How much rates vary
Facilitymedian $162 · 10th to 90th $35 to $575Professionalmedian $138 · 10th to 90th $89 to $200
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 $104.71 Median $169.82 Typical High $169.82 | Facility | None | $104.71 | $169.82 | $169.82 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $24.55 Median $31.62 Typical High $48.98 | Facility | 26 · Professional part | $24.55 | $31.62 | $48.98 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $79.43 Median $120.23 Typical High $316.23 | Facility | TC · Technical part | $79.43 | $120.23 | $316.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $117.49 Typical High $165.96 | Professional | None (both parts) | $104.71 | $117.49 | $165.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $25.70 Typical High $31.62 | Professional | 26 · Professional part | $23.99 | $25.70 | $31.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $93.33 Typical High $120.23 | Professional | TC · Technical part | $79.43 | $93.33 | $120.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $426.58 Median $537.03 Typical High $707.95 | Facility | None | $426.58 | $537.03 | $707.95 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $123.03 Median $151.36 Typical High $190.55 | Professional | None (both parts) | $123.03 | $151.36 | $190.55 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $30.20 Typical High $38.02 | Professional | 26 · Professional part | $25.12 | $30.20 | $38.02 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $154.88 Median $218.78 Typical High $275.42 | Professional | 50 · Both sides | $154.88 | $218.78 | $275.42 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $120.23 Typical High $147.91 | Professional | TC · Technical part | $97.72 | $120.23 | $147.91 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $28.84 Median $134.90 Typical High $162.18 | Professional | None (both parts) | $28.84 | $134.90 | $162.18 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $25.70 Typical High $36.31 | Professional | 26 · Professional part | $25.70 | $25.70 | $36.31 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $120.23 Typical High $125.89 | Professional | TC · Technical part | $107.15 | $120.23 | $125.89 |
Cigna Setting Facility Modifier None Typical Low $218.78 Median $346.74 Typical High $1,000.00 | Facility | None | $218.78 | $346.74 | $1,000.00 |
Cigna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $123.03 Typical High $229.09 | Professional | None (both parts) | $93.33 | $123.03 | $229.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $27.54 Typical High $53.70 | Professional | 26 · Professional part | $19.50 | $27.54 | $53.70 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $95.50 Typical High $181.97 | Professional | TC · Technical part | $74.13 | $95.50 | $181.97 |
Kaiser Permanente Setting Professional Modifier None Typical Low $131.83 Median $154.88 Typical High $194.98 | Professional | None | $131.83 | $154.88 | $194.98 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $29.51 Typical High $38.02 | Professional | 26 · Professional part | $26.30 | $29.51 | $38.02 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $125.89 Typical High $154.88 | Professional | TC · Technical part | $104.71 | $125.89 | $154.88 |
Medcost Setting Professional Modifier None Typical Low $114.82 Median $141.25 Typical High $141.25 | Professional | None | $114.82 | $141.25 | $141.25 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $46.77 Typical High $46.77 | Professional | 26 · Professional part | $38.02 | $46.77 | $46.77 |
Medcost Setting Facility Modifier None Typical Low $141.25 Median $141.25 Typical High $213.80 | Facility | None | $141.25 | $141.25 | $213.80 |
Medcost Setting Professional Modifier None (both parts) Typical Low $95.50 Median $95.50 Typical High $138.04 | Professional | None (both parts) | $95.50 | $95.50 | $138.04 |
Sentara Setting Facility Modifier None Typical Low $28.18 Median $100.00 Typical High $288.40 | Facility | None | $28.18 | $100.00 | $288.40 |
Sentara Setting Professional Modifier None (both parts) Typical Low $34.67 Median $114.82 Typical High $234.42 | Professional | None (both parts) | $34.67 | $114.82 | $234.42 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $35.48 Typical High $63.10 | Professional | 26 · Professional part | $28.18 | $35.48 | $63.10 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $120.23 Typical High $234.42 | Professional | TC · Technical part | $77.62 | $120.23 | $234.42 |
United Setting Facility Modifier None Typical Low $660.69 Median $724.44 Typical High $1,621.81 | Facility | None | $660.69 | $724.44 | $1,621.81 |
United Setting Professional Modifier None (both parts) Typical Low $83.18 Median $131.83 Typical High $218.78 | Professional | None (both parts) | $83.18 | $131.83 | $218.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $33.11 Typical High $52.48 | Professional | 26 · Professional part | $19.95 | $33.11 | $52.48 |
United Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $100.00 Typical High $162.18 | Professional | TC · Technical part | $60.26 | $100.00 | $162.18 |
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 $52.48 Median $56.23 Typical High $66.07 | Professional | 52 · Reduced service | $52.48 | $56.23 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $22.91 Typical High $26.30 | Professional | 53 · Discontinued | $20.89 | $22.91 | $26.30 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $85.11 Median $85.11 Typical High $104.71 | Professional | FX · Film X-ray | $85.11 | $85.11 | $104.71 |
Medcost Setting Professional Modifier 27 · Multiple hospital visits Typical Low $75.86 Median $95.50 Typical High $95.50 | Professional | 27 · Multiple hospital visits | $75.86 | $95.50 | $95.50 |
Where Virginia sits
The same service costs 4.2 times more in Alaska than in New York. 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· 29th of 51
$138
AK $398NY $95.50
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.