How much rates vary
Facilitymedian $40 · 10th to 90th $11 to $174Professionalmedian $34 · 10th to 90th $25 to $49
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 $41.69 Typical High $56.23 | Facility | None | $25.70 | $41.69 | $56.23 |
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 $30.20 Typical High $42.66 | Facility | TC · Technical part | $18.20 | $30.20 | $42.66 |
Aetna Setting Professional Modifier None (both parts) Typical Low $25.70 Median $30.20 Typical High $51.29 | Professional | None (both parts) | $25.70 | $30.20 | $51.29 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $7.59 Typical High $14.13 | Professional | 26 · Professional part | $7.08 | $7.59 | $14.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $22.91 Typical High $38.02 | Professional | TC · Technical part | $18.20 | $22.91 | $38.02 |
Anthem BCBS Setting Facility Modifier None Typical Low $100.00 Median $125.89 Typical High $165.96 | Facility | None | $100.00 | $125.89 | $165.96 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $28.84 Median $35.48 Typical High $45.71 | Professional | None (both parts) | $28.84 | $35.48 | $45.71 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $8.91 Typical High $10.96 | Professional | 26 · Professional part | $7.41 | $8.91 | $10.96 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $38.90 Median $51.29 Typical High $64.57 | Professional | 50 · Both sides | $38.90 | $51.29 | $64.57 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $26.30 Typical High $35.48 | Professional | TC · Technical part | $21.88 | $26.30 | $35.48 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $27.54 Median $32.36 Typical High $39.81 | Professional | None (both parts) | $27.54 | $32.36 | $39.81 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $8.51 Typical High $8.91 | Professional | 26 · Professional part | $7.76 | $8.51 | $8.91 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $26.92 Typical High $30.90 | Professional | TC · Technical part | $24.55 | $26.92 | $30.90 |
Cigna Setting Facility Modifier None Typical Low $48.98 Median $74.13 Typical High $776.25 | Facility | None | $48.98 | $74.13 | $776.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $22.39 Median $30.90 Typical High $54.95 | Professional | None (both parts) | $22.39 | $30.90 | $54.95 |
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 $16.60 Median $22.91 Typical High $40.74 | Professional | TC · Technical part | $16.60 | $22.91 | $40.74 |
Kaiser Permanente Setting Professional Modifier None Typical Low $30.90 Median $36.31 Typical High $45.71 | Professional | None | $30.90 | $36.31 | $45.71 |
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 $22.91 Median $27.54 Typical High $34.67 | Professional | TC · Technical part | $22.91 | $27.54 | $34.67 |
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 $37.15 Median $37.15 Typical High $52.48 | Facility | None | $37.15 | $37.15 | $52.48 |
Medcost Setting Professional Modifier None (both parts) Typical Low $19.95 Median $19.95 Typical High $36.31 | Professional | None (both parts) | $19.95 | $19.95 | $36.31 |
Sentara Setting Facility Modifier None Typical Low $8.91 Median $27.54 Typical High $138.04 | Facility | None | $8.91 | $27.54 | $138.04 |
Sentara Setting Professional Modifier None (both parts) Typical Low $10.23 Median $30.90 Typical High $63.10 | Professional | None (both parts) | $10.23 | $30.90 | $63.10 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $10.47 Typical High $18.62 | Professional | 26 · Professional part | $8.32 | $10.47 | $18.62 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $28.84 Typical High $50.12 | Professional | TC · Technical part | $21.88 | $28.84 | $50.12 |
United Setting Facility Modifier None Typical Low $199.53 Median $218.78 Typical High $489.78 | Facility | None | $199.53 | $218.78 | $489.78 |
United Setting Professional Modifier None (both parts) Typical Low $21.38 Median $34.67 Typical High $52.48 | Professional | None (both parts) | $21.38 | $34.67 | $52.48 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.03 Median $9.77 Typical High $14.79 | Professional | 26 · Professional part | $6.03 | $9.77 | $14.79 |
United Setting Professional Modifier TC · Technical part Typical Low $14.79 Median $24.55 Typical High $38.02 | Professional | TC · Technical part | $14.79 | $24.55 | $38.02 |
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 $13.18 Typical High $15.14 | Professional | 52 · Reduced service | $12.88 | $13.18 | $15.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.25 Median $5.25 Typical High $6.03 | Professional | 53 · Discontinued | $5.25 | $5.25 | $6.03 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $20.89 Median $20.89 Typical High $23.99 | Professional | FX · Film X-ray | $20.89 | $20.89 | $23.99 |
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· 30th of 51
$34.67
AK $91.20FL $24.55
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.