How much rates vary
Facilitymedian $162 · 10th to 90th $35 to $646Professionalmedian $138 · 10th to 90th $100 to $195
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 $104.71 Median $125.89 Typical High $245.47 | Facility | None | $104.71 | $125.89 | $245.47 |
Aetna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $114.82 Typical High $125.89 | Professional | None (both parts) | $104.71 | $114.82 | $125.89 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $26.30 Typical High $26.30 | Professional | 26 · Professional part | $23.99 | $26.30 | $26.30 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $87.10 Typical High $102.33 | Professional | TC · Technical part | $79.43 | $87.10 | $102.33 |
Anthem BCBS Setting Facility Modifier None Typical Low $426.58 Median $537.03 Typical High $707.95 | Facility | None | $426.58 | $537.03 | $707.95 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $114.82 Median $144.54 Typical High $181.97 | Professional | None (both parts) | $114.82 | $144.54 | $181.97 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $30.20 Typical High $38.02 | Professional | 26 · Professional part | $25.12 | $30.20 | $38.02 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $151.36 Median $208.93 Typical High $257.04 | Professional | 50 · Both sides | $151.36 | $208.93 | $257.04 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $112.20 Typical High $141.25 | Professional | TC · Technical part | $91.20 | $112.20 | $141.25 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $125.89 Median $141.25 Typical High $162.18 | Professional | None (both parts) | $125.89 | $141.25 | $162.18 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $28.84 Typical High $32.36 | Professional | 26 · Professional part | $25.70 | $28.84 | $32.36 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $112.20 Typical High $125.89 | Professional | TC · Technical part | $102.33 | $112.20 | $125.89 |
Cigna Setting Facility Modifier None Typical Low $204.17 Median $323.59 Typical High $933.25 | Facility | None | $204.17 | $323.59 | $933.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $123.03 Typical High $229.09 | Professional | None (both parts) | $89.13 | $123.03 | $229.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $27.54 Typical High $53.70 | Professional | 26 · Professional part | $19.95 | $27.54 | $53.70 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $95.50 Typical High $169.82 | Professional | TC · Technical part | $69.18 | $95.50 | $169.82 |
Kaiser Permanente Setting Professional Modifier None Typical Low $131.83 Median $154.88 Typical High $194.98 | Professional | None | $131.83 | $154.88 | $194.98 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $30.90 Typical High $38.90 | Professional | 26 · Professional part | $27.54 | $30.90 | $38.90 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $123.03 Typical High $154.88 | Professional | TC · Technical part | $102.33 | $123.03 | $154.88 |
Medcost Setting Professional Modifier None Typical Low $138.04 Median $173.78 Typical High $173.78 | Professional | None | $138.04 | $173.78 | $173.78 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $47.86 Typical High $47.86 | Professional | 26 · Professional part | $38.90 | $47.86 | $47.86 |
Medcost Setting Facility Modifier None Typical Low $138.04 Median $138.04 Typical High $213.80 | Facility | None | $138.04 | $138.04 | $213.80 |
Medcost Setting Professional Modifier None (both parts) Typical Low $100.00 Median $100.00 Typical High $134.90 | Professional | None (both parts) | $100.00 | $100.00 | $134.90 |
Sentara Setting Facility Modifier None Typical Low $27.54 Median $107.15 Typical High $338.84 | Facility | None | $27.54 | $107.15 | $338.84 |
Sentara Setting Professional Modifier None (both parts) Typical Low $35.48 Median $123.03 Typical High $239.88 | Professional | None (both parts) | $35.48 | $123.03 | $239.88 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $35.48 Typical High $63.10 | Professional | 26 · Professional part | $26.92 | $35.48 | $63.10 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $117.49 Typical High $229.09 | Professional | TC · Technical part | $85.11 | $117.49 | $229.09 |
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 $87.10 Median $141.25 Typical High $218.78 | Professional | None (both parts) | $87.10 | $141.25 | $218.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $33.88 Typical High $52.48 | Professional | 26 · Professional part | $20.42 | $33.88 | $52.48 |
United Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $107.15 Typical High $169.82 | Professional | TC · Technical part | $66.07 | $107.15 | $169.82 |
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 $52.48 Median $54.95 Typical High $63.10 | Professional | 52 · Reduced service | $52.48 | $54.95 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $21.88 Typical High $25.12 | Professional | 53 · Discontinued | $21.38 | $21.88 | $25.12 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $85.11 Median $85.11 Typical High $100.00 | Professional | FX · Film X-ray | $85.11 | $85.11 | $100.00 |
Medcost Setting Professional Modifier 27 · Multiple hospital visits Typical Low $100.00 Median $125.89 Typical High $125.89 | Professional | 27 · Multiple hospital visits | $100.00 | $125.89 | $125.89 |
Where Virginia sits
The same service costs 3.9 times more in Alaska than in New York. 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· 29th of 51
$138
AK $380NY $97.72
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.