How much rates vary
Facilitymedian $537 · 10th to 90th $89 to $2,138Professionalmedian $380 · 10th to 90th $251 to $676
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 $524.81 Median $1,258.93 Typical High $3,162.28 | Facility | None | $524.81 | $1,258.93 | $3,162.28 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $104.71 Median $120.23 Typical High $194.98 | Facility | 26 · Professional part | $104.71 | $120.23 | $194.98 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $281.84 Median $512.86 Typical High $1,445.44 | Facility | TC · Technical part | $281.84 | $512.86 | $1,445.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $389.05 Median $524.81 Typical High $851.14 | Professional | None (both parts) | $389.05 | $524.81 | $851.14 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $120.23 Typical High $154.88 | Professional | 26 · Professional part | $87.10 | $120.23 | $154.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $371.54 Typical High $549.54 | Professional | TC · Technical part | $281.84 | $371.54 | $549.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $977.24 Median $1,230.27 Typical High $1,584.89 | Facility | None | $977.24 | $1,230.27 | $1,584.89 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $288.40 Median $346.74 Typical High $457.09 | Professional | None (both parts) | $288.40 | $346.74 | $457.09 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $70.79 Typical High $89.13 | Professional | 26 · Professional part | $58.88 | $70.79 | $89.13 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $380.19 Median $512.86 Typical High $645.65 | Professional | 50 · Both sides | $380.19 | $512.86 | $645.65 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $275.42 Typical High $354.81 | Professional | TC · Technical part | $229.09 | $275.42 | $354.81 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $79.43 Median $407.38 Typical High $478.63 | Professional | None (both parts) | $79.43 | $407.38 | $478.63 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $104.71 Typical High $123.03 | Professional | 26 · Professional part | $63.10 | $104.71 | $123.03 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $363.08 Typical High $407.38 | Professional | TC · Technical part | $323.59 | $363.08 | $407.38 |
Cigna Setting Facility Modifier None Typical Low $776.25 Median $1,318.26 Typical High $1,778.28 | Facility | None | $776.25 | $1,318.26 | $1,778.28 |
Cigna Setting Professional Modifier None (both parts) Typical Low $269.15 Median $549.54 Typical High $851.14 | Professional | None (both parts) | $269.15 | $549.54 | $851.14 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $66.07 Typical High $131.83 | Professional | 26 · Professional part | $47.86 | $66.07 | $131.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $457.09 Typical High $741.31 | Professional | TC · Technical part | $223.87 | $457.09 | $741.31 |
Kaiser Permanente Setting Professional Modifier None Typical Low $295.12 Median $354.81 Typical High $436.52 | Professional | None | $295.12 | $354.81 | $436.52 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $67.61 Typical High $89.13 | Professional | 26 · Professional part | $61.66 | $67.61 | $89.13 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $281.84 Typical High $354.81 | Professional | TC · Technical part | $234.42 | $281.84 | $354.81 |
Medcost Setting Professional Modifier None Typical Low $602.56 Median $758.58 Typical High $758.58 | Professional | None | $602.56 | $758.58 | $758.58 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $117.49 Typical High $117.49 | Professional | 26 · Professional part | $95.50 | $117.49 | $117.49 |
Medcost Setting Facility Modifier None Typical Low $389.05 Median $776.25 Typical High $1,122.02 | Facility | None | $389.05 | $776.25 | $1,122.02 |
Medcost Setting Professional Modifier None (both parts) Typical Low $275.42 Median $398.11 Typical High $575.44 | Professional | None (both parts) | $275.42 | $398.11 | $575.44 |
Sentara Setting Facility Modifier None Typical Low $75.86 Median $346.74 Typical High $1,258.93 | Facility | None | $75.86 | $346.74 | $1,258.93 |
Sentara Setting Professional Modifier None (both parts) Typical Low $87.10 Median $426.58 Typical High $758.58 | Professional | None (both parts) | $87.10 | $426.58 | $758.58 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $87.10 Typical High $128.82 | Professional | 26 · Professional part | $67.61 | $87.10 | $128.82 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $389.05 Typical High $616.60 | Professional | TC · Technical part | $229.09 | $389.05 | $616.60 |
United Setting Facility Modifier None Typical Low $446.68 Median $501.19 Typical High $1,096.48 | Facility | None | $446.68 | $501.19 | $1,096.48 |
United Setting Professional Modifier None (both parts) Typical Low $281.84 Median $467.74 Typical High $831.76 | Professional | None (both parts) | $281.84 | $467.74 | $831.76 |
United Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $81.28 Typical High $125.89 | Professional | 26 · Professional part | $45.71 | $81.28 | $125.89 |
United Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $380.19 Typical High $691.83 | Professional | TC · Technical part | $229.09 | $380.19 | $691.83 |
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 $194.98 Median $213.80 Typical High $263.03 | Professional | 52 · Reduced service | $194.98 | $213.80 | $263.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $77.62 Median $85.11 Typical High $104.71 | Professional | 53 · Discontinued | $77.62 | $85.11 | $104.71 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $323.59 Median $380.19 Typical High $416.87 | Professional | FX · Film X-ray | $323.59 | $380.19 | $416.87 |
Medcost Setting Professional Modifier 27 · Multiple hospital visits Typical Low $512.86 Median $645.65 Typical High $645.65 | Professional | 27 · Multiple hospital visits | $512.86 | $645.65 | $645.65 |
Where Virginia sits
The same service costs 5.1 times more in Wyoming than in Utah. 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· 43rd of 51
$380
WY $1,202UT $234
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.