 | Professional | None (both parts) | $281.84 | $398.11 | $588.84 |
Sentara Setting Facility Modifier None Typical Low $81.28 Median $380.19 Typical High $1,348.96 | Facility | None | $81.28 | $380.19 | $1,348.96 |
Sentara Setting Professional Modifier None (both parts) Typical Low $93.33 Median $436.52 Typical High $851.14 | Professional | None (both parts) | $93.33 | $436.52 | $851.14 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $93.33 Typical High $151.36 | Professional | 26 · Professional part | $74.13 | $93.33 | $151.36 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $371.54 Typical High $602.56 | Professional | TC · Technical part | $229.09 | $371.54 | $602.56 |
United Setting Facility Modifier None Typical Low $446.68 Median $501.19 Typical High $1,096.48 | Facility | None | $446.68 | $501.19 | $1,096.48 |
United Setting Professional Modifier None (both parts) Typical Low $316.23 Median $524.81 Typical High $870.96 | Professional | None (both parts) | $316.23 | $524.81 | $870.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $87.10 Typical High $141.25 | Professional | 26 · Professional part | $50.12 | $87.10 | $141.25 |
United Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $436.52 Typical High $758.58 | Professional | TC · Technical part | $257.04 | $436.52 | $758.58 |
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 $199.53 Median $213.80 Typical High $263.03 | Professional | 52 · Reduced service | $199.53 | $213.80 | $263.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $79.43 Median $85.11 Typical High $104.71 | Professional | 53 · Discontinued | $79.43 | $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 |
Medcost Setting Professional Modifier 27 · Multiple hospital visits Typical Low $524.81 Median $645.65 Typical High $645.65 | Professional | 27 · Multiple hospital visits | $524.81 | $645.65 | $645.65 |
Where Virginia sits
The same service costs 6.3 times more in Wyoming 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· 40th of 51
$417
WY $1,349UT $214
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.