How much rates vary
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 $288.40 Median $1,445.44 Typical High $2,951.21 | Facility | None | $288.40 | $1,445.44 | $2,951.21 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $75.86 Median $141.25 Typical High $162.18 | Facility | 26 · Professional part | $75.86 | $141.25 | $162.18 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $173.78 Median $489.78 Typical High $794.33 | Facility | TC · Technical part | $173.78 | $489.78 | $794.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $251.19 Median $288.40 Typical High $691.83 | Professional | None (both parts) | $251.19 | $288.40 | $691.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $91.20 Typical High $141.25 | Professional | 26 · Professional part | $75.86 | $91.20 | $141.25 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $199.53 Typical High $389.05 | Professional | TC · Technical part | $173.78 | $199.53 | $389.05 |
Anthem BCBS Setting Facility Modifier None Typical Low $977.24 Median $1,230.27 Typical High $1,584.89 | Facility | None | $977.24 | $1,230.27 | $1,584.89 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $288.40 Median $346.74 Typical High $457.09 | Professional | None (both parts) | $288.40 | $346.74 | $457.09 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $93.33 Typical High $120.23 | Professional | 26 · Professional part | $77.62 | $93.33 | $120.23 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $257.04 Typical High $331.13 | Professional | TC · Technical part | $208.93 | $257.04 | $331.13 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $302.00 Median $436.52 Typical High $549.54 | Professional | None (both parts) | $302.00 | $436.52 | $549.54 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $109.65 Typical High $109.65 | Professional | 26 · Professional part | $97.72 | $109.65 | $109.65 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $323.59 Typical High $371.54 | Professional | TC · Technical part | $295.12 | $323.59 | $371.54 |
Cigna Setting Facility Modifier None Typical Low $776.25 Median $870.96 Typical High $1,621.81 | Facility | None | $776.25 | $870.96 | $1,621.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $263.03 Median $524.81 Typical High $794.33 | Professional | None (both parts) | $263.03 | $524.81 | $794.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $87.10 Typical High $165.96 | Professional | 26 · Professional part | $63.10 | $87.10 | $165.96 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $416.87 Typical High $616.60 | Professional | TC · Technical part | $194.98 | $416.87 | $616.60 |
Kaiser Permanente Setting Professional Modifier None Typical Low $302.00 Median $354.81 Typical High $446.68 | Professional | None | $302.00 | $354.81 | $446.68 |
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 $218.78 Median $263.03 Typical High $323.59 | Professional | TC · Technical part | $218.78 | $263.03 | $323.59 |
Medcost Setting Professional Modifier None Typical Low $676.08 Median $831.76 Typical High $851.14 | Professional | None | $676.08 | $831.76 | $851.14 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $158.49 Typical High $158.49 | Professional | 26 · Professional part | $125.89 | $158.49 | $158.49 |
Medcost Setting Facility Modifier None Typical Low $380.19 Median $691.83 Typical High $1,412.54 | Facility | None | $380.19 | $691.83 | $1,412.54 |
Medcost Setting Professional Modifier None (both parts) Typical Low $245.47 Median $275.42 Typical High $602.56 | Professional | None (both parts) | $245.47 | $275.42 | $602.56 |
Sentara Setting Facility Modifier None Typical Low $104.71 Median $316.23 Typical High $1,621.81 | Facility | None | $104.71 | $316.23 | $1,621.81 |
Sentara Setting Professional Modifier None (both parts) Typical Low $114.82 Median $407.38 Typical High $758.58 | Professional | None (both parts) | $114.82 | $407.38 | $758.58 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $123.03 Typical High $177.83 | Professional | 26 · Professional part | $91.20 | $123.03 | $177.83 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $363.08 Typical High $575.44 | Professional | TC · Technical part | $181.97 | $363.08 | $575.44 |
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 $257.04 Median $426.58 Typical High $812.83 | Professional | None (both parts) | $257.04 | $426.58 | $812.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $109.65 Typical High $162.18 | Professional | 26 · Professional part | $61.66 | $109.65 | $162.18 |
United Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $309.03 Typical High $645.65 | Professional | TC · Technical part | $186.21 | $309.03 | $645.65 |
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 $125.89 Median $144.54 Typical High $144.54 | Professional | 52 · Reduced service | $125.89 | $144.54 | $144.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $57.54 Typical High $57.54 | Professional | 53 · Discontinued | $50.12 | $57.54 | $57.54 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $213.80 Median $245.47 Typical High $245.47 | Professional | CT · Older CT scanner | $213.80 | $245.47 | $245.47 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $199.53 Median $234.42 Typical High $234.42 | Professional | FX · Film X-ray | $199.53 | $234.42 | $234.42 |
Medcost Setting Professional Modifier 27 · Multiple hospital visits Typical Low $549.54 Median $691.83 Typical High $691.83 | Professional | 27 · Multiple hospital visits | $549.54 | $691.83 | $691.83 |
Where Virginia sits
The same service costs 5.8 times more in Alaska than in Texas. 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
$372
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.