How much rates vary
Facilitymedian $479 · 10th to 90th $132 to $1,778Professionalmedian $389 · 10th to 90th $269 to $661
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 $295.12 Median $794.33 Typical High $2,884.03 | Facility | None | $295.12 | $794.33 | $2,884.03 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $79.43 Median $128.82 Typical High $169.82 | Facility | 26 · Professional part | $79.43 | $128.82 | $169.82 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $173.78 Median $331.13 Typical High $776.25 | Facility | TC · Technical part | $173.78 | $331.13 | $776.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $257.04 Median $295.12 Typical High $707.95 | Professional | None (both parts) | $257.04 | $295.12 | $707.95 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $95.50 Typical High $154.88 | Professional | 26 · Professional part | $79.43 | $95.50 | $154.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $199.53 Typical High $457.09 | Professional | TC · Technical part | $173.78 | $199.53 | $457.09 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,023.29 Median $1,288.25 Typical High $1,698.24 | Facility | None | $1,023.29 | $1,288.25 | $1,698.24 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $302.00 Median $371.54 Typical High $489.78 | Professional | None (both parts) | $302.00 | $371.54 | $489.78 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $97.72 Typical High $125.89 | Professional | 26 · Professional part | $81.28 | $97.72 | $125.89 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $407.38 Median $537.03 Typical High $676.08 | Professional | 50 · Both sides | $407.38 | $537.03 | $676.08 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $275.42 Typical High $354.81 | Professional | TC · Technical part | $223.87 | $275.42 | $354.81 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $380.19 Median $467.74 Typical High $549.54 | Professional | None (both parts) | $380.19 | $467.74 | $549.54 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $114.82 Typical High $128.82 | Professional | 26 · Professional part | $104.71 | $114.82 | $128.82 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $346.74 Typical High $363.08 | Professional | TC · Technical part | $316.23 | $346.74 | $363.08 |
Cigna Setting Facility Modifier None Typical Low $776.25 Median $870.96 Typical High $1,737.80 | Facility | None | $776.25 | $870.96 | $1,737.80 |
Cigna Setting Professional Modifier None (both parts) Typical Low $281.84 Median $537.03 Typical High $812.83 | Professional | None (both parts) | $281.84 | $537.03 | $812.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $91.20 Typical High $173.78 | Professional | 26 · Professional part | $66.07 | $91.20 | $173.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $416.87 Typical High $630.96 | Professional | TC · Technical part | $208.93 | $416.87 | $630.96 |
Kaiser Permanente Setting Professional Modifier None Typical Low $316.23 Median $371.54 Typical High $467.74 | Professional | None | $316.23 | $371.54 | $467.74 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $93.33 Typical High $123.03 | Professional | 26 · Professional part | $85.11 | $93.33 | $123.03 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $275.42 Typical High $346.74 | Professional | TC · Technical part | $229.09 | $275.42 | $346.74 |
Medcost Setting Professional Modifier None Typical Low $630.96 Median $776.25 Typical High $794.33 | Professional | None | $630.96 | $776.25 | $794.33 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $165.96 Typical High $165.96 | Professional | 26 · Professional part | $131.83 | $165.96 | $165.96 |
Medcost Setting Facility Modifier None Typical Low $380.19 Median $724.44 Typical High $1,288.25 | Facility | None | $380.19 | $724.44 | $1,288.25 |
Medcost Setting Professional Modifier None (both parts) Typical Low $251.19 Median $275.42 Typical High $616.60 | Professional | None (both parts) | $251.19 | $275.42 | $616.60 |
Sentara Setting Facility Modifier None Typical Low $109.65 Median $331.13 Typical High $1,288.25 | Facility | None | $109.65 | $331.13 | $1,288.25 |
Sentara Setting Professional Modifier None (both parts) Typical Low $120.23 Median $407.38 Typical High $758.58 | Professional | None (both parts) | $120.23 | $407.38 | $758.58 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $131.83 Typical High $194.98 | Professional | 26 · Professional part | $95.50 | $131.83 | $194.98 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $331.13 Typical High $549.54 | Professional | TC · Technical part | $181.97 | $331.13 | $549.54 |
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 $288.40 Median $467.74 Typical High $794.33 | Professional | None (both parts) | $288.40 | $467.74 | $794.33 |
United Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $112.20 Typical High $169.82 | Professional | 26 · Professional part | $64.57 | $112.20 | $169.82 |
United Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $346.74 Typical High $645.65 | Professional | TC · Technical part | $208.93 | $346.74 | $645.65 |
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 $125.89 Median $147.91 Typical High $147.91 | Professional | 52 · Reduced service | $125.89 | $147.91 | $147.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $58.88 Typical High $58.88 | Professional | 53 · Discontinued | $51.29 | $58.88 | $58.88 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $218.78 Median $251.19 Typical High $251.19 | Professional | CT · Older CT scanner | $218.78 | $251.19 | $251.19 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $204.17 Median $234.42 Typical High $234.42 | Professional | FX · Film X-ray | $204.17 | $234.42 | $234.42 |
Medcost Setting Professional Modifier 27 · Multiple hospital visits Typical Low $501.19 Median $630.96 Typical High $630.96 | Professional | 27 · Multiple hospital visits | $501.19 | $630.96 | $630.96 |
Where Virginia sits
The same service costs 6.2 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· 35th of 51
$389
AK $1,047UT $170
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.