How much rates vary
Facilitymedian $575 · 10th to 90th $115 to $2,138Professionalmedian $417 · 10th to 90th $309 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 $117.49 Median $141.25 Typical High $154.88 | Professional | 26 · Professional part | $117.49 | $141.25 | $154.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $371.54 Typical High $436.52 | Professional | TC · Technical part | $281.84 | $371.54 | $436.52 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,071.52 Median $1,348.96 Typical High $1,778.28 | Facility | None | $1,071.52 | $1,348.96 | $1,778.28 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $323.59 Median $398.11 Typical High $524.81 | Professional | None (both parts) | $323.59 | $398.11 | $524.81 |
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 $245.47 Median $295.12 Typical High $389.05 | Professional | TC · Technical part | $245.47 | $295.12 | $389.05 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $117.49 Median $457.09 Typical High $602.56 | Professional | None (both parts) | $117.49 | $457.09 | $602.56 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $104.71 Typical High $144.54 | Professional | 26 · Professional part | $104.71 | $104.71 | $144.54 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $346.74 Median $389.05 Typical High $457.09 | Professional | TC · Technical part | $346.74 | $389.05 | $457.09 |
Cigna Setting Facility Modifier None Typical Low $776.25 Median $1,412.54 Typical High $1,905.46 | Facility | None | $776.25 | $1,412.54 | $1,905.46 |
Cigna Setting Professional Modifier None (both parts) Typical Low $295.12 Median $602.56 Typical High $912.01 | Professional | None (both parts) | $295.12 | $602.56 | $912.01 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $87.10 Typical High $173.78 | Professional | 26 · Professional part | $63.10 | $87.10 | $173.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $478.63 Typical High $758.58 | Professional | TC · Technical part | $234.42 | $478.63 | $758.58 |
Kaiser Permanente Setting Professional Modifier None Typical Low $331.13 Median $389.05 Typical High $489.78 | Professional | None | $331.13 | $389.05 | $489.78 |
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 $251.19 Median $302.00 Typical High $371.54 | Professional | TC · Technical part | $251.19 | $302.00 | $371.54 |
Medcost Setting Professional Modifier None Typical Low $660.69 Median $812.83 Typical High $812.83 | Professional | None | $660.69 | $812.83 | $812.83 |
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 $512.86 Median $831.76 Typical High $1,122.02 | Facility | None | $512.86 | $831.76 | $1,122.02 |
Medcost Setting Professional Modifier None (both parts) Typical Low $331.13 Median $446.68 Typical High $812.83 | Professional | None (both parts) | $331.13 | $446.68 | $812.83 |
Sentara Setting Facility Modifier None Typical Low $100.00 Median $416.87 Typical High $2,137.96 | Facility | None | $100.00 | $416.87 | $2,137.96 |
Sentara Setting Professional Modifier None (both parts) Typical Low $112.20 Median $489.78 Typical High $891.25 | Professional | None (both parts) | $112.20 | $489.78 | $891.25 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $112.20 Typical High $186.21 | Professional | 26 · Professional part | $89.13 | $112.20 | $186.21 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $436.52 Typical High $676.08 | Professional | TC · Technical part | $295.12 | $436.52 | $676.08 |
United Setting Professional Modifier None (both parts) Typical Low $309.03 Median $512.86 Typical High $891.25 | Professional | None (both parts) | $309.03 | $512.86 | $891.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $107.15 Typical High $169.82 | Professional | 26 · Professional part | $63.10 | $107.15 | $169.82 |
United Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $398.11 Typical High $724.44 | Professional | TC · Technical part | $239.88 | $398.11 | $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 $257.04 Typical High $263.03 | Professional | 52 · Reduced service | $199.53 | $257.04 | $263.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $79.43 Median $102.33 Typical High $104.71 | Professional | 53 · Discontinued | $79.43 | $102.33 | $104.71 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $323.59 Median $416.87 Typical High $416.87 | Professional | FX · Film X-ray | $323.59 | $416.87 | $416.87 |
Medcost Setting Professional Modifier 27 · Multiple hospital visits Typical Low $537.03 Median $660.69 Typical High $660.69 | Professional | 27 · Multiple hospital visits | $537.03 | $660.69 | $660.69 |
Where Virginia sits
The same service costs 5.6 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· 41st of 51
$427
WY $1,380UT $245
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.