How much rates vary
Facilitymedian $513 · 10th to 90th $98 to $2,138Professionalmedian $257 · 10th to 90th $182 to $646
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 $398.11 Median $758.58 Typical High $3,162.28 | Facility | None | $398.11 | $758.58 | $3,162.28 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $117.49 Median $141.25 Typical High $194.98 | Facility | 26 · Professional part | $117.49 | $141.25 | $194.98 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $281.84 Median $457.09 Typical High $645.65 | Facility | TC · Technical part | $281.84 | $457.09 | $645.65 |
Aetna Setting Professional Modifier None (both parts) Typical Low $281.84 Median $524.81 Typical High $851.14 | Professional | None (both parts) | $281.84 | $524.81 | $851.14 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $141.25 Typical High $165.96 | Professional | 26 · Professional part | $95.50 | $141.25 | $165.96 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $338.84 Typical High $524.81 | Professional | TC · Technical part | $177.83 | $338.84 | $524.81 |
Anthem BCBS Setting Facility Modifier None Typical Low $602.56 Median $758.58 Typical High $1,000.00 | Facility | None | $602.56 | $758.58 | $1,000.00 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $181.97 Median $223.87 Typical High $295.12 | Professional | None (both parts) | $181.97 | $223.87 | $295.12 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $77.62 Typical High $102.33 | Professional | 26 · Professional part | $64.57 | $77.62 | $102.33 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $141.25 Typical High $190.55 | Professional | TC · Technical part | $117.49 | $141.25 | $190.55 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $208.93 Median $281.84 Typical High $371.54 | Professional | None (both parts) | $208.93 | $281.84 | $371.54 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $95.50 Typical High $95.50 | Professional | 26 · Professional part | $87.10 | $95.50 | $95.50 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $186.21 Typical High $186.21 | Professional | TC · Technical part | $165.96 | $186.21 | $186.21 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $794.33 Typical High $1,000.00 | Facility | None | $676.08 | $794.33 | $1,000.00 |
Cigna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $426.58 Typical High $794.33 | Professional | None (both parts) | $169.82 | $426.58 | $794.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $74.13 Typical High $144.54 | Professional | 26 · Professional part | $52.48 | $74.13 | $144.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $323.59 Typical High $660.69 | Professional | TC · Technical part | $112.20 | $323.59 | $660.69 |
Kaiser Permanente Setting Professional Modifier None Typical Low $186.21 Median $218.78 Typical High $275.42 | Professional | None | $186.21 | $218.78 | $275.42 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $74.13 Typical High $97.72 | Professional | 26 · Professional part | $67.61 | $74.13 | $97.72 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $144.54 Typical High $181.97 | Professional | TC · Technical part | $120.23 | $144.54 | $181.97 |
Medcost Setting Professional Modifier None Typical Low $707.95 Median $851.14 Typical High $870.96 | Professional | None | $707.95 | $851.14 | $870.96 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $141.25 Typical High $141.25 | Professional | 26 · Professional part | $112.20 | $141.25 | $141.25 |
Medcost Setting Facility Modifier None Typical Low $288.40 Median $741.31 Typical High $1,122.02 | Facility | None | $288.40 | $741.31 | $1,122.02 |
Medcost Setting Professional Modifier None (both parts) Typical Low $186.21 Median $398.11 Typical High $602.56 | Professional | None (both parts) | $186.21 | $398.11 | $602.56 |
Sentara Setting Facility Modifier None Typical Low $83.18 Median $275.42 Typical High $1,318.26 | Facility | None | $83.18 | $275.42 | $1,318.26 |
Sentara Setting Professional Modifier None (both parts) Typical Low $95.50 Median $371.54 Typical High $741.31 | Professional | None (both parts) | $95.50 | $371.54 | $741.31 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $97.72 Typical High $154.88 | Professional | 26 · Professional part | $75.86 | $97.72 | $154.88 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $389.05 Typical High $537.03 | Professional | TC · Technical part | $144.54 | $389.05 | $537.03 |
United Setting Facility Modifier None Typical Low $446.68 Median $501.19 Typical High $1,096.48 | Facility | None | $446.68 | $501.19 | $1,096.48 |
United Setting Professional Modifier None (both parts) Typical Low $173.78 Median $309.03 Typical High $812.83 | Professional | None (both parts) | $173.78 | $309.03 | $812.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $91.20 Typical High $138.04 | Professional | 26 · Professional part | $54.95 | $91.20 | $138.04 |
United Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $218.78 Typical High $676.08 | Professional | TC · Technical part | $114.82 | $218.78 | $676.08 |
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 $144.54 Median $213.80 Typical High $263.03 | Professional | 52 · Reduced service | $144.54 | $213.80 | $263.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $57.54 Median $85.11 Typical High $104.71 | Professional | 53 · Discontinued | $57.54 | $85.11 | $104.71 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $323.59 Median $380.19 Typical High $416.87 | Professional | FX · Film X-ray | $323.59 | $380.19 | $416.87 |
Medcost Setting Professional Modifier 27 · Multiple hospital visits Typical Low $588.84 Median $741.31 Typical High $741.31 | Professional | 27 · Multiple hospital visits | $588.84 | $741.31 | $741.31 |
Where Virginia sits
The same service costs 6.5 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· 41st of 51
$257
AK $794UT $123
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.