How much rates vary
Facilitymedian $158 · 10th to 90th $52 to $562Professionalmedian $120 · 10th to 90th $69 to $209
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 $95.50 Median $114.82 Typical High $346.74 | Facility | None | $95.50 | $114.82 | $346.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $100.00 Typical High $114.82 | Professional | None (both parts) | $95.50 | $100.00 | $114.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $41.69 Typical High $42.66 | Professional | 26 · Professional part | $40.74 | $41.69 | $42.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $58.88 Typical High $72.44 | Professional | TC · Technical part | $51.29 | $58.88 | $72.44 |
Anthem BCBS Setting Facility Modifier None Typical Low $331.13 Median $416.87 Typical High $549.54 | Facility | None | $331.13 | $416.87 | $549.54 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $75.86 Median $120.23 Typical High $154.88 | Professional | None (both parts) | $75.86 | $120.23 | $154.88 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $47.86 Typical High $61.66 | Professional | 26 · Professional part | $39.81 | $47.86 | $61.66 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $74.13 Typical High $97.72 | Professional | TC · Technical part | $60.26 | $74.13 | $97.72 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $50.12 Median $83.18 Typical High $147.91 | Professional | None (both parts) | $50.12 | $83.18 | $147.91 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $66.07 Typical High $85.11 | Professional | 26 · Professional part | $47.86 | $66.07 | $85.11 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $93.33 Typical High $123.03 | Professional | TC · Technical part | $93.33 | $93.33 | $123.03 |
Cigna Setting Facility Modifier None Typical Low $154.88 Median $257.04 Typical High $870.96 | Facility | None | $154.88 | $257.04 | $870.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $79.43 Median $123.03 Typical High $257.04 | Professional | None (both parts) | $79.43 | $123.03 | $257.04 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $44.67 Typical High $85.11 | Professional | 26 · Professional part | $31.62 | $44.67 | $85.11 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $75.86 Typical High $194.98 | Professional | TC · Technical part | $47.86 | $75.86 | $194.98 |
Kaiser Permanente Setting Professional Modifier None Typical Low $102.33 Median $120.23 Typical High $151.36 | Professional | None | $102.33 | $120.23 | $151.36 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $45.71 Typical High $61.66 | Professional | 26 · Professional part | $41.69 | $45.71 | $61.66 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $72.44 Typical High $91.20 | Professional | TC · Technical part | $61.66 | $72.44 | $91.20 |
Medcost Setting Professional Modifier None Typical Low $269.15 Median $323.59 Typical High $331.13 | Professional | None | $269.15 | $323.59 | $331.13 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $77.62 Typical High $77.62 | Professional | 26 · Professional part | $63.10 | $77.62 | $77.62 |
Medcost Setting Facility Modifier None Typical Low $138.04 Median $199.53 Typical High $512.86 | Facility | None | $138.04 | $199.53 | $512.86 |
Medcost Setting Professional Modifier None (both parts) Typical Low $112.20 Median $229.09 Typical High $281.84 | Professional | None (both parts) | $112.20 | $229.09 | $281.84 |
Sentara Setting Facility Modifier None Typical Low $44.67 Median $120.23 Typical High $295.12 | Facility | None | $44.67 | $120.23 | $295.12 |
Sentara Setting Professional Modifier None (both parts) Typical Low $56.23 Median $144.54 Typical High $263.03 | Professional | None (both parts) | $56.23 | $144.54 | $263.03 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $58.88 Typical High $100.00 | Professional | 26 · Professional part | $44.67 | $58.88 | $100.00 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $109.65 Typical High $208.93 | Professional | TC · Technical part | $74.13 | $109.65 | $208.93 |
United Setting Facility Modifier None Typical Low $1,479.11 Median $1,621.81 Typical High $3,630.78 | Facility | None | $1,479.11 | $1,621.81 | $3,630.78 |
United Setting Professional Modifier None (both parts) Typical Low $91.20 Median $147.91 Typical High $288.40 | Professional | None (both parts) | $91.20 | $147.91 | $288.40 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $54.95 Typical High $87.10 | Professional | 26 · Professional part | $33.11 | $54.95 | $87.10 |
United Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $87.10 Typical High $204.17 | Professional | TC · Technical part | $52.48 | $87.10 | $204.17 |
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 $47.86 Median $50.12 Typical High $57.54 | Professional | 52 · Reduced service | $47.86 | $50.12 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $19.95 Typical High $22.91 | Professional | 53 · Discontinued | $19.05 | $19.95 | $22.91 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $75.86 Median $75.86 Typical High $91.20 | Professional | FX · Film X-ray | $75.86 | $75.86 | $91.20 |
Medcost Setting Professional Modifier 27 · Multiple hospital visits Typical Low $204.17 Median $257.04 Typical High $257.04 | Professional | 27 · Multiple hospital visits | $204.17 | $257.04 | $257.04 |
Where Virginia sits
The same service costs 4.6 times more in Alaska 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· 40th of 51
$120
AK $347UT $75.86
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.