How much rates vary
Facilitymedian $58 · 10th to 90th $16 to $229Professionalmedian $46 · 10th to 90th $32 to $66
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 $35.48 Median $57.54 Typical High $75.86 | Facility | None | $35.48 | $57.54 | $75.86 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $9.77 Median $15.85 Typical High $19.95 | Facility | 26 · Professional part | $9.77 | $15.85 | $19.95 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $25.70 Median $41.69 Typical High $100.00 | Facility | TC · Technical part | $25.70 | $41.69 | $100.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $35.48 Median $40.74 Typical High $69.18 | Professional | None (both parts) | $35.48 | $40.74 | $69.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $10.72 Typical High $19.05 | Professional | 26 · Professional part | $9.77 | $10.72 | $19.05 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $30.20 Typical High $48.98 | Professional | TC · Technical part | $25.70 | $30.20 | $48.98 |
Anthem BCBS Setting Facility Modifier None Typical Low $138.04 Median $173.78 Typical High $229.09 | Facility | None | $138.04 | $173.78 | $229.09 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $38.90 Median $47.86 Typical High $60.26 | Professional | None (both parts) | $38.90 | $47.86 | $60.26 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $13.49 Typical High $16.98 | Professional | 26 · Professional part | $10.96 | $13.49 | $16.98 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $33.88 Typical High $47.86 | Professional | TC · Technical part | $28.18 | $33.88 | $47.86 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $11.48 Median $42.66 Typical High $50.12 | Professional | None (both parts) | $11.48 | $42.66 | $50.12 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $12.88 Typical High $15.14 | Professional | 26 · Professional part | $12.88 | $12.88 | $15.14 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $34.67 Typical High $35.48 | Professional | TC · Technical part | $30.90 | $34.67 | $35.48 |
Cigna Setting Facility Modifier None Typical Low $72.44 Median $95.50 Typical High $776.25 | Facility | None | $72.44 | $95.50 | $776.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $30.20 Median $41.69 Typical High $74.13 | Professional | None (both parts) | $30.20 | $41.69 | $74.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $12.02 Typical High $22.39 | Professional | 26 · Professional part | $8.71 | $12.02 | $22.39 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $30.20 Typical High $52.48 | Professional | TC · Technical part | $21.38 | $30.20 | $52.48 |
Kaiser Permanente Setting Professional Modifier None Typical Low $42.66 Median $50.12 Typical High $63.10 | Professional | None | $42.66 | $50.12 | $63.10 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $13.49 Typical High $16.98 | Professional | 26 · Professional part | $12.02 | $13.49 | $16.98 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $36.31 Typical High $45.71 | Professional | TC · Technical part | $30.20 | $36.31 | $45.71 |
Medcost Setting Professional Modifier None Typical Low $46.77 Median $58.88 Typical High $58.88 | Professional | None | $46.77 | $58.88 | $58.88 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $18.62 Typical High $18.62 | Professional | 26 · Professional part | $14.79 | $18.62 | $18.62 |
Medcost Setting Facility Modifier None Typical Low $54.95 Median $54.95 Typical High $70.79 | Facility | None | $54.95 | $54.95 | $70.79 |
Medcost Setting Professional Modifier None (both parts) Typical Low $38.90 Median $39.81 Typical High $53.70 | Professional | None (both parts) | $38.90 | $39.81 | $53.70 |
Sentara Setting Facility Modifier None Typical Low $11.22 Median $37.15 Typical High $208.93 | Facility | None | $11.22 | $37.15 | $208.93 |
Sentara Setting Professional Modifier None (both parts) Typical Low $14.13 Median $44.67 Typical High $89.13 | Professional | None (both parts) | $14.13 | $44.67 | $89.13 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $14.13 Typical High $25.70 | Professional | 26 · Professional part | $10.47 | $14.13 | $25.70 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $40.74 Typical High $69.18 | Professional | TC · Technical part | $29.51 | $40.74 | $69.18 |
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 $29.51 Median $47.86 Typical High $75.86 | Professional | None (both parts) | $29.51 | $47.86 | $75.86 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $13.80 Typical High $21.88 | Professional | 26 · Professional part | $8.32 | $13.80 | $21.88 |
United Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $33.11 Typical High $53.70 | Professional | TC · Technical part | $21.88 | $33.11 | $53.70 |
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 $17.78 Median $17.78 Typical High $20.42 | Professional | 52 · Reduced service | $17.78 | $17.78 | $20.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.08 Median $7.08 Typical High $8.13 | Professional | 53 · Discontinued | $7.08 | $7.08 | $8.13 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $28.18 Median $28.18 Typical High $32.36 | Professional | FX · Film X-ray | $28.18 | $28.18 | $32.36 |
Medcost Setting Professional Modifier 27 · Multiple hospital visits Typical Low $32.36 Median $39.81 Typical High $39.81 | Professional | 27 · Multiple hospital visits | $32.36 | $39.81 | $39.81 |
Where Virginia sits
The same service costs 3.7 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· 35th of 51
$45.71
AK $123UT $33.11
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.