How much rates vary
Facilitymedian $525 · 10th to 90th $95 to $2,138Professionalmedian $257 · 10th to 90th $186 to $603
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 $426.58 Median $741.31 Typical High $3,162.28 | Facility | None | $426.58 | $741.31 | $3,162.28 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $104.71 Median $123.03 Typical High $194.98 | Facility | 26 · Professional part | $104.71 | $123.03 | $194.98 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $281.84 Median $457.09 Typical High $891.25 | Facility | TC · Technical part | $281.84 | $457.09 | $891.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $288.40 Median $524.81 Typical High $851.14 | Professional | None (both parts) | $288.40 | $524.81 | $851.14 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $125.89 Typical High $162.18 | Professional | 26 · Professional part | $89.13 | $125.89 | $162.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $346.74 Typical High $524.81 | Professional | TC · Technical part | $204.17 | $346.74 | $524.81 |
Anthem BCBS Setting Facility Modifier None Typical Low $645.65 Median $831.76 Typical High $1,071.52 | Facility | None | $645.65 | $831.76 | $1,071.52 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $194.98 Median $234.42 Typical High $316.23 | Professional | None (both parts) | $194.98 | $234.42 | $316.23 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $70.79 Typical High $91.20 | Professional | 26 · Professional part | $60.26 | $70.79 | $91.20 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $263.03 Median $346.74 Typical High $446.68 | Professional | 50 · Both sides | $263.03 | $346.74 | $446.68 |
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 $79.43 Median $269.15 Typical High $338.84 | Professional | None (both parts) | $79.43 | $269.15 | $338.84 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $87.10 Typical High $104.71 | Professional | 26 · Professional part | $87.10 | $87.10 | $104.71 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $213.80 Typical High $275.42 | Professional | TC · Technical part | $213.80 | $213.80 | $275.42 |
Cigna Setting Facility Modifier None Typical Low $776.25 Median $812.83 Typical High $1,122.02 | Facility | None | $776.25 | $812.83 | $1,122.02 |
Cigna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $446.68 Typical High $741.31 | Professional | None (both parts) | $177.83 | $446.68 | $741.31 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $66.07 Typical High $131.83 | Professional | 26 · Professional part | $48.98 | $66.07 | $131.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $346.74 Typical High $630.96 | Professional | TC · Technical part | $128.82 | $346.74 | $630.96 |
Kaiser Permanente Setting Professional Modifier None Typical Low $199.53 Median $234.42 Typical High $295.12 | Professional | None | $199.53 | $234.42 | $295.12 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $67.61 Typical High $89.13 | Professional | 26 · Professional part | $61.66 | $67.61 | $89.13 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $165.96 Typical High $208.93 | Professional | TC · Technical part | $138.04 | $165.96 | $208.93 |
Medcost Setting Professional Modifier None Typical Low $602.56 Median $758.58 Typical High $758.58 | Professional | None | $602.56 | $758.58 | $758.58 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $117.49 Typical High $117.49 | Professional | 26 · Professional part | $95.50 | $117.49 | $117.49 |
Medcost Setting Facility Modifier None Typical Low $302.00 Median $758.58 Typical High $1,122.02 | Facility | None | $302.00 | $758.58 | $1,122.02 |
Medcost Setting Professional Modifier None (both parts) Typical Low $194.98 Median $398.11 Typical High $588.84 | Professional | None (both parts) | $194.98 | $398.11 | $588.84 |
Sentara Setting Facility Modifier None Typical Low $75.86 Median $288.40 Typical High $1,445.44 | Facility | None | $75.86 | $288.40 | $1,445.44 |
Sentara Setting Professional Modifier None (both parts) Typical Low $87.10 Median $371.54 Typical High $691.83 | Professional | None (both parts) | $87.10 | $371.54 | $691.83 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $87.10 Typical High $131.83 | Professional | 26 · Professional part | $67.61 | $87.10 | $131.83 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $323.59 Typical High $537.03 | Professional | TC · Technical part | $162.18 | $323.59 | $537.03 |
United Setting Facility Modifier None Typical Low $446.68 Median $501.19 Typical High $1,096.48 | Facility | None | $446.68 | $501.19 | $1,096.48 |
United Setting Professional Modifier None (both parts) Typical Low $186.21 Median $309.03 Typical High $758.58 | Professional | None (both parts) | $186.21 | $309.03 | $758.58 |
United Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $81.28 Typical High $125.89 | Professional | 26 · Professional part | $45.71 | $81.28 | $125.89 |
United Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $245.47 Typical High $660.69 | Professional | TC · Technical part | $128.82 | $245.47 | $660.69 |
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 $151.36 Median $213.80 Typical High $263.03 | Professional | 52 · Reduced service | $151.36 | $213.80 | $263.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $60.26 Median $85.11 Typical High $104.71 | Professional | 53 · Discontinued | $60.26 | $85.11 | $104.71 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $323.59 Median $380.19 Typical High $416.87 | Professional | FX · Film X-ray | $323.59 | $380.19 | $416.87 |
Medcost Setting Professional Modifier 27 · Multiple hospital visits Typical Low $512.86 Median $645.65 Typical High $645.65 | Professional | 27 · Multiple hospital visits | $512.86 | $645.65 | $645.65 |
Where Virginia sits
The same service costs 13.5 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· 40th of 51
$269
VT $2,089UT $155
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.