How much rates vary
Facilitymedian $42 · 10th to 90th $11 to $178Professionalmedian $36 · 10th to 90th $26 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 $26.92 Median $43.65 Typical High $58.88 | Facility | None | $26.92 | $43.65 | $58.88 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $7.59 Median $10.96 Typical High $15.85 | Facility | 26 · Professional part | $7.59 | $10.96 | $15.85 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $19.05 Median $30.20 Typical High $46.77 | Facility | TC · Technical part | $19.05 | $30.20 | $46.77 |
Aetna Setting Professional Modifier None (both parts) Typical Low $26.92 Median $31.62 Typical High $54.95 | Professional | None (both parts) | $26.92 | $31.62 | $54.95 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $7.94 Typical High $15.49 | Professional | 26 · Professional part | $7.41 | $7.94 | $15.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $23.99 Typical High $39.81 | Professional | TC · Technical part | $19.05 | $23.99 | $39.81 |
Anthem BCBS Setting Facility Modifier None Typical Low $102.33 Median $128.82 Typical High $169.82 | Facility | None | $102.33 | $128.82 | $169.82 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $29.51 Median $38.90 Typical High $47.86 | Professional | None (both parts) | $29.51 | $38.90 | $47.86 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $9.33 Typical High $11.75 | Professional | 26 · Professional part | $7.76 | $9.33 | $11.75 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $27.54 Typical High $34.67 | Professional | TC · Technical part | $22.91 | $27.54 | $34.67 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $25.70 Median $35.48 Typical High $41.69 | Professional | None (both parts) | $25.70 | $35.48 | $41.69 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $8.91 Typical High $8.91 | Professional | 26 · Professional part | $7.94 | $8.91 | $8.91 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $28.18 Typical High $28.18 | Professional | TC · Technical part | $25.12 | $28.18 | $28.18 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $77.62 Typical High $776.25 | Facility | None | $50.12 | $77.62 | $776.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $23.44 Median $32.36 Typical High $58.88 | Professional | None (both parts) | $23.44 | $32.36 | $58.88 |
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 $17.38 Median $23.99 Typical High $42.66 | Professional | TC · Technical part | $17.38 | $23.99 | $42.66 |
Kaiser Permanente Setting Professional Modifier None Typical Low $31.62 Median $37.15 Typical High $46.77 | Professional | None | $31.62 | $37.15 | $46.77 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $9.12 Typical High $11.75 | Professional | 26 · Professional part | $8.13 | $9.12 | $11.75 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $28.18 Typical High $34.67 | Professional | TC · Technical part | $23.44 | $28.18 | $34.67 |
Medcost Setting Professional Modifier None Typical Low $39.81 Median $50.12 Typical High $50.12 | Professional | None | $39.81 | $50.12 | $50.12 |
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 $40.74 Median $40.74 Typical High $54.95 | Facility | None | $40.74 | $40.74 | $54.95 |
Medcost Setting Professional Modifier None (both parts) Typical Low $30.20 Median $33.11 Typical High $39.81 | Professional | None (both parts) | $30.20 | $33.11 | $39.81 |
Sentara Setting Facility Modifier None Typical Low $9.77 Median $30.20 Typical High $154.88 | Facility | None | $9.77 | $30.20 | $154.88 |
Sentara Setting Professional Modifier None (both parts) Typical Low $11.22 Median $33.11 Typical High $67.61 | Professional | None (both parts) | $11.22 | $33.11 | $67.61 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $11.22 Typical High $19.05 | Professional | 26 · Professional part | $8.51 | $11.22 | $19.05 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $30.20 Typical High $52.48 | Professional | TC · Technical part | $23.44 | $30.20 | $52.48 |
United Setting Facility Modifier None Typical Low $165.96 Median $181.97 Typical High $407.38 | Facility | None | $165.96 | $181.97 | $407.38 |
United Setting Professional Modifier None (both parts) Typical Low $22.91 Median $36.31 Typical High $56.23 | Professional | None (both parts) | $22.91 | $36.31 | $56.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.31 Median $10.23 Typical High $15.49 | Professional | 26 · Professional part | $6.31 | $10.23 | $15.49 |
United Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $26.92 Typical High $41.69 | Professional | TC · Technical part | $16.98 | $26.92 | $41.69 |
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 $13.49 Median $13.49 Typical High $15.85 | Professional | 52 · Reduced service | $13.49 | $13.49 | $15.85 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.50 Median $5.50 Typical High $6.31 | Professional | 53 · Discontinued | $5.50 | $5.50 | $6.31 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $21.88 Median $21.88 Typical High $25.12 | Professional | FX · Film X-ray | $21.88 | $21.88 | $25.12 |
Medcost Setting Professional Modifier 27 · Multiple hospital visits Typical Low $27.54 Median $34.67 Typical High $34.67 | Professional | 27 · Multiple hospital visits | $27.54 | $34.67 | $34.67 |
Where Virginia sits
The same service costs 3.8 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· 31st of 51
$36.31
AK $95.50FL $25.12
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.