How much rates vary
Facilitymedian $575 · 10th to 90th $112 to $2,138Professionalmedian $339 · 10th to 90th $251 to $724
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 $154.88 | Professional | 26 · Professional part | $112.20 | $141.25 | $154.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $338.84 Typical High $371.54 | Professional | TC · Technical part | $281.84 | $338.84 | $371.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $851.14 Median $1,071.52 Typical High $1,412.54 | Facility | None | $851.14 | $1,071.52 | $1,412.54 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $257.04 Median $316.23 Typical High $416.87 | Professional | None (both parts) | $257.04 | $316.23 | $416.87 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $91.20 Typical High $114.82 | Professional | 26 · Professional part | $75.86 | $91.20 | $114.82 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $218.78 Typical High $295.12 | Professional | TC · Technical part | $181.97 | $218.78 | $295.12 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $288.40 Median $363.08 Typical High $501.19 | Professional | None (both parts) | $288.40 | $363.08 | $501.19 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $112.20 Typical High $114.82 | Professional | 26 · Professional part | $100.00 | $112.20 | $114.82 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $257.04 Typical High $363.08 | Professional | TC · Technical part | $257.04 | $257.04 | $363.08 |
Cigna Setting Facility Modifier None Typical Low $776.25 Median $1,047.13 Typical High $1,819.70 | Facility | None | $776.25 | $1,047.13 | $1,819.70 |
Cigna Setting Professional Modifier None (both parts) Typical Low $239.88 Median $588.84 Typical High $933.25 | Professional | None (both parts) | $239.88 | $588.84 | $933.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $85.11 Typical High $162.18 | Professional | 26 · Professional part | $61.66 | $85.11 | $162.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $436.52 Typical High $758.58 | Professional | TC · Technical part | $177.83 | $436.52 | $758.58 |
Kaiser Permanente Setting Professional Modifier None Typical Low $263.03 Median $309.03 Typical High $389.05 | Professional | None | $263.03 | $309.03 | $389.05 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $87.10 Typical High $114.82 | Professional | 26 · Professional part | $77.62 | $87.10 | $114.82 |
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 $741.31 Median $912.01 Typical High $933.25 | Professional | None | $741.31 | $912.01 | $933.25 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $151.36 Typical High $151.36 | Professional | 26 · Professional part | $123.03 | $151.36 | $151.36 |
Medcost Setting Facility Modifier None Typical Low $407.38 Median $870.96 Typical High $1,122.02 | Facility | None | $407.38 | $870.96 | $1,122.02 |
Medcost Setting Professional Modifier None (both parts) Typical Low $263.03 Median $501.19 Typical High $707.95 | Professional | None (both parts) | $263.03 | $501.19 | $707.95 |
Sentara Setting Facility Modifier None Typical Low $97.72 Median $398.11 Typical High $1,621.81 | Facility | None | $97.72 | $398.11 | $1,621.81 |
Sentara Setting Professional Modifier None (both parts) Typical Low $109.65 Median $467.74 Typical High $870.96 | Professional | None (both parts) | $109.65 | $467.74 | $870.96 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $112.20 Typical High $181.97 | Professional | 26 · Professional part | $87.10 | $112.20 | $181.97 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $407.38 Typical High $645.65 | Professional | TC · Technical part | $218.78 | $407.38 | $645.65 |
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 $446.68 Typical High $891.25 | Professional | None (both parts) | $251.19 | $446.68 | $891.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $104.71 Typical High $165.96 | Professional | 26 · Professional part | $58.88 | $104.71 | $165.96 |
United Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $331.13 Typical High $758.58 | Professional | TC · Technical part | $177.83 | $331.13 | $758.58 |
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 $616.60 Median $776.25 Typical High $776.25 | Professional | 27 · Multiple hospital visits | $616.60 | $776.25 | $776.25 |
Where Virginia sits
The same service costs 5.6 times more in Wyoming 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· 44th of 51
$355
WY $1,072TX $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.