How much rates vary
Facilitymedian $562 · 10th to 90th $115 to $2,138Professionalmedian $339 · 10th to 90th $257 to $741
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 $524.81 Median $1,995.26 Typical High $3,715.35 | Facility | None | $524.81 | $1,995.26 | $3,715.35 |
Aetna Setting Professional Modifier None (both parts) Typical Low $398.11 Median $524.81 Typical High $1,047.13 | Professional | None (both parts) | $398.11 | $524.81 | $1,047.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $141.25 Typical High $169.82 | Professional | 26 · Professional part | $112.20 | $141.25 | $169.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $354.81 Typical High $426.58 | Professional | TC · Technical part | $281.84 | $354.81 | $426.58 |
Anthem BCBS Setting Facility Modifier None Typical Low $870.96 Median $1,096.48 Typical High $1,412.54 | Facility | None | $870.96 | $1,096.48 | $1,412.54 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $263.03 Median $316.23 Typical High $426.58 | Professional | None (both parts) | $263.03 | $316.23 | $426.58 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $93.33 Typical High $123.03 | Professional | 26 · Professional part | $77.62 | $93.33 | $123.03 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $218.78 Typical High $295.12 | Professional | TC · Technical part | $186.21 | $218.78 | $295.12 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $363.08 Median $407.38 Typical High $524.81 | Professional | None (both parts) | $363.08 | $407.38 | $524.81 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $114.82 Typical High $120.23 | Professional | 26 · Professional part | $104.71 | $114.82 | $120.23 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $288.40 Typical High $338.84 | Professional | TC · Technical part | $263.03 | $288.40 | $338.84 |
Cigna Setting Facility Modifier None Typical Low $776.25 Median $1,071.52 Typical High $1,548.82 | Facility | None | $776.25 | $1,071.52 | $1,548.82 |
Cigna Setting Professional Modifier None (both parts) Typical Low $239.88 Median $562.34 Typical High $891.25 | Professional | None (both parts) | $239.88 | $562.34 | $891.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $89.13 Typical High $169.82 | Professional | 26 · Professional part | $63.10 | $89.13 | $169.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $416.87 Typical High $724.44 | Professional | TC · Technical part | $177.83 | $416.87 | $724.44 |
Kaiser Permanente Setting Professional Modifier None Typical Low $269.15 Median $309.03 Typical High $398.11 | Professional | None | $269.15 | $309.03 | $398.11 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $89.13 Typical High $117.49 | Professional | 26 · Professional part | $81.28 | $89.13 | $117.49 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $223.87 Typical High $275.42 | Professional | TC · Technical part | $186.21 | $223.87 | $275.42 |
Medcost Setting Professional Modifier None Typical Low $776.25 Median $954.99 Typical High $954.99 | Professional | None | $776.25 | $954.99 | $954.99 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $169.82 Typical High $169.82 | Professional | 26 · Professional part | $134.90 | $169.82 | $169.82 |
Medcost Setting Facility Modifier None Typical Low $416.87 Median $812.83 Typical High $1,122.02 | Facility | None | $416.87 | $812.83 | $1,122.02 |
Medcost Setting Professional Modifier None (both parts) Typical Low $269.15 Median $501.19 Typical High $724.44 | Professional | None (both parts) | $269.15 | $501.19 | $724.44 |
Sentara Setting Facility Modifier None Typical Low $100.00 Median $380.19 Typical High $1,584.89 | Facility | None | $100.00 | $380.19 | $1,584.89 |
Sentara Setting Professional Modifier None (both parts) Typical Low $114.82 Median $416.87 Typical High $851.14 | Professional | None (both parts) | $114.82 | $416.87 | $851.14 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $117.49 Typical High $186.21 | Professional | 26 · Professional part | $91.20 | $117.49 | $186.21 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $346.74 Typical High $630.96 | Professional | TC · Technical part | $223.87 | $346.74 | $630.96 |
United Setting Facility Modifier None Typical Low $660.69 Median $724.44 Typical High $1,621.81 | Facility | None | $660.69 | $724.44 | $1,621.81 |
United Setting Professional Modifier None (both parts) Typical Low $251.19 Median $436.52 Typical High $870.96 | Professional | None (both parts) | $251.19 | $436.52 | $870.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $109.65 Typical High $169.82 | Professional | 26 · Professional part | $66.07 | $109.65 | $169.82 |
United Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $316.23 Typical High $724.44 | Professional | TC · Technical part | $181.97 | $316.23 | $724.44 |
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 $199.53 Median $213.80 Typical High $263.03 | Professional | 52 · Reduced service | $199.53 | $213.80 | $263.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $79.43 Median $85.11 Typical High $104.71 | Professional | 53 · Discontinued | $79.43 | $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 $630.96 Median $794.33 Typical High $794.33 | Professional | 27 · Multiple hospital visits | $630.96 | $794.33 | $794.33 |
Where Virginia sits
The same service costs 5.8 times more in Wyoming 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
$363
WY $1,096UT $191
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.