How much rates vary
Facilitymedian $151 · 10th to 90th $48 to $537Professionalmedian $123 · 10th to 90th $79 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 $87.10 Median $104.71 Typical High $331.13 | Facility | None | $87.10 | $104.71 | $331.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $100.00 Typical High $144.54 | Professional | None (both parts) | $87.10 | $100.00 | $144.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $37.15 Typical High $45.71 | Professional | 26 · Professional part | $35.48 | $37.15 | $45.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $61.66 Typical High $102.33 | Professional | TC · Technical part | $50.12 | $61.66 | $102.33 |
Anthem BCBS Setting Facility Modifier None Typical Low $346.74 Median $446.68 Typical High $575.44 | Facility | None | $346.74 | $446.68 | $575.44 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $97.72 Median $123.03 Typical High $158.49 | Professional | None (both parts) | $97.72 | $123.03 | $158.49 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $43.65 Typical High $57.54 | Professional | 26 · Professional part | $36.31 | $43.65 | $57.54 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $77.62 Typical High $102.33 | Professional | TC · Technical part | $64.57 | $77.62 | $102.33 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $46.77 Median $100.00 Typical High $151.36 | Professional | None (both parts) | $46.77 | $100.00 | $151.36 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $89.13 Typical High $117.49 | Professional | TC · Technical part | $89.13 | $89.13 | $117.49 |
Cigna Setting Facility Modifier None Typical Low $165.96 Median $263.03 Typical High $870.96 | Facility | None | $165.96 | $263.03 | $870.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $77.62 Median $125.89 Typical High $239.88 | Professional | None (both parts) | $77.62 | $125.89 | $239.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $39.81 Typical High $77.62 | Professional | 26 · Professional part | $28.84 | $39.81 | $77.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $79.43 Typical High $186.21 | Professional | TC · Technical part | $48.98 | $79.43 | $186.21 |
Kaiser Permanente Setting Professional Modifier None Typical Low $107.15 Median $125.89 Typical High $158.49 | Professional | None | $107.15 | $125.89 | $158.49 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $43.65 Typical High $54.95 | Professional | 26 · Professional part | $39.81 | $43.65 | $54.95 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $83.18 Typical High $102.33 | Professional | TC · Technical part | $69.18 | $83.18 | $102.33 |
Medcost Setting Professional Modifier None Typical Low $251.19 Median $302.00 Typical High $316.23 | Professional | None | $251.19 | $302.00 | $316.23 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $72.44 Typical High $72.44 | Professional | 26 · Professional part | $57.54 | $72.44 | $72.44 |
Medcost Setting Facility Modifier None Typical Low $128.82 Median $204.17 Typical High $478.63 | Facility | None | $128.82 | $204.17 | $478.63 |
Medcost Setting Professional Modifier None (both parts) Typical Low $102.33 Median $112.20 Typical High $190.55 | Professional | None (both parts) | $102.33 | $112.20 | $190.55 |
Sentara Setting Facility Modifier None Typical Low $42.66 Median $114.82 Typical High $275.42 | Facility | None | $42.66 | $114.82 | $275.42 |
Sentara Setting Professional Modifier None (both parts) Typical Low $50.12 Median $144.54 Typical High $251.19 | Professional | None (both parts) | $50.12 | $144.54 | $251.19 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $53.70 Typical High $93.33 | Professional | 26 · Professional part | $41.69 | $53.70 | $93.33 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $107.15 Typical High $194.98 | Professional | TC · Technical part | $70.79 | $107.15 | $194.98 |
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 $83.18 Median $138.04 Typical High $269.15 | Professional | None (both parts) | $83.18 | $138.04 | $269.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $48.98 Typical High $75.86 | Professional | 26 · Professional part | $30.20 | $48.98 | $75.86 |
United Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $81.28 Typical High $199.53 | Professional | TC · Technical part | $50.12 | $81.28 | $199.53 |
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 $43.65 Median $46.77 Typical High $52.48 | Professional | 52 · Reduced service | $43.65 | $46.77 | $52.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $18.62 Typical High $20.89 | Professional | 53 · Discontinued | $17.38 | $18.62 | $20.89 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $69.18 Median $69.18 Typical High $83.18 | Professional | FX · Film X-ray | $69.18 | $69.18 | $83.18 |
Medcost Setting Professional Modifier 27 · Multiple hospital visits Typical Low $194.98 Median $239.88 Typical High $239.88 | Professional | 27 · Multiple hospital visits | $194.98 | $239.88 | $239.88 |
Where Virginia sits
The same service costs 4.3 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· 38th of 51
$123
AK $324UT $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.