How much rates vary
Facilitymedian $46 · 10th to 90th $11 to $263Professionalmedian $36 · 10th to 90th $25 to $52
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 $27.54 Median $45.71 Typical High $60.26 | Facility | None | $27.54 | $45.71 | $60.26 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $7.24 Median $13.18 Typical High $16.60 | Facility | 26 · Professional part | $7.24 | $13.18 | $16.60 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $24.55 Median $34.67 Typical High $77.62 | Facility | TC · Technical part | $24.55 | $34.67 | $77.62 |
Aetna Setting Professional Modifier None (both parts) Typical Low $27.54 Median $31.62 Typical High $53.70 | Professional | None (both parts) | $27.54 | $31.62 | $53.70 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $7.94 Typical High $15.14 | Professional | 26 · Professional part | $7.24 | $7.94 | $15.14 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $24.55 Typical High $38.02 | Professional | TC · Technical part | $19.50 | $24.55 | $38.02 |
Anthem BCBS Setting Facility Modifier None Typical Low $107.15 Median $134.90 Typical High $177.83 | Facility | None | $107.15 | $134.90 | $177.83 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $30.20 Median $37.15 Typical High $47.86 | Professional | None (both parts) | $30.20 | $37.15 | $47.86 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $8.91 Typical High $11.22 | Professional | 26 · Professional part | $7.41 | $8.91 | $11.22 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $30.20 Typical High $38.90 | Professional | TC · Technical part | $23.44 | $30.20 | $38.90 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $8.91 Median $34.67 Typical High $41.69 | Professional | None (both parts) | $8.91 | $34.67 | $41.69 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $7.94 Typical High $11.75 | Professional | 26 · Professional part | $7.94 | $7.94 | $11.75 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $29.51 Typical High $31.62 | Professional | TC · Technical part | $26.30 | $29.51 | $31.62 |
Cigna Setting Facility Modifier None Typical Low $52.48 Median $79.43 Typical High $776.25 | Facility | None | $52.48 | $79.43 | $776.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $23.99 Median $33.88 Typical High $57.54 | Professional | None (both parts) | $23.99 | $33.88 | $57.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.03 Median $8.51 Typical High $16.60 | Professional | 26 · Professional part | $6.03 | $8.51 | $16.60 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $24.55 Typical High $42.66 | Professional | TC · Technical part | $18.20 | $24.55 | $42.66 |
Kaiser Permanente Setting Professional Modifier None Typical Low $33.11 Median $38.90 Typical High $48.98 | Professional | None | $33.11 | $38.90 | $48.98 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $9.12 Typical High $11.48 | Professional | 26 · Professional part | $8.13 | $9.12 | $11.48 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $30.20 Typical High $37.15 | Professional | TC · Technical part | $25.12 | $30.20 | $37.15 |
Medcost Setting Professional Modifier None Typical Low $36.31 Median $45.71 Typical High $45.71 | Professional | None | $36.31 | $45.71 | $45.71 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $15.49 Typical High $15.49 | Professional | 26 · Professional part | $12.30 | $15.49 | $15.49 |
Medcost Setting Facility Modifier None Typical Low $39.81 Median $39.81 Typical High $56.23 | Facility | None | $39.81 | $39.81 | $56.23 |
Medcost Setting Professional Modifier None (both parts) Typical Low $30.90 Median $38.02 Typical High $39.81 | Professional | None (both parts) | $30.90 | $38.02 | $39.81 |
Sentara Setting Facility Modifier None Typical Low $9.33 Median $30.90 Typical High $331.13 | Facility | None | $9.33 | $30.90 | $331.13 |
Sentara Setting Professional Modifier None (both parts) Typical Low $11.22 Median $33.88 Typical High $74.13 | Professional | None (both parts) | $11.22 | $33.88 | $74.13 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $10.96 Typical High $19.05 | Professional | 26 · Professional part | $8.51 | $10.96 | $19.05 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $30.90 Typical High $53.70 | Professional | TC · Technical part | $23.44 | $30.90 | $53.70 |
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 $22.39 Median $37.15 Typical High $56.23 | Professional | None (both parts) | $22.39 | $37.15 | $56.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.31 Median $10.47 Typical High $16.22 | Professional | 26 · Professional part | $6.31 | $10.47 | $16.22 |
United Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $26.30 Typical High $39.81 | Professional | TC · Technical part | $15.85 | $26.30 | $39.81 |
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 $13.80 Median $13.80 Typical High $15.85 | Professional | 52 · Reduced service | $13.80 | $13.80 | $15.85 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.50 Median $5.62 Typical High $6.31 | Professional | 53 · Discontinued | $5.50 | $5.62 | $6.31 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $21.88 Median $21.88 Typical High $25.70 | Professional | FX · Film X-ray | $21.88 | $21.88 | $25.70 |
Medcost Setting Professional Modifier 27 · Multiple hospital visits Typical Low $23.99 Median $30.20 Typical High $30.20 | Professional | 27 · Multiple hospital visits | $23.99 | $30.20 | $30.20 |
Where Virginia sits
The same service costs 3.7 times more in Alaska than in Florida. 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· 33rd of 51
$36.31
AK $95.50FL $25.70
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.