How much rates vary
Facilitymedian $87 · 10th to 90th $21 to $363Professionalmedian $69 · 10th to 90th $50 to $105
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 $52.48 Median $102.33 Typical High $131.83 | Facility | None | $52.48 | $102.33 | $131.83 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $13.18 Median $22.39 Typical High $32.36 | Facility | 26 · Professional part | $13.18 | $22.39 | $32.36 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $37.15 Median $79.43 Typical High $104.71 | Facility | TC · Technical part | $37.15 | $79.43 | $104.71 |
Aetna Setting Professional Modifier None (both parts) Typical Low $52.48 Median $60.26 Typical High $114.82 | Professional | None (both parts) | $52.48 | $60.26 | $114.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $14.79 Typical High $29.51 | Professional | 26 · Professional part | $13.18 | $14.79 | $29.51 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $46.77 Typical High $87.10 | Professional | TC · Technical part | $37.15 | $46.77 | $87.10 |
Anthem BCBS Setting Facility Modifier None Typical Low $199.53 Median $251.19 Typical High $323.59 | Facility | None | $199.53 | $251.19 | $323.59 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $56.23 Median $69.18 Typical High $89.13 | Professional | None (both parts) | $56.23 | $69.18 | $89.13 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $16.22 Typical High $20.89 | Professional | 26 · Professional part | $13.18 | $16.22 | $20.89 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $52.48 Typical High $69.18 | Professional | TC · Technical part | $43.65 | $52.48 | $69.18 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $58.88 Median $69.18 Typical High $79.43 | Professional | None (both parts) | $58.88 | $69.18 | $79.43 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $15.49 Typical High $17.78 | Professional | 26 · Professional part | $14.13 | $15.49 | $17.78 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $53.70 Typical High $63.10 | Professional | TC · Technical part | $48.98 | $53.70 | $63.10 |
Cigna Setting Facility Modifier None Typical Low $112.20 Median $151.36 Typical High $776.25 | Facility | None | $112.20 | $151.36 | $776.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $43.65 Median $64.57 Typical High $112.20 | Professional | None (both parts) | $43.65 | $64.57 | $112.20 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $16.60 Typical High $29.51 | Professional | 26 · Professional part | $10.47 | $16.60 | $29.51 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $47.86 Typical High $85.11 | Professional | TC · Technical part | $33.88 | $47.86 | $85.11 |
Kaiser Permanente Setting Professional Modifier None Typical Low $60.26 Median $70.79 Typical High $89.13 | Professional | None | $60.26 | $70.79 | $89.13 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $15.85 Typical High $20.42 | Professional | 26 · Professional part | $14.13 | $15.85 | $20.42 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $56.23 Typical High $69.18 | Professional | TC · Technical part | $46.77 | $56.23 | $69.18 |
Medcost Setting Professional Modifier None Typical Low $81.28 Median $102.33 Typical High $102.33 | Professional | None | $81.28 | $102.33 | $102.33 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $31.62 Typical High $32.36 | Professional | 26 · Professional part | $25.70 | $31.62 | $32.36 |
Medcost Setting Facility Modifier None Typical Low $97.72 Median $97.72 Typical High $104.71 | Facility | None | $97.72 | $97.72 | $104.71 |
Medcost Setting Professional Modifier None (both parts) Typical Low $54.95 Median $57.54 Typical High $95.50 | Professional | None (both parts) | $54.95 | $57.54 | $95.50 |
Sentara Setting Facility Modifier None Typical Low $18.20 Median $61.66 Typical High $457.09 | Facility | None | $18.20 | $61.66 | $457.09 |
Sentara Setting Professional Modifier None (both parts) Typical Low $20.89 Median $70.79 Typical High $131.83 | Professional | None (both parts) | $20.89 | $70.79 | $131.83 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $20.42 Typical High $33.88 | Professional | 26 · Professional part | $15.85 | $20.42 | $33.88 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $64.57 Typical High $104.71 | Professional | TC · Technical part | $47.86 | $64.57 | $104.71 |
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 $47.86 Median $72.44 Typical High $120.23 | Professional | None (both parts) | $47.86 | $72.44 | $120.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $18.62 Typical High $29.51 | Professional | 26 · Professional part | $12.02 | $18.62 | $29.51 |
United Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $53.70 Typical High $87.10 | Professional | TC · Technical part | $35.48 | $53.70 | $87.10 |
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 $25.70 Median $26.30 Typical High $30.20 | Professional | 52 · Reduced service | $25.70 | $26.30 | $30.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.47 Median $10.47 Typical High $12.02 | Professional | 53 · Discontinued | $10.47 | $10.47 | $12.02 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $41.69 Median $41.69 Typical High $47.86 | Professional | FX · Film X-ray | $41.69 | $41.69 | $47.86 |
Medcost Setting Professional Modifier 27 · Multiple hospital visits Typical Low $56.23 Median $70.79 Typical High $70.79 | Professional | 27 · Multiple hospital visits | $56.23 | $70.79 | $70.79 |
Where Virginia sits
The same service costs 3.6 times more in Alaska than in Texas. 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
$69.18
AK $182TX $50.12
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.