How much rates vary
Facilitymedian $71 · 10th to 90th $19 to $331Professionalmedian $58 · 10th to 90th $43 to $85
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 $44.67 Median $66.07 Typical High $95.50 | Facility | None | $44.67 | $66.07 | $95.50 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $11.75 Median $19.50 Typical High $28.84 | Facility | 26 · Professional part | $11.75 | $19.50 | $28.84 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $30.90 Median $51.29 Typical High $74.13 | Facility | TC · Technical part | $30.90 | $51.29 | $74.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $44.67 Median $51.29 Typical High $91.20 | Professional | None (both parts) | $44.67 | $51.29 | $91.20 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $14.45 Typical High $26.30 | Professional | 26 · Professional part | $11.75 | $14.45 | $26.30 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $39.81 Typical High $64.57 | Professional | TC · Technical part | $30.90 | $39.81 | $64.57 |
Anthem BCBS Setting Facility Modifier None Typical Low $177.83 Median $223.87 Typical High $288.40 | Facility | None | $177.83 | $223.87 | $288.40 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $48.98 Median $60.26 Typical High $77.62 | Professional | None (both parts) | $48.98 | $60.26 | $77.62 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $14.13 Typical High $18.20 | Professional | 26 · Professional part | $11.75 | $14.13 | $18.20 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $45.71 Typical High $57.54 | Professional | TC · Technical part | $38.02 | $45.71 | $57.54 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $47.86 Median $54.95 Typical High $63.10 | Professional | None (both parts) | $47.86 | $54.95 | $63.10 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $13.80 Typical High $15.49 | Professional | 26 · Professional part | $12.59 | $13.80 | $15.49 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $42.66 Typical High $56.23 | Professional | TC · Technical part | $42.66 | $42.66 | $56.23 |
Cigna Setting Facility Modifier None Typical Low $93.33 Median $128.82 Typical High $776.25 | Facility | None | $93.33 | $128.82 | $776.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $38.90 Median $53.70 Typical High $93.33 | Professional | None (both parts) | $38.90 | $53.70 | $93.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $15.14 Typical High $26.92 | Professional | 26 · Professional part | $9.33 | $15.14 | $26.92 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $40.74 Typical High $69.18 | Professional | TC · Technical part | $29.51 | $40.74 | $69.18 |
Kaiser Permanente Setting Professional Modifier None Typical Low $53.70 Median $63.10 Typical High $79.43 | Professional | None | $53.70 | $63.10 | $79.43 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $14.13 Typical High $18.20 | Professional | 26 · Professional part | $12.88 | $14.13 | $18.20 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $50.12 Typical High $61.66 | Professional | TC · Technical part | $41.69 | $50.12 | $61.66 |
Medcost Setting Professional Modifier None Typical Low $64.57 Median $81.28 Typical High $81.28 | Professional | None | $64.57 | $81.28 | $81.28 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $26.92 Typical High $26.92 | Professional | 26 · Professional part | $21.38 | $26.92 | $26.92 |
Medcost Setting Facility Modifier None Typical Low $72.44 Median $72.44 Typical High $91.20 | Facility | None | $72.44 | $72.44 | $91.20 |
Medcost Setting Professional Modifier None (both parts) Typical Low $50.12 Median $50.12 Typical High $69.18 | Professional | None (both parts) | $50.12 | $50.12 | $69.18 |
Sentara Setting Facility Modifier None Typical Low $15.85 Median $48.98 Typical High $338.84 | Facility | None | $15.85 | $48.98 | $338.84 |
Sentara Setting Professional Modifier None (both parts) Typical Low $19.50 Median $56.23 Typical High $114.82 | Professional | None (both parts) | $19.50 | $56.23 | $114.82 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $18.62 Typical High $30.90 | Professional | 26 · Professional part | $14.13 | $18.62 | $30.90 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $44.67 Typical High $83.18 | Professional | TC · Technical part | $30.90 | $44.67 | $83.18 |
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 $38.90 Median $60.26 Typical High $95.50 | Professional | None (both parts) | $38.90 | $60.26 | $95.50 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $16.98 Typical High $26.30 | Professional | 26 · Professional part | $10.72 | $16.98 | $26.30 |
United Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $42.66 Typical High $67.61 | Professional | TC · Technical part | $28.18 | $42.66 | $67.61 |
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 $22.39 Median $22.39 Typical High $25.70 | Professional | 52 · Reduced service | $22.39 | $22.39 | $25.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.91 Median $8.91 Typical High $10.23 | Professional | 53 · Discontinued | $8.91 | $8.91 | $10.23 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $36.31 Median $36.31 Typical High $41.69 | Professional | FX · Film X-ray | $36.31 | $36.31 | $41.69 |
Medcost Setting Professional Modifier 27 · Multiple hospital visits Typical Low $42.66 Median $53.70 Typical High $53.70 | Professional | 27 · Multiple hospital visits | $42.66 | $53.70 | $53.70 |
Where Virginia sits
The same service costs 4.8 times more in Alaska 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· 29th of 51
$58.88
AK $158UT $33.11
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.