How much rates vary
Facilitymedian $56 · 10th to 90th $14 to $234Professionalmedian $49 · 10th to 90th $35 to $72
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 $35.48 Median $54.95 Typical High $83.18 | Facility | None | $35.48 | $54.95 | $83.18 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $9.77 Median $14.79 Typical High $19.95 | Facility | 26 · Professional part | $9.77 | $14.79 | $19.95 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $25.70 Median $48.98 Typical High $100.00 | Facility | TC · Technical part | $25.70 | $48.98 | $100.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $35.48 Median $42.66 Typical High $75.86 | Professional | None (both parts) | $35.48 | $42.66 | $75.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $10.47 Typical High $19.05 | Professional | 26 · Professional part | $9.77 | $10.47 | $19.05 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $32.36 Typical High $56.23 | Professional | TC · Technical part | $25.70 | $32.36 | $56.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $141.25 Median $177.83 Typical High $234.42 | Facility | None | $141.25 | $177.83 | $234.42 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $40.74 Median $51.29 Typical High $66.07 | Professional | None (both parts) | $40.74 | $51.29 | $66.07 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $13.18 Typical High $16.22 | Professional | 26 · Professional part | $10.72 | $13.18 | $16.22 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $37.15 Typical High $50.12 | Professional | TC · Technical part | $30.90 | $37.15 | $50.12 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $42.66 Median $50.12 Typical High $58.88 | Professional | None (both parts) | $42.66 | $50.12 | $58.88 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $12.30 Typical High $13.49 | Professional | 26 · Professional part | $11.22 | $12.30 | $13.49 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $38.02 Typical High $42.66 | Professional | TC · Technical part | $34.67 | $38.02 | $42.66 |
Cigna Setting Facility Modifier None Typical Low $77.62 Median $102.33 Typical High $776.25 | Facility | None | $77.62 | $102.33 | $776.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $32.36 Median $44.67 Typical High $79.43 | Professional | None (both parts) | $32.36 | $44.67 | $79.43 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $11.75 Typical High $21.88 | Professional | 26 · Professional part | $8.32 | $11.75 | $21.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $33.88 Typical High $58.88 | Professional | TC · Technical part | $23.44 | $33.88 | $58.88 |
Kaiser Permanente Setting Professional Modifier None Typical Low $43.65 Median $51.29 Typical High $64.57 | Professional | None | $43.65 | $51.29 | $64.57 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $12.30 Typical High $16.22 | Professional | 26 · Professional part | $11.22 | $12.30 | $16.22 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $38.90 Typical High $47.86 | Professional | TC · Technical part | $32.36 | $38.90 | $47.86 |
Medcost Setting Professional Modifier None Typical Low $58.88 Median $74.13 Typical High $74.13 | Professional | None | $58.88 | $74.13 | $74.13 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $19.05 Typical High $19.05 | Professional | 26 · Professional part | $15.49 | $19.05 | $19.05 |
Medcost Setting Facility Modifier None Typical Low $61.66 Median $61.66 Typical High $70.79 | Facility | None | $61.66 | $61.66 | $70.79 |
Medcost Setting Professional Modifier None (both parts) Typical Low $39.81 Median $39.81 Typical High $58.88 | Professional | None (both parts) | $39.81 | $39.81 | $58.88 |
Sentara Setting Facility Modifier None Typical Low $11.22 Median $40.74 Typical High $194.98 | Facility | None | $11.22 | $40.74 | $194.98 |
Sentara Setting Professional Modifier None (both parts) Typical Low $14.13 Median $47.86 Typical High $87.10 | Professional | None (both parts) | $14.13 | $47.86 | $87.10 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $14.45 Typical High $24.55 | Professional | 26 · Professional part | $11.22 | $14.45 | $24.55 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $43.65 Typical High $75.86 | Professional | TC · Technical part | $33.11 | $43.65 | $75.86 |
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 $33.88 Median $52.48 Typical High $83.18 | Professional | None (both parts) | $33.88 | $52.48 | $83.18 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $13.80 Typical High $21.38 | Professional | 26 · Professional part | $8.13 | $13.80 | $21.38 |
United Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $37.15 Typical High $61.66 | Professional | TC · Technical part | $24.55 | $37.15 | $61.66 |
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 $17.78 Median $19.05 Typical High $21.38 | Professional | 52 · Reduced service | $17.78 | $19.05 | $21.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.08 Median $7.59 Typical High $8.51 | Professional | 53 · Discontinued | $7.08 | $7.59 | $8.51 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $28.18 Median $28.18 Typical High $33.88 | Professional | FX · Film X-ray | $28.18 | $28.18 | $33.88 |
Medcost Setting Professional Modifier 27 · Multiple hospital visits Typical Low $43.65 Median $54.95 Typical High $54.95 | Professional | 27 · Multiple hospital visits | $43.65 | $54.95 | $54.95 |
Where Virginia sits
The same service costs 3.9 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· 36th of 51
$48.98
AK $129UT $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.