How much rates vary
Facilitymedian $43 · 10th to 90th $11 to $148Professionalmedian $36 · 10th to 90th $26 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 $28.18 Median $41.69 Typical High $57.54 | Facility | None | $28.18 | $41.69 | $57.54 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $7.24 Median $10.23 Typical High $15.49 | Facility | 26 · Professional part | $7.24 | $10.23 | $15.49 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $20.89 Median $31.62 Typical High $47.86 | Facility | TC · Technical part | $20.89 | $31.62 | $47.86 |
Aetna Setting Professional Modifier None (both parts) Typical Low $28.18 Median $33.11 Typical High $56.23 | Professional | None (both parts) | $28.18 | $33.11 | $56.23 |
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 $20.89 Median $25.70 Typical High $41.69 | Professional | TC · Technical part | $20.89 | $25.70 | $41.69 |
Anthem BCBS Setting Facility Modifier None Typical Low $109.65 Median $138.04 Typical High $181.97 | Facility | None | $109.65 | $138.04 | $181.97 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $28.18 Median $38.02 Typical High $46.77 | Professional | None (both parts) | $28.18 | $38.02 | $46.77 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $8.91 Typical High $11.48 | Professional | 26 · Professional part | $7.41 | $8.91 | $11.48 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $40.74 Median $54.95 Typical High $69.18 | Professional | 50 · Both sides | $40.74 | $54.95 | $69.18 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $28.84 Typical High $38.02 | Professional | TC · Technical part | $23.44 | $28.84 | $38.02 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $8.51 Median $34.67 Typical High $38.02 | Professional | None (both parts) | $8.51 | $34.67 | $38.02 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $7.76 Typical High $10.96 | Professional | 26 · Professional part | $7.76 | $7.76 | $10.96 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $29.51 Typical High $37.15 | Professional | TC · Technical part | $29.51 | $29.51 | $37.15 |
Cigna Setting Facility Modifier None Typical Low $56.23 Median $83.18 Typical High $776.25 | Facility | None | $56.23 | $83.18 | $776.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $23.99 Median $33.88 Typical High $58.88 | Professional | None (both parts) | $23.99 | $33.88 | $58.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $5.75 Median $8.51 Typical High $15.85 | Professional | 26 · Professional part | $5.75 | $8.51 | $15.85 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $24.55 Typical High $44.67 | Professional | TC · Technical part | $18.20 | $24.55 | $44.67 |
Kaiser Permanente Setting Professional Modifier None Typical Low $33.88 Median $39.81 Typical High $50.12 | Professional | None | $33.88 | $39.81 | $50.12 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $9.12 Typical High $11.48 | Professional | 26 · Professional part | $8.13 | $9.12 | $11.48 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $30.90 Typical High $38.02 | Professional | TC · Technical part | $25.70 | $30.90 | $38.02 |
Medcost Setting Professional Modifier None Typical Low $33.88 Median $42.66 Typical High $42.66 | Professional | None | $33.88 | $42.66 | $42.66 |
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 $38.90 Median $38.90 Typical High $57.54 | Facility | None | $38.90 | $38.90 | $57.54 |
Medcost Setting Professional Modifier None (both parts) Typical Low $29.51 Median $30.20 Typical High $39.81 | Professional | None (both parts) | $29.51 | $30.20 | $39.81 |
Sentara Setting Facility Modifier None Typical Low $8.71 Median $28.18 Typical High $114.82 | Facility | None | $8.71 | $28.18 | $114.82 |
Sentara Setting Professional Modifier None (both parts) Typical Low $10.47 Median $33.11 Typical High $69.18 | Professional | None (both parts) | $10.47 | $33.11 | $69.18 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $10.72 Typical High $19.05 | Professional | 26 · Professional part | $8.32 | $10.72 | $19.05 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $31.62 Typical High $56.23 | Professional | TC · Technical part | $23.44 | $31.62 | $56.23 |
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 $22.39 Median $36.31 Typical High $58.88 | Professional | None (both parts) | $22.39 | $36.31 | $58.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.03 Median $10.00 Typical High $15.14 | Professional | 26 · Professional part | $6.03 | $10.00 | $15.14 |
United Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $25.70 Typical High $41.69 | Professional | TC · Technical part | $15.85 | $25.70 | $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 $14.13 Median $14.45 Typical High $16.60 | Professional | 52 · Reduced service | $14.13 | $14.45 | $16.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.75 Median $5.75 Typical High $6.61 | Professional | 53 · Discontinued | $5.75 | $5.75 | $6.61 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $22.91 Median $22.91 Typical High $26.30 | Professional | FX · Film X-ray | $22.91 | $22.91 | $26.30 |
Medcost Setting Professional Modifier 27 · Multiple hospital visits Typical Low $22.91 Median $28.18 Typical High $28.18 | Professional | 27 · Multiple hospital visits | $22.91 | $28.18 | $28.18 |
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· 33rd of 51
$36.31
AK $100FL $26.92
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.