How much rates vary
Facilitymedian $275 · 10th to 90th $66 to $1,778Professionalmedian $162 · 10th to 90th $123 to $363
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 $162.18 Median $436.52 Typical High $2,398.83 | Facility | None | $162.18 | $436.52 | $2,398.83 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $41.69 Median $70.79 Typical High $102.33 | Facility | 26 · Professional part | $41.69 | $70.79 | $102.33 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $85.11 Median $158.49 Typical High $436.52 | Facility | TC · Technical part | $85.11 | $158.49 | $436.52 |
Aetna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $162.18 Typical High $436.52 | Professional | None (both parts) | $128.82 | $162.18 | $436.52 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $51.29 Typical High $91.20 | Professional | 26 · Professional part | $41.69 | $51.29 | $91.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $109.65 Typical High $288.40 | Professional | TC · Technical part | $85.11 | $109.65 | $288.40 |
Anthem BCBS Setting Facility Modifier None Typical Low $416.87 Median $524.81 Typical High $676.08 | Facility | None | $416.87 | $524.81 | $676.08 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $123.03 Median $151.36 Typical High $204.17 | Professional | None (both parts) | $123.03 | $151.36 | $204.17 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $52.48 Typical High $67.61 | Professional | 26 · Professional part | $43.65 | $52.48 | $67.61 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $97.72 Typical High $131.83 | Professional | TC · Technical part | $79.43 | $97.72 | $131.83 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $165.96 Median $181.97 Typical High $239.88 | Professional | None (both parts) | $165.96 | $181.97 | $239.88 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $61.66 Typical High $72.44 | Professional | 26 · Professional part | $54.95 | $61.66 | $72.44 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $123.03 Typical High $138.04 | Professional | TC · Technical part | $109.65 | $123.03 | $138.04 |
Cigna Setting Facility Modifier None Typical Low $478.63 Median $691.83 Typical High $870.96 | Facility | None | $478.63 | $691.83 | $870.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $281.84 Typical High $426.58 | Professional | None (both parts) | $114.82 | $281.84 | $426.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $50.12 Typical High $97.72 | Professional | 26 · Professional part | $35.48 | $50.12 | $97.72 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $204.17 Typical High $331.13 | Professional | TC · Technical part | $77.62 | $204.17 | $331.13 |
Kaiser Permanente Setting Professional Modifier None Typical Low $128.82 Median $147.91 Typical High $190.55 | Professional | None | $128.82 | $147.91 | $190.55 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $50.12 Typical High $64.57 | Professional | 26 · Professional part | $45.71 | $50.12 | $64.57 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $97.72 Typical High $123.03 | Professional | TC · Technical part | $81.28 | $97.72 | $123.03 |
Medcost Setting Professional Modifier None Typical Low $363.08 Median $436.52 Typical High $457.09 | Professional | None | $363.08 | $436.52 | $457.09 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $102.33 Typical High $102.33 | Professional | 26 · Professional part | $81.28 | $102.33 | $102.33 |
Medcost Setting Facility Modifier None Typical Low $208.93 Median $398.11 Typical High $1,737.80 | Facility | None | $208.93 | $398.11 | $1,737.80 |
Medcost Setting Professional Modifier None (both parts) Typical Low $125.89 Median $223.87 Typical High $354.81 | Professional | None (both parts) | $125.89 | $223.87 | $354.81 |
Sentara Setting Facility Modifier None Typical Low $57.54 Median $186.21 Typical High $1,023.29 | Facility | None | $57.54 | $186.21 | $1,023.29 |
Sentara Setting Professional Modifier None (both parts) Typical Low $64.57 Median $223.87 Typical High $426.58 | Professional | None (both parts) | $64.57 | $223.87 | $426.58 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $64.57 Typical High $107.15 | Professional | 26 · Professional part | $50.12 | $64.57 | $107.15 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $194.98 Typical High $288.40 | Professional | TC · Technical part | $95.50 | $194.98 | $288.40 |
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 $125.89 Median $213.80 Typical High $426.58 | Professional | None (both parts) | $125.89 | $213.80 | $426.58 |
United Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $61.66 Typical High $95.50 | Professional | 26 · Professional part | $36.31 | $61.66 | $95.50 |
United Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $151.36 Typical High $338.84 | Professional | TC · Technical part | $83.18 | $151.36 | $338.84 |
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 $63.10 Median $81.28 Typical High $89.13 | Professional | 52 · Reduced service | $63.10 | $81.28 | $89.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $32.36 Typical High $35.48 | Professional | 53 · Discontinued | $25.70 | $32.36 | $35.48 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $107.15 Median $138.04 Typical High $138.04 | Professional | CT · Older CT scanner | $107.15 | $138.04 | $138.04 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $102.33 Median $128.82 Typical High $128.82 | Professional | FX · Film X-ray | $102.33 | $128.82 | $128.82 |
Medcost Setting Professional Modifier 27 · Multiple hospital visits Typical Low $281.84 Median $346.74 Typical High $346.74 | Professional | 27 · Multiple hospital visits | $281.84 | $346.74 | $346.74 |
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· 45th of 51
$162
AK $525UT $100
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.