How much rates vary
Facilitymedian $363 · 10th to 90th $78 to $1,778Professionalmedian $245 · 10th to 90th $182 to $490
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 $263.03 Median $1,621.81 Typical High $3,162.28 | Facility | None | $263.03 | $1,621.81 | $3,162.28 |
Aetna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $263.03 Typical High $630.96 | Professional | None (both parts) | $194.98 | $263.03 | $630.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $61.66 Typical High $95.50 | Professional | 26 · Professional part | $51.29 | $61.66 | $95.50 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $199.53 Typical High $416.87 | Professional | TC · Technical part | $144.54 | $199.53 | $416.87 |
Anthem BCBS Setting Facility Modifier None Typical Low $616.60 Median $794.33 Typical High $1,023.29 | Facility | None | $616.60 | $794.33 | $1,023.29 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $190.55 Median $234.42 Typical High $309.03 | Professional | None (both parts) | $190.55 | $234.42 | $309.03 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $63.10 Typical High $81.28 | Professional | 26 · Professional part | $52.48 | $63.10 | $81.28 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $251.19 Median $331.13 Typical High $436.52 | Professional | 50 · Both sides | $251.19 | $331.13 | $436.52 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $162.18 Typical High $213.80 | Professional | TC · Technical part | $134.90 | $162.18 | $213.80 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $67.61 Median $251.19 Typical High $331.13 | Professional | None (both parts) | $67.61 | $251.19 | $331.13 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $74.13 Typical High $83.18 | Professional | 26 · Professional part | $74.13 | $74.13 | $83.18 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $204.17 Typical High $234.42 | Professional | TC · Technical part | $186.21 | $204.17 | $234.42 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $812.83 Typical High $1,023.29 | Facility | None | $645.65 | $812.83 | $1,023.29 |
Cigna Setting Professional Modifier None (both parts) Typical Low $173.78 Median $389.05 Typical High $616.60 | Professional | None (both parts) | $173.78 | $389.05 | $616.60 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $58.88 Typical High $117.49 | Professional | 26 · Professional part | $43.65 | $58.88 | $117.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $302.00 Typical High $501.19 | Professional | TC · Technical part | $128.82 | $302.00 | $501.19 |
Kaiser Permanente Setting Professional Modifier None Typical Low $190.55 Median $223.87 Typical High $281.84 | Professional | None | $190.55 | $223.87 | $281.84 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $60.26 Typical High $79.43 | Professional | 26 · Professional part | $54.95 | $60.26 | $79.43 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $162.18 Typical High $204.17 | Professional | TC · Technical part | $134.90 | $162.18 | $204.17 |
Medcost Setting Professional Modifier None Typical Low $436.52 Median $537.03 Typical High $549.54 | Professional | None | $436.52 | $537.03 | $549.54 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $107.15 Typical High $107.15 | Professional | 26 · Professional part | $85.11 | $107.15 | $107.15 |
Medcost Setting Facility Modifier None Typical Low $338.84 Median $575.44 Typical High $1,737.80 | Facility | None | $338.84 | $575.44 | $1,737.80 |
Medcost Setting Professional Modifier None (both parts) Typical Low $190.55 Median $275.42 Typical High $512.86 | Professional | None (both parts) | $190.55 | $275.42 | $512.86 |
Sentara Setting Facility Modifier None Typical Low $67.61 Median $275.42 Typical High $1,023.29 | Facility | None | $67.61 | $275.42 | $1,023.29 |
Sentara Setting Professional Modifier None (both parts) Typical Low $77.62 Median $323.59 Typical High $602.56 | Professional | None (both parts) | $77.62 | $323.59 | $602.56 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $79.43 Typical High $125.89 | Professional | 26 · Professional part | $60.26 | $79.43 | $125.89 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $281.84 Typical High $457.09 | Professional | TC · Technical part | $154.88 | $281.84 | $457.09 |
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 $186.21 Median $316.23 Typical High $575.44 | Professional | None (both parts) | $186.21 | $316.23 | $575.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $74.13 Typical High $109.65 | Professional | 26 · Professional part | $42.66 | $74.13 | $109.65 |
United Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $239.88 Typical High $478.63 | Professional | TC · Technical part | $138.04 | $239.88 | $478.63 |
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 $97.72 Median $131.83 Typical High $138.04 | Professional | 52 · Reduced service | $97.72 | $131.83 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $52.48 Typical High $54.95 | Professional | 53 · Discontinued | $38.90 | $52.48 | $54.95 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $165.96 Median $223.87 Typical High $223.87 | Professional | CT · Older CT scanner | $165.96 | $223.87 | $223.87 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $154.88 Median $208.93 Typical High $208.93 | Professional | FX · Film X-ray | $154.88 | $208.93 | $208.93 |
Medcost Setting Professional Modifier 27 · Multiple hospital visits Typical Low $354.81 Median $436.52 Typical High $436.52 | Professional | 27 · Multiple hospital visits | $354.81 | $436.52 | $436.52 |
Where Virginia sits
The same service costs 5.1 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· 41st of 51
$251
AK $776UT $151
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.