How much rates vary
Facilitymedian $813 · 10th to 90th $138 to $2,188Professionalmedian $479 · 10th to 90th $363 to $1,047
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 $1,445.44 Typical High $3,162.28 | Facility | None | $524.81 | $1,445.44 | $3,162.28 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $117.49 Median $190.55 Typical High $223.87 | Facility | 26 · Professional part | $117.49 | $190.55 | $223.87 |
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 $1,071.52 | Professional | None (both parts) | $398.11 | $524.81 | $1,071.52 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $154.88 Typical High $190.55 | Professional | 26 · Professional part | $117.49 | $154.88 | $190.55 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $371.54 Typical High $776.25 | Professional | TC · Technical part | $281.84 | $371.54 | $776.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,230.27 Median $1,548.82 Typical High $1,995.26 | Facility | None | $1,230.27 | $1,548.82 | $1,995.26 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $371.54 Median $457.09 Typical High $588.84 | Professional | None (both parts) | $371.54 | $457.09 | $588.84 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $112.20 Typical High $144.54 | Professional | 26 · Professional part | $93.33 | $112.20 | $144.54 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $501.19 Median $660.69 Typical High $831.76 | Professional | 50 · Both sides | $501.19 | $660.69 | $831.76 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $331.13 Typical High $436.52 | Professional | TC · Technical part | $275.42 | $331.13 | $436.52 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $436.52 Median $512.86 Typical High $724.44 | Professional | None (both parts) | $436.52 | $512.86 | $724.44 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $141.25 Typical High $141.25 | Professional | 26 · Professional part | $125.89 | $141.25 | $141.25 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $389.05 Median $389.05 Typical High $562.34 | Professional | TC · Technical part | $389.05 | $389.05 | $562.34 |
Cigna Setting Facility Modifier None Typical Low $776.25 Median $1,584.89 Typical High $2,187.76 | Facility | None | $776.25 | $1,584.89 | $2,187.76 |
Cigna Setting Professional Modifier None (both parts) Typical Low $346.74 Median $794.33 Typical High $1,380.38 | Professional | None (both parts) | $346.74 | $794.33 | $1,380.38 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $104.71 Typical High $199.53 | Professional | 26 · Professional part | $75.86 | $104.71 | $199.53 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $616.60 Typical High $1,174.90 | Professional | TC · Technical part | $269.15 | $616.60 | $1,174.90 |
Kaiser Permanente Setting Professional Modifier None Typical Low $380.19 Median $446.68 Typical High $562.34 | Professional | None | $380.19 | $446.68 | $562.34 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $107.15 Typical High $141.25 | Professional | 26 · Professional part | $97.72 | $107.15 | $141.25 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $331.13 Typical High $416.87 | Professional | TC · Technical part | $281.84 | $331.13 | $416.87 |
Medcost Setting Professional Modifier None Typical Low $1,288.25 Median $1,621.81 Typical High $1,621.81 | Professional | None | $1,288.25 | $1,621.81 | $1,621.81 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $151.36 Median $190.55 Typical High $190.55 | Professional | 26 · Professional part | $151.36 | $190.55 | $190.55 |
Medcost Setting Facility Modifier None Typical Low $602.56 Median $1,122.02 Typical High $1,122.02 | Facility | None | $602.56 | $1,122.02 | $1,122.02 |
Medcost Setting Professional Modifier None (both parts) Typical Low $380.19 Median $602.56 Typical High $891.25 | Professional | None (both parts) | $380.19 | $602.56 | $891.25 |
Sentara Setting Facility Modifier None Typical Low $120.23 Median $501.19 Typical High $1,905.46 | Facility | None | $120.23 | $501.19 | $1,905.46 |
Sentara Setting Professional Modifier None (both parts) Typical Low $131.83 Median $645.65 Typical High $1,318.26 | Professional | None (both parts) | $131.83 | $645.65 | $1,318.26 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $134.90 Typical High $208.93 | Professional | 26 · Professional part | $107.15 | $134.90 | $208.93 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $602.56 Typical High $1,023.29 | Professional | TC · Technical part | $338.84 | $602.56 | $1,023.29 |
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 $363.08 Median $616.60 Typical High $1,445.44 | Professional | None (both parts) | $363.08 | $616.60 | $1,445.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $128.82 Typical High $199.53 | Professional | 26 · Professional part | $74.13 | $128.82 | $199.53 |
United Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $489.78 Typical High $1,288.25 | Professional | TC · Technical part | $275.42 | $489.78 | $1,288.25 |
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 $263.03 Typical High $263.03 | Professional | 52 · Reduced service | $199.53 | $263.03 | $263.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $79.43 Median $104.71 Typical High $104.71 | Professional | 53 · Discontinued | $79.43 | $104.71 | $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 $1,148.15 Median $1,412.54 Typical High $1,412.54 | Professional | 27 · Multiple hospital visits | $1,148.15 | $1,412.54 | $1,412.54 |
Where Virginia sits
The same service costs 6.0 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· 42nd of 51
$479
WY $1,549UT $257
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.