How much rates vary
Facilitymedian $389 · 10th to 90th $83 to $1,862Professionalmedian $245 · 10th to 90th $186 to $501
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 $263.03 Median $1,621.81 Typical High $3,090.30 | Facility | None | $263.03 | $1,621.81 | $3,090.30 |
Aetna Setting Professional Modifier None (both parts) Typical Low $199.53 Median $263.03 Typical High $724.44 | Professional | None (both parts) | $199.53 | $263.03 | $724.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $64.57 Typical High $87.10 | Professional | 26 · Professional part | $53.70 | $64.57 | $87.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $199.53 Typical High $295.12 | Professional | TC · Technical part | $144.54 | $199.53 | $295.12 |
Anthem BCBS Setting Facility Modifier None Typical Low $630.96 Median $794.33 Typical High $1,047.13 | Facility | None | $630.96 | $794.33 | $1,047.13 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $190.55 Median $234.42 Typical High $309.03 | Professional | None (both parts) | $190.55 | $234.42 | $309.03 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $66.07 Typical High $87.10 | Professional | 26 · Professional part | $56.23 | $66.07 | $87.10 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $162.18 Typical High $218.78 | Professional | TC · Technical part | $134.90 | $162.18 | $218.78 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $257.04 Median $281.84 Typical High $371.54 | Professional | None (both parts) | $257.04 | $281.84 | $371.54 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $77.62 Typical High $87.10 | Professional | 26 · Professional part | $70.79 | $77.62 | $87.10 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $204.17 Typical High $229.09 | Professional | TC · Technical part | $186.21 | $204.17 | $229.09 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $812.83 Typical High $1,023.29 | Facility | None | $645.65 | $812.83 | $1,023.29 |
Cigna Setting Professional Modifier None (both parts) Typical Low $173.78 Median $416.87 Typical High $630.96 | Professional | None (both parts) | $173.78 | $416.87 | $630.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $61.66 Typical High $123.03 | Professional | 26 · Professional part | $44.67 | $61.66 | $123.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $323.59 Typical High $524.81 | Professional | TC · Technical part | $131.83 | $323.59 | $524.81 |
Kaiser Permanente Setting Professional Modifier None Typical Low $194.98 Median $229.09 Typical High $288.40 | Professional | None | $194.98 | $229.09 | $288.40 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $63.10 Typical High $83.18 | Professional | 26 · Professional part | $57.54 | $63.10 | $83.18 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $165.96 Typical High $204.17 | Professional | TC · Technical part | $138.04 | $165.96 | $204.17 |
Medcost Setting Professional Modifier None Typical Low $512.86 Median $616.60 Typical High $630.96 | Professional | None | $512.86 | $616.60 | $630.96 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $112.20 Typical High $112.20 | Professional | 26 · Professional part | $89.13 | $112.20 | $112.20 |
Medcost Setting Facility Modifier None Typical Low $338.84 Median $575.44 Typical High $1,737.80 | Facility | None | $338.84 | $575.44 | $1,737.80 |
Medcost Setting Professional Modifier None (both parts) Typical Low $194.98 Median $275.42 Typical High $512.86 | Professional | None (both parts) | $194.98 | $275.42 | $512.86 |
Sentara Setting Facility Modifier None Typical Low $70.79 Median $288.40 Typical High $1,174.90 | Facility | None | $70.79 | $288.40 | $1,174.90 |
Sentara Setting Professional Modifier None (both parts) Typical Low $81.28 Median $338.84 Typical High $602.56 | Professional | None (both parts) | $81.28 | $338.84 | $602.56 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $81.28 Typical High $131.83 | Professional | 26 · Professional part | $63.10 | $81.28 | $131.83 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $269.15 Typical High $446.68 | Professional | TC · Technical part | $158.49 | $269.15 | $446.68 |
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 $186.21 Median $316.23 Typical High $616.60 | Professional | None (both parts) | $186.21 | $316.23 | $616.60 |
United Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $77.62 Typical High $114.82 | Professional | 26 · Professional part | $43.65 | $77.62 | $114.82 |
United Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $239.88 Typical High $524.81 | Professional | TC · Technical part | $134.90 | $239.88 | $524.81 |
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 $100.00 Median $131.83 Typical High $138.04 | Professional | 52 · Reduced service | $100.00 | $131.83 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $52.48 Typical High $54.95 | Professional | 53 · Discontinued | $39.81 | $52.48 | $54.95 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $169.82 Median $223.87 Typical High $223.87 | Professional | CT · Older CT scanner | $169.82 | $223.87 | $223.87 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $158.49 Median $208.93 Typical High $208.93 | Professional | FX · Film X-ray | $158.49 | $208.93 | $208.93 |
Medcost Setting Professional Modifier 27 · Multiple hospital visits Typical Low $416.87 Median $524.81 Typical High $524.81 | Professional | 27 · Multiple hospital visits | $416.87 | $524.81 | $524.81 |
Where Virginia sits
The same service costs 5.2 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· 44th of 51
$251
AK $794UT $151
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.