How much rates vary
Facilitymedian $525 · 10th to 90th $95 to $2,138Professionalmedian $302 · 10th to 90th $214 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 $478.63 Median $776.25 Typical High $3,162.28 | Facility | None | $478.63 | $776.25 | $3,162.28 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $100.00 Median $128.82 Typical High $194.98 | Facility | 26 · Professional part | $100.00 | $128.82 | $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 $331.13 Median $524.81 Typical High $870.96 | Professional | None (both parts) | $331.13 | $524.81 | $870.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $128.82 Typical High $165.96 | Professional | 26 · Professional part | $91.20 | $128.82 | $165.96 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $371.54 Typical High $575.44 | Professional | TC · Technical part | $229.09 | $371.54 | $575.44 |
Anthem BCBS Setting Facility Modifier None Typical Low $724.44 Median $912.01 Typical High $1,202.26 | Facility | None | $724.44 | $912.01 | $1,202.26 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $218.78 Median $269.15 Typical High $354.81 | Professional | None (both parts) | $218.78 | $269.15 | $354.81 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $77.62 Typical High $100.00 | Professional | 26 · Professional part | $64.57 | $77.62 | $100.00 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $186.21 Typical High $251.19 | Professional | TC · Technical part | $154.88 | $186.21 | $251.19 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $85.11 Median $309.03 Typical High $426.58 | Professional | None (both parts) | $85.11 | $309.03 | $426.58 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $95.50 Typical High $120.23 | Professional | 26 · Professional part | $95.50 | $95.50 | $120.23 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $245.47 Typical High $269.15 | Professional | TC · Technical part | $218.78 | $245.47 | $269.15 |
Cigna Setting Facility Modifier None Typical Low $776.25 Median $891.25 Typical High $1,348.96 | Facility | None | $776.25 | $891.25 | $1,348.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $204.17 Median $512.86 Typical High $831.76 | Professional | None (both parts) | $204.17 | $512.86 | $831.76 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $70.79 Typical High $141.25 | Professional | 26 · Professional part | $52.48 | $70.79 | $141.25 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $389.05 Typical High $676.08 | Professional | TC · Technical part | $154.88 | $389.05 | $676.08 |
Kaiser Permanente Setting Professional Modifier None Typical Low $223.87 Median $263.03 Typical High $331.13 | Professional | None | $223.87 | $263.03 | $331.13 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $72.44 Typical High $95.50 | Professional | 26 · Professional part | $66.07 | $72.44 | $95.50 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $190.55 Typical High $234.42 | Professional | TC · Technical part | $158.49 | $190.55 | $234.42 |
Medcost Setting Professional Modifier None Typical Low $616.60 Median $758.58 Typical High $776.25 | Professional | None | $616.60 | $758.58 | $776.25 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $128.82 Typical High $128.82 | Professional | 26 · Professional part | $102.33 | $128.82 | $128.82 |
Medcost Setting Facility Modifier None Typical Low $354.81 Median $776.25 Typical High $1,122.02 | Facility | None | $354.81 | $776.25 | $1,122.02 |
Medcost Setting Professional Modifier None (both parts) Typical Low $223.87 Median $398.11 Typical High $588.84 | Professional | None (both parts) | $223.87 | $398.11 | $588.84 |
Sentara Setting Facility Modifier None Typical Low $81.28 Median $302.00 Typical High $1,584.89 | Facility | None | $81.28 | $302.00 | $1,584.89 |
Sentara Setting Professional Modifier None (both parts) Typical Low $93.33 Median $398.11 Typical High $660.69 | Professional | None (both parts) | $93.33 | $398.11 | $660.69 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $93.33 Typical High $141.25 | Professional | 26 · Professional part | $74.13 | $93.33 | $141.25 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $371.54 Typical High $537.03 | Professional | TC · Technical part | $186.21 | $371.54 | $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 $213.80 Median $380.19 Typical High $794.33 | Professional | None (both parts) | $213.80 | $380.19 | $794.33 |
United Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $87.10 Typical High $134.90 | Professional | 26 · Professional part | $50.12 | $87.10 | $134.90 |
United Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $281.84 Typical High $676.08 | Professional | TC · Technical part | $154.88 | $281.84 | $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 $173.78 Median $213.80 Typical High $263.03 | Professional | 52 · Reduced service | $173.78 | $213.80 | $263.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $69.18 Median $85.11 Typical High $104.71 | Professional | 53 · Discontinued | $69.18 | $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 $524.81 Median $645.65 Typical High $645.65 | Professional | 27 · Multiple hospital visits | $524.81 | $645.65 | $645.65 |
Where Virginia sits
The same service costs 6.0 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· 42nd of 51
$309
WY $912UT $151
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.