How much rates vary
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 $229.09 Median $1,148.15 Typical High $2,884.03 | Facility | None | $229.09 | $1,148.15 | $2,884.03 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $51.29 Median $87.10 Typical High $112.20 | Facility | 26 · Professional part | $51.29 | $87.10 | $112.20 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $154.88 Median $302.00 Typical High $660.69 | Facility | TC · Technical part | $154.88 | $302.00 | $660.69 |
Aetna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $229.09 Typical High $602.56 | Professional | None (both parts) | $169.82 | $229.09 | $602.56 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $61.66 Typical High $109.65 | Professional | 26 · Professional part | $51.29 | $61.66 | $109.65 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $165.96 Typical High $389.05 | Professional | TC · Technical part | $117.49 | $165.96 | $389.05 |
Anthem BCBS Setting Facility Modifier None Typical Low $537.03 Median $676.08 Typical High $891.25 | Facility | None | $537.03 | $676.08 | $891.25 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $158.49 Median $194.98 Typical High $263.03 | Professional | None (both parts) | $158.49 | $194.98 | $263.03 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $64.57 Typical High $83.18 | Professional | 26 · Professional part | $53.70 | $64.57 | $83.18 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $131.83 Typical High $173.78 | Professional | TC · Technical part | $109.65 | $131.83 | $173.78 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $75.86 Median $218.78 Typical High $275.42 | Professional | None (both parts) | $75.86 | $218.78 | $275.42 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $67.61 Typical High $95.50 | Professional | 26 · Professional part | $67.61 | $67.61 | $95.50 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $165.96 Typical High $218.78 | Professional | TC · Technical part | $165.96 | $165.96 | $218.78 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $776.25 Typical High $870.96 | Facility | None | $524.81 | $776.25 | $870.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $346.74 Typical High $512.86 | Professional | None (both parts) | $151.36 | $346.74 | $512.86 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $58.88 Typical High $117.49 | Professional | 26 · Professional part | $43.65 | $58.88 | $117.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $257.04 Typical High $416.87 | Professional | TC · Technical part | $104.71 | $257.04 | $416.87 |
Kaiser Permanente Setting Professional Modifier None Typical Low $165.96 Median $194.98 Typical High $245.47 | Professional | None | $165.96 | $194.98 | $245.47 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $61.66 Typical High $79.43 | Professional | 26 · Professional part | $54.95 | $61.66 | $79.43 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $131.83 Typical High $165.96 | Professional | TC · Technical part | $112.20 | $131.83 | $165.96 |
Medcost Setting Professional Modifier None Typical Low $416.87 Median $512.86 Typical High $524.81 | Professional | None | $416.87 | $512.86 | $524.81 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $107.15 Typical High $107.15 | Professional | 26 · Professional part | $85.11 | $107.15 | $107.15 |
Medcost Setting Facility Modifier None Typical Low $295.12 Median $478.63 Typical High $1,737.80 | Facility | None | $295.12 | $478.63 | $1,737.80 |
Medcost Setting Professional Modifier None (both parts) Typical Low $165.96 Median $223.87 Typical High $426.58 | Professional | None (both parts) | $165.96 | $223.87 | $426.58 |
Sentara Setting Facility Modifier None Typical Low $67.61 Median $245.47 Typical High $1,047.13 | Facility | None | $67.61 | $245.47 | $1,047.13 |
Sentara Setting Professional Modifier None (both parts) Typical Low $77.62 Median $288.40 Typical High $512.86 | Professional | None (both parts) | $77.62 | $288.40 | $512.86 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $79.43 Typical High $125.89 | Professional | 26 · Professional part | $61.66 | $79.43 | $125.89 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $218.78 Typical High $354.81 | Professional | TC · Technical part | $125.89 | $218.78 | $354.81 |
United Setting Facility Modifier None Typical Low $331.13 Median $363.08 Typical High $812.83 | Facility | None | $331.13 | $363.08 | $812.83 |
United Setting Professional Modifier None (both parts) Typical Low $158.49 Median $269.15 Typical High $501.19 | Professional | None (both parts) | $158.49 | $269.15 | $501.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $74.13 Typical High $109.65 | Professional | 26 · Professional part | $42.66 | $74.13 | $109.65 |
United Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $194.98 Typical High $416.87 | Professional | TC · Technical part | $109.65 | $194.98 | $416.87 |
5 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 $85.11 Median $114.82 Typical High $117.49 | Professional | 52 · Reduced service | $85.11 | $114.82 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $45.71 Typical High $47.86 | Professional | 53 · Discontinued | $33.88 | $45.71 | $47.86 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $144.54 Median $194.98 Typical High $194.98 | Professional | CT · Older CT scanner | $144.54 | $194.98 | $194.98 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $134.90 Median $181.97 Typical High $181.97 | Professional | FX · Film X-ray | $134.90 | $181.97 | $181.97 |
Medcost Setting Professional Modifier 27 · Multiple hospital visits Typical Low $338.84 Median $416.87 Typical High $416.87 | Professional | 27 · Multiple hospital visits | $338.84 | $416.87 | $416.87 |
Where Virginia sits
The same service costs 5.5 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· 43rd of 51
$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.