How much rates vary
Facilitymedian $41 · 10th to 90th $11 to $170Professionalmedian $35 · 10th to 90th $23 to $51
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 $25.70 Median $40.74 Typical High $58.88 | Facility | None | $25.70 | $40.74 | $58.88 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $7.24 Median $12.30 Typical High $15.49 | Facility | 26 · Professional part | $7.24 | $12.30 | $15.49 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $18.20 Median $29.51 Typical High $44.67 | Facility | TC · Technical part | $18.20 | $29.51 | $44.67 |
Aetna Setting Professional Modifier None (both parts) Typical Low $25.70 Median $30.90 Typical High $53.70 | Professional | None (both parts) | $25.70 | $30.90 | $53.70 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $7.59 Typical High $14.13 | Professional | 26 · Professional part | $7.24 | $7.59 | $14.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $23.99 Typical High $39.81 | Professional | TC · Technical part | $18.20 | $23.99 | $39.81 |
Anthem BCBS Setting Facility Modifier None Typical Low $107.15 Median $134.90 Typical High $173.78 | Facility | None | $107.15 | $134.90 | $173.78 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $29.51 Median $38.02 Typical High $47.86 | Professional | None (both parts) | $29.51 | $38.02 | $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 50 · Both sides Typical Low $38.90 Median $53.70 Typical High $66.07 | Professional | 50 · Both sides | $38.90 | $53.70 | $66.07 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $28.18 Typical High $35.48 | Professional | TC · Technical part | $22.91 | $28.18 | $35.48 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $7.76 Median $33.11 Typical High $37.15 | Professional | None (both parts) | $7.76 | $33.11 | $37.15 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $28.84 Typical High $29.51 | Professional | TC · Technical part | $25.70 | $28.84 | $29.51 |
Cigna Setting Facility Modifier None Typical Low $51.29 Median $77.62 Typical High $776.25 | Facility | None | $51.29 | $77.62 | $776.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $23.44 Median $32.36 Typical High $56.23 | Professional | None (both parts) | $23.44 | $32.36 | $56.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $5.75 Median $7.94 Typical High $15.85 | Professional | 26 · Professional part | $5.75 | $7.94 | $15.85 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $23.99 Typical High $42.66 | Professional | TC · Technical part | $17.78 | $23.99 | $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 $7.94 Median $8.71 Typical High $11.22 | Professional | 26 · Professional part | $7.94 | $8.71 | $11.22 |
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 $35.48 Median $44.67 Typical High $44.67 | Professional | None | $35.48 | $44.67 | $44.67 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $14.13 Typical High $14.13 | Professional | 26 · Professional part | $11.48 | $14.13 | $14.13 |
Medcost Setting Facility Modifier None Typical Low $38.02 Median $38.02 Typical High $52.48 | Facility | None | $38.02 | $38.02 | $52.48 |
Medcost Setting Professional Modifier None (both parts) Typical Low $29.51 Median $30.20 Typical High $38.02 | Professional | None (both parts) | $29.51 | $30.20 | $38.02 |
Sentara Setting Facility Modifier None Typical Low $8.91 Median $28.18 Typical High $134.90 | Facility | None | $8.91 | $28.18 | $134.90 |
Sentara Setting Professional Modifier None (both parts) Typical Low $10.23 Median $32.36 Typical High $64.57 | Professional | None (both parts) | $10.23 | $32.36 | $64.57 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $10.47 Typical High $18.62 | Professional | 26 · Professional part | $8.13 | $10.47 | $18.62 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $26.92 Typical High $48.98 | Professional | TC · Technical part | $17.78 | $26.92 | $48.98 |
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 $21.88 Median $36.31 Typical High $56.23 | Professional | None (both parts) | $21.88 | $36.31 | $56.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $5.89 Median $9.77 Typical High $15.49 | Professional | 26 · Professional part | $5.89 | $9.77 | $15.49 |
United Setting Professional Modifier TC · Technical part Typical Low $15.49 Median $26.30 Typical High $38.90 | Professional | TC · Technical part | $15.49 | $26.30 | $38.90 |
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 $12.88 Median $13.49 Typical High $15.49 | Professional | 52 · Reduced service | $12.88 | $13.49 | $15.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.25 Median $5.50 Typical High $6.31 | Professional | 53 · Discontinued | $5.25 | $5.50 | $6.31 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $20.89 Median $20.89 Typical High $25.12 | Professional | FX · Film X-ray | $20.89 | $20.89 | $25.12 |
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 6.0 times more in Vermont 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
$34.67
VT $155FL $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.