How much rates vary
Facilitymedian $45 · 10th to 90th $9 to $162Professionalmedian $40 · 10th to 90th $28 to $58
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 $30.20 Median $41.69 Typical High $63.10 | Facility | None | $30.20 | $41.69 | $63.10 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $6.03 Median $8.51 Typical High $12.88 | Facility | 26 · Professional part | $6.03 | $8.51 | $12.88 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $23.44 Median $33.11 Typical High $57.54 | Facility | TC · Technical part | $23.44 | $33.11 | $57.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $30.20 Median $37.15 Typical High $58.88 | Professional | None (both parts) | $30.20 | $37.15 | $58.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $5.89 Median $6.31 Typical High $11.75 | Professional | 26 · Professional part | $5.89 | $6.31 | $11.75 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $30.20 Typical High $46.77 | Professional | TC · Technical part | $23.44 | $30.20 | $46.77 |
Anthem BCBS Setting Facility Modifier None Typical Low $125.89 Median $158.49 Typical High $208.93 | Facility | None | $125.89 | $158.49 | $208.93 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $34.67 Median $42.66 Typical High $54.95 | Professional | None (both parts) | $34.67 | $42.66 | $54.95 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $6.17 Median $7.41 Typical High $9.12 | Professional | 26 · Professional part | $6.17 | $7.41 | $9.12 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $45.71 Median $61.66 Typical High $77.62 | Professional | 50 · Both sides | $45.71 | $61.66 | $77.62 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $37.15 Typical High $45.71 | Professional | TC · Technical part | $29.51 | $37.15 | $45.71 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $33.11 Median $39.81 Typical High $45.71 | Professional | None (both parts) | $33.11 | $39.81 | $45.71 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $6.46 Median $7.08 Typical High $7.41 | Professional | 26 · Professional part | $6.46 | $7.08 | $7.41 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $36.31 Typical High $45.71 | Professional | TC · Technical part | $36.31 | $36.31 | $45.71 |
Cigna Setting Facility Modifier None Typical Low $64.57 Median $100.00 Typical High $776.25 | Facility | None | $64.57 | $100.00 | $776.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $27.54 Median $34.67 Typical High $66.07 | Professional | None (both parts) | $27.54 | $34.67 | $66.07 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $4.90 Median $6.76 Typical High $13.18 | Professional | 26 · Professional part | $4.90 | $6.76 | $13.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $29.51 Typical High $52.48 | Professional | TC · Technical part | $21.38 | $29.51 | $52.48 |
Kaiser Permanente Setting Professional Modifier None Typical Low $38.90 Median $45.71 Typical High $57.54 | Professional | None | $38.90 | $45.71 | $57.54 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $6.61 Median $7.24 Typical High $9.33 | Professional | 26 · Professional part | $6.61 | $7.24 | $9.33 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $38.90 Typical High $47.86 | Professional | TC · Technical part | $32.36 | $38.90 | $47.86 |
Medcost Setting Professional Modifier None Typical Low $28.84 Median $36.31 Typical High $36.31 | Professional | None | $28.84 | $36.31 | $36.31 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $11.75 Typical High $11.75 | Professional | 26 · Professional part | $9.33 | $11.75 | $11.75 |
Medcost Setting Facility Modifier None Typical Low $38.90 Median $38.90 Typical High $60.26 | Facility | None | $38.90 | $38.90 | $60.26 |
Medcost Setting Professional Modifier None (both parts) Typical Low $19.95 Median $19.95 Typical High $39.81 | Professional | None (both parts) | $19.95 | $19.95 | $39.81 |
Sentara Setting Facility Modifier None Typical Low $7.24 Median $30.90 Typical High $107.15 | Facility | None | $7.24 | $30.90 | $107.15 |
Sentara Setting Professional Modifier None (both parts) Typical Low $8.51 Median $33.11 Typical High $70.79 | Professional | None (both parts) | $8.51 | $33.11 | $70.79 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $8.51 Typical High $15.49 | Professional | 26 · Professional part | $6.76 | $8.51 | $15.49 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $36.31 Typical High $66.07 | Professional | TC · Technical part | $21.38 | $36.31 | $66.07 |
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 $61.66 | Professional | None (both parts) | $21.88 | $36.31 | $61.66 |
United Setting Professional Modifier 26 · Professional part Typical Low $4.90 Median $7.94 Typical High $12.30 | Professional | 26 · Professional part | $4.90 | $7.94 | $12.30 |
United Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $28.84 Typical High $47.86 | Professional | TC · Technical part | $16.22 | $28.84 | $47.86 |
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 $15.14 Median $15.85 Typical High $18.62 | Professional | 52 · Reduced service | $15.14 | $15.85 | $18.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.03 Median $6.31 Typical High $7.41 | Professional | 53 · Discontinued | $6.03 | $6.31 | $7.41 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $23.99 Median $23.99 Typical High $29.51 | Professional | FX · Film X-ray | $23.99 | $23.99 | $29.51 |
Medcost Setting Professional Modifier 27 · Multiple hospital visits Typical Low $19.50 Median $26.30 Typical High $26.30 | Professional | 27 · Multiple hospital visits | $19.50 | $26.30 | $26.30 |
Where Virginia sits
The same service costs 11.5 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· 27th of 51
$39.81
VT $339FL $29.51
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.