How much rates vary
Facilitymedian $158 · 10th to 90th $35 to $631Professionalmedian $123 · 10th to 90th $91 to $200
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 $114.82 Median $123.03 Typical High $309.03 | Facility | None | $114.82 | $123.03 | $309.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $123.03 Typical High $151.36 | Professional | None (both parts) | $114.82 | $123.03 | $151.36 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $26.30 Typical High $32.36 | Professional | 26 · Professional part | $25.12 | $26.30 | $32.36 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $95.50 Typical High $117.49 | Professional | TC · Technical part | $87.10 | $95.50 | $117.49 |
Anthem BCBS Setting Facility Modifier None Typical Low $371.54 Median $478.63 Typical High $616.60 | Facility | None | $371.54 | $478.63 | $616.60 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $102.33 Median $123.03 Typical High $162.18 | Professional | None (both parts) | $102.33 | $123.03 | $162.18 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $33.88 Typical High $42.66 | Professional | 26 · Professional part | $28.18 | $33.88 | $42.66 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $134.90 Median $181.97 Typical High $223.87 | Professional | 50 · Both sides | $134.90 | $181.97 | $223.87 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $89.13 Typical High $117.49 | Professional | TC · Technical part | $75.86 | $89.13 | $117.49 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $32.36 Median $109.65 Typical High $144.54 | Professional | None (both parts) | $32.36 | $109.65 | $144.54 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $29.51 Typical High $40.74 | Professional | 26 · Professional part | $29.51 | $29.51 | $40.74 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $89.13 Typical High $104.71 | Professional | TC · Technical part | $81.28 | $89.13 | $104.71 |
Cigna Setting Facility Modifier None Typical Low $190.55 Median $323.59 Typical High $870.96 | Facility | None | $190.55 | $323.59 | $870.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $81.28 Median $128.82 Typical High $229.09 | Professional | None (both parts) | $81.28 | $128.82 | $229.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $30.20 Typical High $54.95 | Professional | 26 · Professional part | $21.88 | $30.20 | $54.95 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $97.72 Typical High $186.21 | Professional | TC · Technical part | $61.66 | $97.72 | $186.21 |
Kaiser Permanente Setting Professional Modifier None Typical Low $114.82 Median $134.90 Typical High $169.82 | Professional | None | $114.82 | $134.90 | $169.82 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $34.67 Typical High $43.65 | Professional | 26 · Professional part | $30.90 | $34.67 | $43.65 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $100.00 Typical High $125.89 | Professional | TC · Technical part | $83.18 | $100.00 | $125.89 |
Medcost Setting Professional Modifier None Typical Low $162.18 Median $204.17 Typical High $204.17 | Professional | None | $162.18 | $204.17 | $204.17 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $47.86 Typical High $47.86 | Professional | 26 · Professional part | $38.02 | $47.86 | $47.86 |
Medcost Setting Facility Modifier None Typical Low $165.96 Median $165.96 Typical High $229.09 | Facility | None | $165.96 | $165.96 | $229.09 |
Medcost Setting Professional Modifier None (both parts) Typical Low $89.13 Median $89.13 Typical High $165.96 | Professional | None (both parts) | $89.13 | $89.13 | $165.96 |
Sentara Setting Facility Modifier None Typical Low $27.54 Median $117.49 Typical High $363.08 | Facility | None | $27.54 | $117.49 | $363.08 |
Sentara Setting Professional Modifier None (both parts) Typical Low $35.48 Median $138.04 Typical High $257.04 | Professional | None (both parts) | $35.48 | $138.04 | $257.04 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $35.48 Typical High $66.07 | Professional | 26 · Professional part | $27.54 | $35.48 | $66.07 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $131.83 Typical High $251.19 | Professional | TC · Technical part | $97.72 | $131.83 | $251.19 |
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 $95.50 Median $154.88 Typical High $234.42 | Professional | None (both parts) | $95.50 | $154.88 | $234.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $33.88 Typical High $53.70 | Professional | 26 · Professional part | $19.95 | $33.88 | $53.70 |
United Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $120.23 Typical High $190.55 | Professional | TC · Technical part | $72.44 | $120.23 | $190.55 |
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 $56.23 Median $57.54 Typical High $61.66 | Professional | 52 · Reduced service | $56.23 | $57.54 | $61.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $22.91 Typical High $24.55 | Professional | 53 · Discontinued | $22.91 | $22.91 | $24.55 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $91.20 Median $91.20 Typical High $100.00 | Professional | FX · Film X-ray | $91.20 | $91.20 | $100.00 |
Medcost Setting Professional Modifier 27 · Multiple hospital visits Typical Low $125.89 Median $154.88 Typical High $154.88 | Professional | 27 · Multiple hospital visits | $125.89 | $154.88 | $154.88 |
Where Virginia sits
The same service costs 3.5 times more in Alaska 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
$123
AK $355TX $100
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.