How much rates vary
Facilitymedian $37 · 10th to 90th $10 to $158Professionalmedian $31 · 10th to 90th $22 to $46
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 $23.99 Median $38.02 Typical High $51.29 | Facility | None | $23.99 | $38.02 | $51.29 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $6.61 Median $10.00 Typical High $14.13 | Facility | 26 · Professional part | $6.61 | $10.00 | $14.13 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $16.98 Median $26.30 Typical High $41.69 | Facility | TC · Technical part | $16.98 | $26.30 | $41.69 |
Aetna Setting Professional Modifier None (both parts) Typical Low $23.99 Median $27.54 Typical High $48.98 | Professional | None (both parts) | $23.99 | $27.54 | $48.98 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.61 Median $7.08 Typical High $13.80 | Professional | 26 · Professional part | $6.61 | $7.08 | $13.80 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $20.89 Typical High $35.48 | Professional | TC · Technical part | $16.98 | $20.89 | $35.48 |
Anthem BCBS Setting Facility Modifier None Typical Low $91.20 Median $114.82 Typical High $151.36 | Facility | None | $91.20 | $114.82 | $151.36 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $26.30 Median $32.36 Typical High $40.74 | Professional | None (both parts) | $26.30 | $32.36 | $40.74 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $8.13 Typical High $10.47 | Professional | 26 · Professional part | $6.76 | $8.13 | $10.47 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $34.67 Median $46.77 Typical High $57.54 | Professional | 50 · Both sides | $34.67 | $46.77 | $57.54 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $23.99 Typical High $34.67 | Professional | TC · Technical part | $19.50 | $23.99 | $34.67 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $7.76 Median $28.84 Typical High $33.88 | Professional | None (both parts) | $7.76 | $28.84 | $33.88 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $7.08 Typical High $9.77 | Professional | 26 · Professional part | $7.08 | $7.08 | $9.77 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $24.55 Typical High $26.92 | Professional | TC · Technical part | $21.88 | $24.55 | $26.92 |
Cigna Setting Facility Modifier None Typical Low $48.98 Median $66.07 Typical High $776.25 | Facility | None | $48.98 | $66.07 | $776.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $20.42 Median $28.18 Typical High $51.29 | Professional | None (both parts) | $20.42 | $28.18 | $51.29 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $5.37 Median $7.59 Typical High $14.45 | Professional | 26 · Professional part | $5.37 | $7.59 | $14.45 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $15.14 Median $20.89 Typical High $37.15 | Professional | TC · Technical part | $15.14 | $20.89 | $37.15 |
Kaiser Permanente Setting Professional Modifier None Typical Low $28.18 Median $33.11 Typical High $41.69 | Professional | None | $28.18 | $33.11 | $41.69 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $8.32 Typical High $10.47 | Professional | 26 · Professional part | $7.59 | $8.32 | $10.47 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $24.55 Typical High $30.90 | Professional | TC · Technical part | $20.42 | $24.55 | $30.90 |
Medcost Setting Professional Modifier None Typical Low $33.88 Median $42.66 Typical High $42.66 | Professional | None | $33.88 | $42.66 | $42.66 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $14.13 Typical High $14.13 | Professional | 26 · Professional part | $11.48 | $14.13 | $14.13 |
Medcost Setting Facility Modifier None Typical Low $36.31 Median $36.31 Typical High $48.98 | Facility | None | $36.31 | $36.31 | $48.98 |
Medcost Setting Professional Modifier None (both parts) Typical Low $26.30 Median $28.18 Typical High $35.48 | Professional | None (both parts) | $26.30 | $28.18 | $35.48 |
Sentara Setting Facility Modifier None Typical Low $8.32 Median $25.70 Typical High $128.82 | Facility | None | $8.32 | $25.70 | $128.82 |
Sentara Setting Professional Modifier None (both parts) Typical Low $9.77 Median $30.20 Typical High $57.54 | Professional | None (both parts) | $9.77 | $30.20 | $57.54 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $10.00 Typical High $17.38 | Professional | 26 · Professional part | $7.76 | $10.00 | $17.38 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $26.92 Typical High $46.77 | Professional | TC · Technical part | $20.42 | $26.92 | $46.77 |
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 $19.95 Median $32.36 Typical High $51.29 | Professional | None (both parts) | $19.95 | $32.36 | $51.29 |
United Setting Professional Modifier 26 · Professional part Typical Low $5.62 Median $9.12 Typical High $14.13 | Professional | 26 · Professional part | $5.62 | $9.12 | $14.13 |
United Setting Professional Modifier TC · Technical part Typical Low $14.45 Median $23.44 Typical High $36.31 | Professional | TC · Technical part | $14.45 | $23.44 | $36.31 |
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 $12.02 Median $12.02 Typical High $13.80 | Professional | 52 · Reduced service | $12.02 | $12.02 | $13.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.79 Median $4.79 Typical High $5.50 | Professional | 53 · Discontinued | $4.79 | $4.79 | $5.50 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $19.05 Median $19.05 Typical High $21.88 | Professional | FX · Film X-ray | $19.05 | $19.05 | $21.88 |
Medcost Setting Professional Modifier 27 · Multiple hospital visits Typical Low $22.91 Median $28.18 Typical High $28.18 | Professional | 27 · Multiple hospital visits | $22.91 | $28.18 | $28.18 |
Where Virginia sits
The same service costs 3.7 times more in Alaska 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
$30.90
AK $83.18FL $22.39
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.