How much rates vary
Facilitymedian $44 · 10th to 90th $11 to $151Professionalmedian $37 · 10th to 90th $27 to $54
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 $28.84 Median $41.69 Typical High $61.66 | Facility | None | $28.84 | $41.69 | $61.66 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $7.24 Median $10.96 Typical High $15.49 | Facility | 26 · Professional part | $7.24 | $10.96 | $15.49 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $21.38 Median $32.36 Typical High $51.29 | Facility | TC · Technical part | $21.38 | $32.36 | $51.29 |
Aetna Setting Professional Modifier None (both parts) Typical Low $28.84 Median $33.11 Typical High $56.23 | Professional | None (both parts) | $28.84 | $33.11 | $56.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $7.76 Typical High $15.49 | Professional | 26 · Professional part | $7.24 | $7.76 | $15.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $25.70 Typical High $41.69 | Professional | TC · Technical part | $21.38 | $25.70 | $41.69 |
Anthem BCBS Setting Facility Modifier None Typical Low $109.65 Median $138.04 Typical High $181.97 | Facility | None | $109.65 | $138.04 | $181.97 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $31.62 Median $39.81 Typical High $50.12 | Professional | None (both parts) | $31.62 | $39.81 | $50.12 |
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 $43.65 Median $56.23 Typical High $69.18 | Professional | 50 · Both sides | $43.65 | $56.23 | $69.18 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $30.20 Typical High $38.02 | Professional | TC · Technical part | $24.55 | $30.20 | $38.02 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $26.92 Median $34.67 Typical High $39.81 | Professional | None (both parts) | $26.92 | $34.67 | $39.81 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $8.51 Typical High $10.00 | Professional | 26 · Professional part | $7.76 | $8.51 | $10.00 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $30.20 Typical High $38.02 | Professional | TC · Technical part | $30.20 | $30.20 | $38.02 |
Cigna Setting Facility Modifier None Typical Low $53.70 Median $83.18 Typical High $776.25 | Facility | None | $53.70 | $83.18 | $776.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $24.55 Median $33.88 Typical High $60.26 | Professional | None (both parts) | $24.55 | $33.88 | $60.26 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $5.75 Median $8.51 Typical High $15.85 | Professional | 26 · Professional part | $5.75 | $8.51 | $15.85 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $25.12 Typical High $45.71 | Professional | TC · Technical part | $18.62 | $25.12 | $45.71 |
Kaiser Permanente Setting Professional Modifier None Typical Low $33.88 Median $39.81 Typical High $50.12 | Professional | None | $33.88 | $39.81 | $50.12 |
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 $25.70 Median $30.90 Typical High $38.90 | Professional | TC · Technical part | $25.70 | $30.90 | $38.90 |
Medcost Setting Professional Modifier None Typical Low $36.31 Median $45.71 Typical High $45.71 | Professional | None | $36.31 | $45.71 | $45.71 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $15.49 Typical High $15.49 | Professional | 26 · Professional part | $12.30 | $15.49 | $15.49 |
Medcost Setting Facility Modifier None Typical Low $38.90 Median $38.90 Typical High $57.54 | Facility | None | $38.90 | $38.90 | $57.54 |
Medcost Setting Professional Modifier None (both parts) Typical Low $30.20 Median $30.20 Typical High $38.90 | Professional | None (both parts) | $30.20 | $30.20 | $38.90 |
Sentara Setting Facility Modifier None Typical Low $8.91 Median $30.20 Typical High $123.03 | Facility | None | $8.91 | $30.20 | $123.03 |
Sentara Setting Professional Modifier None (both parts) Typical Low $10.96 Median $34.67 Typical High $67.61 | Professional | None (both parts) | $10.96 | $34.67 | $67.61 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $10.96 Typical High $19.05 | Professional | 26 · Professional part | $8.51 | $10.96 | $19.05 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $30.90 Typical High $57.54 | Professional | TC · Technical part | $23.99 | $30.90 | $57.54 |
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 $23.44 Median $38.02 Typical High $58.88 | Professional | None (both parts) | $23.44 | $38.02 | $58.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.17 Median $10.00 Typical High $15.49 | Professional | 26 · Professional part | $6.17 | $10.00 | $15.49 |
United Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $26.92 Typical High $42.66 | Professional | TC · Technical part | $16.22 | $26.92 | $42.66 |
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 $14.45 Median $14.45 Typical High $16.60 | Professional | 52 · Reduced service | $14.45 | $14.45 | $16.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.75 Median $5.75 Typical High $6.61 | Professional | 53 · Discontinued | $5.75 | $5.75 | $6.61 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $22.91 Median $22.91 Typical High $26.30 | Professional | FX · Film X-ray | $22.91 | $22.91 | $26.30 |
Medcost Setting Professional Modifier 27 · Multiple hospital visits Typical Low $23.99 Median $30.20 Typical High $30.20 | Professional | 27 · Multiple hospital visits | $23.99 | $30.20 | $30.20 |
Where Virginia sits
The same service costs 12.9 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· 32nd of 51
$37.15
VT $347FL $26.92
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.