How much rates vary
Facilitymedian $251 · 10th to 90th $66 to $1,738Professionalmedian $162 · 10th to 90th $105 to $339
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 $162.18 Median $436.52 Typical High $2,398.83 | Facility | None | $162.18 | $436.52 | $2,398.83 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $41.69 Median $69.18 Typical High $97.72 | Facility | 26 · Professional part | $41.69 | $69.18 | $97.72 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $85.11 Median $162.18 Typical High $363.08 | Facility | TC · Technical part | $85.11 | $162.18 | $363.08 |
Aetna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $162.18 Typical High $436.52 | Professional | None (both parts) | $128.82 | $162.18 | $436.52 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $51.29 Typical High $91.20 | Professional | 26 · Professional part | $41.69 | $51.29 | $91.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $109.65 Typical High $281.84 | Professional | TC · Technical part | $85.11 | $109.65 | $281.84 |
Anthem BCBS Setting Facility Modifier None Typical Low $416.87 Median $524.81 Typical High $676.08 | Facility | None | $416.87 | $524.81 | $676.08 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $109.65 Median $147.91 Typical High $204.17 | Professional | None (both parts) | $109.65 | $147.91 | $204.17 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $52.48 Typical High $67.61 | Professional | 26 · Professional part | $43.65 | $52.48 | $67.61 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $165.96 Median $218.78 Typical High $288.40 | Professional | 50 · Both sides | $165.96 | $218.78 | $288.40 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $102.33 Typical High $154.88 | Professional | TC · Technical part | $81.28 | $102.33 | $154.88 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $54.95 Median $165.96 Typical High $208.93 | Professional | None (both parts) | $54.95 | $165.96 | $208.93 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $61.66 Typical High $75.86 | Professional | 26 · Professional part | $60.26 | $61.66 | $75.86 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $123.03 Typical High $154.88 | Professional | TC · Technical part | $123.03 | $123.03 | $154.88 |
Cigna Setting Facility Modifier None Typical Low $478.63 Median $691.83 Typical High $870.96 | Facility | None | $478.63 | $691.83 | $870.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $263.03 Typical High $407.38 | Professional | None (both parts) | $114.82 | $263.03 | $407.38 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $51.29 Typical High $97.72 | Professional | 26 · Professional part | $35.48 | $51.29 | $97.72 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $194.98 Typical High $316.23 | Professional | TC · Technical part | $77.62 | $194.98 | $316.23 |
Kaiser Permanente Setting Professional Modifier None Typical Low $128.82 Median $147.91 Typical High $190.55 | Professional | None | $128.82 | $147.91 | $190.55 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $50.12 Typical High $64.57 | Professional | 26 · Professional part | $45.71 | $50.12 | $64.57 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $97.72 Typical High $123.03 | Professional | TC · Technical part | $83.18 | $97.72 | $123.03 |
Medcost Setting Professional Modifier None Typical Low $309.03 Median $380.19 Typical High $389.05 | Professional | None | $309.03 | $380.19 | $389.05 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $95.50 Typical High $95.50 | Professional | 26 · Professional part | $77.62 | $95.50 | $95.50 |
Medcost Setting Facility Modifier None Typical Low $208.93 Median $380.19 Typical High $1,737.80 | Facility | None | $208.93 | $380.19 | $1,737.80 |
Medcost Setting Professional Modifier None (both parts) Typical Low $125.89 Median $223.87 Typical High $338.84 | Professional | None (both parts) | $125.89 | $223.87 | $338.84 |
Sentara Setting Facility Modifier None Typical Low $56.23 Median $181.97 Typical High $891.25 | Facility | None | $56.23 | $181.97 | $891.25 |
Sentara Setting Professional Modifier None (both parts) Typical Low $63.10 Median $218.78 Typical High $407.38 | Professional | None (both parts) | $63.10 | $218.78 | $407.38 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $64.57 Typical High $100.00 | Professional | 26 · Professional part | $50.12 | $64.57 | $100.00 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $190.55 Typical High $281.84 | Professional | TC · Technical part | $95.50 | $190.55 | $281.84 |
United Setting Facility Modifier None Typical Low $199.53 Median $218.78 Typical High $489.78 | Facility | None | $199.53 | $218.78 | $489.78 |
United Setting Professional Modifier None (both parts) Typical Low $125.89 Median $208.93 Typical High $389.05 | Professional | None (both parts) | $125.89 | $208.93 | $389.05 |
United Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $61.66 Typical High $93.33 | Professional | 26 · Professional part | $36.31 | $61.66 | $93.33 |
United Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $147.91 Typical High $302.00 | Professional | TC · Technical part | $83.18 | $147.91 | $302.00 |
5 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 $64.57 Median $81.28 Typical High $89.13 | Professional | 52 · Reduced service | $64.57 | $81.28 | $89.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $32.36 Typical High $35.48 | Professional | 53 · Discontinued | $25.70 | $32.36 | $35.48 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $109.65 Median $138.04 Typical High $138.04 | Professional | CT · Older CT scanner | $109.65 | $138.04 | $138.04 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $102.33 Median $128.82 Typical High $128.82 | Professional | FX · Film X-ray | $102.33 | $128.82 | $128.82 |
Medcost Setting Professional Modifier 27 · Multiple hospital visits Typical Low $234.42 Median $295.12 Typical High $295.12 | Professional | 27 · Multiple hospital visits | $234.42 | $295.12 | $295.12 |
Where Virginia sits
The same service costs 5.8 times more in Vermont 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· 44th of 51
$162
VT $603UT $105
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.