How much rates vary
Facilitymedian $30 · 10th to 90th $10 to $138Professionalmedian $23 · 10th to 90th $15 to $35
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 $20.89 Median $34.67 Typical High $44.67 | Facility | None | $20.89 | $34.67 | $44.67 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $6.61 Median $11.22 Typical High $13.18 | Facility | 26 · Professional part | $6.61 | $11.22 | $13.18 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $13.80 Median $23.99 Typical High $54.95 | Facility | TC · Technical part | $13.80 | $23.99 | $54.95 |
Aetna Setting Professional Modifier None (both parts) Typical Low $19.50 Median $21.38 Typical High $41.69 | Professional | None (both parts) | $19.50 | $21.38 | $41.69 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.46 Median $7.24 Typical High $13.18 | Professional | 26 · Professional part | $6.46 | $7.24 | $13.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $12.88 Median $14.13 Typical High $28.18 | Professional | TC · Technical part | $12.88 | $14.13 | $28.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $69.18 Median $87.10 Typical High $112.20 | Facility | None | $69.18 | $87.10 | $112.20 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $16.22 Median $23.44 Typical High $29.51 | Professional | None (both parts) | $16.22 | $23.44 | $29.51 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $8.13 Typical High $10.23 | Professional | 26 · Professional part | $6.92 | $8.13 | $10.23 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $26.92 Median $35.48 Typical High $43.65 | Professional | 50 · Both sides | $26.92 | $35.48 | $43.65 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $13.18 Median $16.22 Typical High $23.44 | Professional | TC · Technical part | $13.18 | $16.22 | $23.44 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $7.76 Median $16.60 Typical High $24.55 | Professional | None (both parts) | $7.76 | $16.60 | $24.55 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $7.08 Typical High $9.77 | Professional | 26 · Professional part | $7.08 | $7.08 | $9.77 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $20.42 Typical High $23.44 | Professional | TC · Technical part | $16.60 | $20.42 | $23.44 |
Cigna Setting Facility Modifier None Typical Low $33.88 Median $46.77 Typical High $776.25 | Facility | None | $33.88 | $46.77 | $776.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $15.49 Median $23.99 Typical High $41.69 | Professional | None (both parts) | $15.49 | $23.99 | $41.69 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $5.37 Median $7.41 Typical High $14.45 | Professional | 26 · Professional part | $5.37 | $7.41 | $14.45 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $10.47 Median $16.22 Typical High $26.92 | Professional | TC · Technical part | $10.47 | $16.22 | $26.92 |
Kaiser Permanente Setting Professional Modifier None Typical Low $21.38 Median $25.12 Typical High $31.62 | Professional | None | $21.38 | $25.12 | $31.62 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $7.94 Typical High $10.23 | Professional | 26 · Professional part | $7.24 | $7.94 | $10.23 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $14.13 Median $16.98 Typical High $20.89 | Professional | TC · Technical part | $14.13 | $16.98 | $20.89 |
Medcost Setting Professional Modifier None Typical Low $32.36 Median $40.74 Typical High $40.74 | Professional | None | $32.36 | $40.74 | $40.74 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $13.49 Typical High $13.49 | Professional | 26 · Professional part | $10.96 | $13.49 | $13.49 |
Medcost Setting Facility Modifier None Typical Low $32.36 Median $32.36 Typical High $42.66 | Facility | None | $32.36 | $32.36 | $42.66 |
Medcost Setting Professional Modifier None (both parts) Typical Low $20.42 Median $27.54 Typical High $31.62 | Professional | None (both parts) | $20.42 | $27.54 | $31.62 |
Sentara Setting Facility Modifier None Typical Low $8.32 Median $22.39 Typical High $107.15 | Facility | None | $8.32 | $22.39 | $107.15 |
Sentara Setting Professional Modifier None (both parts) Typical Low $9.77 Median $25.12 Typical High $47.86 | Professional | None (both parts) | $9.77 | $25.12 | $47.86 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $9.77 Typical High $16.98 | Professional | 26 · Professional part | $7.59 | $9.77 | $16.98 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $14.45 Median $20.89 Typical High $33.11 | Professional | TC · Technical part | $14.45 | $20.89 | $33.11 |
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 $16.98 Median $25.70 Typical High $44.67 | Professional | None (both parts) | $16.98 | $25.70 | $44.67 |
United Setting Professional Modifier 26 · Professional part Typical Low $5.50 Median $8.91 Typical High $13.80 | Professional | 26 · Professional part | $5.50 | $8.91 | $13.80 |
United Setting Professional Modifier TC · Technical part Typical Low $10.96 Median $17.78 Typical High $30.20 | Professional | TC · Technical part | $10.96 | $17.78 | $30.20 |
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 $9.12 Median $10.47 Typical High $10.72 | Professional | 52 · Reduced service | $9.12 | $10.47 | $10.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.63 Median $4.17 Typical High $4.27 | Professional | 53 · Discontinued | $3.63 | $4.17 | $4.27 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $15.49 Median $16.98 Typical High $16.98 | Professional | FX · Film X-ray | $15.49 | $16.98 | $16.98 |
Medcost Setting Professional Modifier 27 · Multiple hospital visits Typical Low $21.88 Median $27.54 Typical High $27.54 | Professional | 27 · Multiple hospital visits | $21.88 | $27.54 | $27.54 |
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· 40th of 51
$23.44
AK $64.57FL $17.38
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.