How much rates vary
Facilitymedian $54 · 10th to 90th $15 to $288Professionalmedian $44 · 10th to 90th $31 to $65
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 $32.36 Median $52.48 Typical High $75.86 | Facility | None | $32.36 | $52.48 | $75.86 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $9.55 Median $14.13 Typical High $20.42 | Facility | 26 · Professional part | $9.55 | $14.13 | $20.42 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $22.39 Median $39.81 Typical High $54.95 | Facility | TC · Technical part | $22.39 | $39.81 | $54.95 |
Aetna Setting Professional Modifier None (both parts) Typical Low $32.36 Median $38.90 Typical High $67.61 | Professional | None (both parts) | $32.36 | $38.90 | $67.61 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $10.23 Typical High $19.50 | Professional | 26 · Professional part | $9.55 | $10.23 | $19.50 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $28.84 Typical High $47.86 | Professional | TC · Technical part | $22.39 | $28.84 | $47.86 |
Anthem BCBS Setting Facility Modifier None Typical Low $128.82 Median $162.18 Typical High $213.80 | Facility | None | $128.82 | $162.18 | $213.80 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $36.31 Median $46.77 Typical High $58.88 | Professional | None (both parts) | $36.31 | $46.77 | $58.88 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $12.02 Typical High $14.79 | Professional | 26 · Professional part | $9.77 | $12.02 | $14.79 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $34.67 Typical High $44.67 | Professional | TC · Technical part | $26.92 | $34.67 | $44.67 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $17.78 Median $40.74 Typical High $50.12 | Professional | None (both parts) | $17.78 | $40.74 | $50.12 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $11.48 Typical High $11.48 | Professional | 26 · Professional part | $10.23 | $11.48 | $11.48 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $33.88 Typical High $33.88 | Professional | TC · Technical part | $30.20 | $33.88 | $33.88 |
Cigna Setting Facility Modifier None Typical Low $63.10 Median $93.33 Typical High $776.25 | Facility | None | $63.10 | $93.33 | $776.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $28.18 Median $39.81 Typical High $70.79 | Professional | None (both parts) | $28.18 | $39.81 | $70.79 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $11.22 Typical High $21.38 | Professional | 26 · Professional part | $7.76 | $11.22 | $21.38 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $28.84 Typical High $51.29 | Professional | TC · Technical part | $20.89 | $28.84 | $51.29 |
Kaiser Permanente Setting Professional Modifier None Typical Low $38.90 Median $46.77 Typical High $57.54 | Professional | None | $38.90 | $46.77 | $57.54 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $11.22 Typical High $14.79 | Professional | 26 · Professional part | $10.23 | $11.22 | $14.79 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $34.67 Typical High $43.65 | Professional | TC · Technical part | $28.84 | $34.67 | $43.65 |
Medcost Setting Professional Modifier None Typical Low $47.86 Median $58.88 Typical High $58.88 | Professional | None | $47.86 | $58.88 | $58.88 |
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 $53.70 Median $53.70 Typical High $66.07 | Facility | None | $53.70 | $53.70 | $66.07 |
Medcost Setting Professional Modifier None (both parts) Typical Low $37.15 Median $37.15 Typical High $52.48 | Professional | None (both parts) | $37.15 | $37.15 | $52.48 |
Sentara Setting Facility Modifier None Typical Low $12.30 Median $35.48 Typical High $302.00 | Facility | None | $12.30 | $35.48 | $302.00 |
Sentara Setting Professional Modifier None (both parts) Typical Low $14.13 Median $40.74 Typical High $89.13 | Professional | None (both parts) | $14.13 | $40.74 | $89.13 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $14.45 Typical High $25.12 | Professional | 26 · Professional part | $11.22 | $14.45 | $25.12 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $37.15 Typical High $66.07 | Professional | TC · Technical part | $28.18 | $37.15 | $66.07 |
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 $28.84 Median $44.67 Typical High $70.79 | Professional | None (both parts) | $28.84 | $44.67 | $70.79 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $13.18 Typical High $19.95 | Professional | 26 · Professional part | $7.94 | $13.18 | $19.95 |
United Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $32.36 Typical High $50.12 | Professional | TC · Technical part | $20.89 | $32.36 | $50.12 |
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 $16.22 Median $16.98 Typical High $19.50 | Professional | 52 · Reduced service | $16.22 | $16.98 | $19.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.46 Median $6.76 Typical High $7.76 | Professional | 53 · Discontinued | $6.46 | $6.76 | $7.76 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $26.30 Median $26.30 Typical High $30.90 | Professional | FX · Film X-ray | $26.30 | $26.30 | $30.90 |
Medcost Setting Professional Modifier 27 · Multiple hospital visits Typical Low $32.36 Median $39.81 Typical High $39.81 | Professional | 27 · Multiple hospital visits | $32.36 | $39.81 | $39.81 |
Where Virginia sits
The same service costs 12.6 times more in Vermont than in Florida. 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· 34th of 51
$43.65
VT $389FL $30.90
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.