How much rates vary
Facilitymedian $309 · 10th to 90th $76 to $1,738Professionalmedian $209 · 10th to 90th $155 to $398
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 $223.87 Median $537.03 Typical High $2,398.83 | Facility | None | $223.87 | $537.03 | $2,398.83 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $48.98 Median $74.13 Typical High $102.33 | Facility | 26 · Professional part | $48.98 | $74.13 | $102.33 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $117.49 Median $223.87 Typical High $457.09 | Facility | TC · Technical part | $117.49 | $223.87 | $457.09 |
Aetna Setting Professional Modifier None (both parts) Typical Low $165.96 Median $223.87 Typical High $549.54 | Professional | None (both parts) | $165.96 | $223.87 | $549.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $58.88 Typical High $102.33 | Professional | 26 · Professional part | $48.98 | $58.88 | $102.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $165.96 Typical High $363.08 | Professional | TC · Technical part | $117.49 | $165.96 | $363.08 |
Anthem BCBS Setting Facility Modifier None Typical Low $524.81 Median $676.08 Typical High $870.96 | Facility | None | $524.81 | $676.08 | $870.96 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $158.49 Median $194.98 Typical High $257.04 | Professional | None (both parts) | $158.49 | $194.98 | $257.04 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $60.26 Typical High $79.43 | Professional | 26 · Professional part | $51.29 | $60.26 | $79.43 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $213.80 Median $288.40 Typical High $363.08 | Professional | 50 · Both sides | $213.80 | $288.40 | $363.08 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $131.83 Typical High $173.78 | Professional | TC · Technical part | $109.65 | $131.83 | $173.78 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $64.57 Median $213.80 Typical High $281.84 | Professional | None (both parts) | $64.57 | $213.80 | $281.84 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $70.79 Typical High $89.13 | Professional | 26 · Professional part | $70.79 | $70.79 | $89.13 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $165.96 Typical High $190.55 | Professional | TC · Technical part | $151.36 | $165.96 | $190.55 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $776.25 Typical High $870.96 | Facility | None | $524.81 | $776.25 | $870.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $316.23 Typical High $489.78 | Professional | None (both parts) | $147.91 | $316.23 | $489.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $56.23 Typical High $112.20 | Professional | 26 · Professional part | $41.69 | $56.23 | $112.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $245.47 Typical High $398.11 | Professional | TC · Technical part | $104.71 | $245.47 | $398.11 |
Kaiser Permanente Setting Professional Modifier None Typical Low $162.18 Median $190.55 Typical High $239.88 | Professional | None | $162.18 | $190.55 | $239.88 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $57.54 Typical High $75.86 | Professional | 26 · Professional part | $52.48 | $57.54 | $75.86 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $131.83 Typical High $165.96 | Professional | TC · Technical part | $109.65 | $131.83 | $165.96 |
Medcost Setting Professional Modifier None Typical Low $363.08 Median $436.52 Typical High $457.09 | Professional | None | $363.08 | $436.52 | $457.09 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $102.33 Typical High $102.33 | Professional | 26 · Professional part | $81.28 | $102.33 | $102.33 |
Medcost Setting Facility Modifier None Typical Low $295.12 Median $457.09 Typical High $1,737.80 | Facility | None | $295.12 | $457.09 | $1,737.80 |
Medcost Setting Professional Modifier None (both parts) Typical Low $162.18 Median $223.87 Typical High $407.38 | Professional | None (both parts) | $162.18 | $223.87 | $407.38 |
Sentara Setting Facility Modifier None Typical Low $64.57 Median $218.78 Typical High $912.01 | Facility | None | $64.57 | $218.78 | $912.01 |
Sentara Setting Professional Modifier None (both parts) Typical Low $74.13 Median $263.03 Typical High $501.19 | Professional | None (both parts) | $74.13 | $263.03 | $501.19 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $74.13 Typical High $117.49 | Professional | 26 · Professional part | $57.54 | $74.13 | $117.49 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $251.19 Typical High $363.08 | Professional | TC · Technical part | $125.89 | $251.19 | $363.08 |
United Setting Facility Modifier None Typical Low $331.13 Median $363.08 Typical High $812.83 | Facility | None | $331.13 | $363.08 | $812.83 |
United Setting Professional Modifier None (both parts) Typical Low $154.88 Median $263.03 Typical High $467.74 | Professional | None (both parts) | $154.88 | $263.03 | $467.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $70.79 Typical High $104.71 | Professional | 26 · Professional part | $39.81 | $70.79 | $104.71 |
United Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $190.55 Typical High $371.54 | Professional | TC · Technical part | $109.65 | $190.55 | $371.54 |
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 $83.18 Median $112.20 Typical High $117.49 | Professional | 52 · Reduced service | $83.18 | $112.20 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $45.71 Typical High $46.77 | Professional | 53 · Discontinued | $33.11 | $45.71 | $46.77 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $141.25 Median $190.55 Typical High $190.55 | Professional | CT · Older CT scanner | $141.25 | $190.55 | $190.55 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $131.83 Median $181.97 Typical High $181.97 | Professional | FX · Film X-ray | $131.83 | $181.97 | $181.97 |
Medcost Setting Professional Modifier 27 · Multiple hospital visits Typical Low $281.84 Median $346.74 Typical High $346.74 | Professional | 27 · Multiple hospital visits | $281.84 | $346.74 | $346.74 |
Where Virginia sits
The same service costs 5.4 times more in Alaska 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· 42nd of 51
$214
AK $676UT $126
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.