How much rates vary
Facilitymedian $646 · 10th to 90th $107 to $2,138Professionalmedian $389 · 10th to 90th $288 to $741
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 $446.68 Median $1,174.90 Typical High $3,162.28 | Facility | None | $446.68 | $1,174.90 | $3,162.28 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $117.49 Median $144.54 Typical High $194.98 | Facility | 26 · Professional part | $117.49 | $144.54 | $194.98 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $281.84 Median $588.84 Typical High $1,445.44 | Facility | TC · Technical part | $281.84 | $588.84 | $1,445.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $398.11 Median $524.81 Typical High $912.01 | Professional | None (both parts) | $398.11 | $524.81 | $912.01 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $141.25 Typical High $165.96 | Professional | 26 · Professional part | $102.33 | $141.25 | $165.96 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $371.54 Typical High $645.65 | Professional | TC · Technical part | $281.84 | $371.54 | $645.65 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,000.00 Median $1,258.93 Typical High $1,659.59 | Facility | None | $1,000.00 | $1,258.93 | $1,659.59 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $302.00 Median $363.08 Typical High $478.63 | Professional | None (both parts) | $302.00 | $363.08 | $478.63 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $85.11 Typical High $109.65 | Professional | 26 · Professional part | $70.79 | $85.11 | $109.65 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $407.38 Median $524.81 Typical High $660.69 | Professional | 50 · Both sides | $407.38 | $524.81 | $660.69 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $275.42 Typical High $371.54 | Professional | TC · Technical part | $229.09 | $275.42 | $371.54 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $95.50 Median $416.87 Typical High $512.86 | Professional | None (both parts) | $95.50 | $416.87 | $512.86 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $104.71 Typical High $123.03 | Professional | 26 · Professional part | $104.71 | $104.71 | $123.03 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $323.59 Typical High $467.74 | Professional | TC · Technical part | $323.59 | $323.59 | $467.74 |
Cigna Setting Facility Modifier None Typical Low $776.25 Median $1,318.26 Typical High $1,819.70 | Facility | None | $776.25 | $1,318.26 | $1,819.70 |
Cigna Setting Professional Modifier None (both parts) Typical Low $281.84 Median $588.84 Typical High $912.01 | Professional | None (both parts) | $281.84 | $588.84 | $912.01 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $79.43 Typical High $158.49 | Professional | 26 · Professional part | $57.54 | $79.43 | $158.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $489.78 Typical High $758.58 | Professional | TC · Technical part | $218.78 | $489.78 | $758.58 |
Kaiser Permanente Setting Professional Modifier None Typical Low $309.03 Median $363.08 Typical High $457.09 | Professional | None | $309.03 | $363.08 | $457.09 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $81.28 Typical High $107.15 | Professional | 26 · Professional part | $74.13 | $81.28 | $107.15 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $281.84 Typical High $346.74 | Professional | TC · Technical part | $234.42 | $281.84 | $346.74 |
Medcost Setting Professional Modifier None Typical Low $724.44 Median $912.01 Typical High $912.01 | Professional | None | $724.44 | $912.01 | $912.01 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $141.25 Typical High $141.25 | Professional | 26 · Professional part | $114.82 | $141.25 | $141.25 |
Medcost Setting Facility Modifier None Typical Low $489.78 Median $812.83 Typical High $1,122.02 | Facility | None | $489.78 | $812.83 | $1,122.02 |
Medcost Setting Professional Modifier None (both parts) Typical Low $309.03 Median $501.19 Typical High $707.95 | Professional | None (both parts) | $309.03 | $501.19 | $707.95 |
Sentara Setting Facility Modifier None Typical Low $91.20 Median $407.38 Typical High $1,862.09 | Facility | None | $91.20 | $407.38 | $1,862.09 |
Sentara Setting Professional Modifier None (both parts) Typical Low $100.00 Median $512.86 Typical High $851.14 | Professional | None (both parts) | $100.00 | $512.86 | $851.14 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $102.33 Typical High $158.49 | Professional | 26 · Professional part | $81.28 | $102.33 | $158.49 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $478.63 Typical High $645.65 | Professional | TC · Technical part | $275.42 | $478.63 | $645.65 |
United Setting Facility Modifier None Typical Low $1,479.11 Median $1,621.81 Typical High $3,630.78 | Facility | None | $1,479.11 | $1,621.81 | $3,630.78 |
United Setting Professional Modifier None (both parts) Typical Low $295.12 Median $489.78 Typical High $891.25 | Professional | None (both parts) | $295.12 | $489.78 | $891.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $97.72 Typical High $154.88 | Professional | 26 · Professional part | $54.95 | $97.72 | $154.88 |
United Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $389.05 Typical High $758.58 | Professional | TC · Technical part | $229.09 | $389.05 | $758.58 |
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 $199.53 Median $239.88 Typical High $263.03 | Professional | 52 · Reduced service | $199.53 | $239.88 | $263.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $79.43 Median $97.72 Typical High $104.71 | Professional | 53 · Discontinued | $79.43 | $97.72 | $104.71 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $323.59 Median $416.87 Typical High $416.87 | Professional | FX · Film X-ray | $323.59 | $416.87 | $416.87 |
Medcost Setting Professional Modifier 27 · Multiple hospital visits Typical Low $616.60 Median $776.25 Typical High $776.25 | Professional | 27 · Multiple hospital visits | $616.60 | $776.25 | $776.25 |
Where Virginia sits
The same service costs 5.4 times more in Wyoming than in Texas. 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· 42nd of 51
$398
WY $1,259TX $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.