How much rates vary
Facilitymedian $66 · 10th to 90th $20 to $240Professionalmedian $54 · 10th to 90th $39 to $79
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 $41.69 Median $57.54 Typical High $87.10 | Facility | None | $41.69 | $57.54 | $87.10 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $13.80 Median $19.95 Typical High $28.18 | Facility | 26 · Professional part | $13.80 | $19.95 | $28.18 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $26.92 Median $42.66 Typical High $64.57 | Facility | TC · Technical part | $26.92 | $42.66 | $64.57 |
Aetna Setting Professional Modifier None (both parts) Typical Low $41.69 Median $47.86 Typical High $81.28 | Professional | None (both parts) | $41.69 | $47.86 | $81.28 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $14.79 Typical High $28.18 | Professional | 26 · Professional part | $13.80 | $14.79 | $28.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $33.88 Typical High $54.95 | Professional | TC · Technical part | $26.92 | $33.88 | $54.95 |
Anthem BCBS Setting Facility Modifier None Typical Low $158.49 Median $199.53 Typical High $257.04 | Facility | None | $158.49 | $199.53 | $257.04 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $44.67 Median $54.95 Typical High $74.13 | Professional | None (both parts) | $44.67 | $54.95 | $74.13 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $16.98 Typical High $21.38 | Professional | 26 · Professional part | $13.80 | $16.98 | $21.38 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $40.74 Typical High $58.88 | Professional | TC · Technical part | $33.11 | $40.74 | $58.88 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $39.81 Median $51.29 Typical High $58.88 | Professional | None (both parts) | $39.81 | $51.29 | $58.88 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $16.22 Typical High $16.98 | Professional | 26 · Professional part | $14.79 | $16.22 | $16.98 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $36.31 Typical High $46.77 | Professional | TC · Technical part | $36.31 | $36.31 | $46.77 |
Cigna Setting Facility Modifier None Typical Low $81.28 Median $109.65 Typical High $776.25 | Facility | None | $81.28 | $109.65 | $776.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $35.48 Median $50.12 Typical High $87.10 | Professional | None (both parts) | $35.48 | $50.12 | $87.10 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $15.49 Typical High $30.20 | Professional | 26 · Professional part | $10.96 | $15.49 | $30.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $34.67 Typical High $60.26 | Professional | TC · Technical part | $24.55 | $34.67 | $60.26 |
Kaiser Permanente Setting Professional Modifier None Typical Low $48.98 Median $56.23 Typical High $72.44 | Professional | None | $48.98 | $56.23 | $72.44 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $16.22 Typical High $21.38 | Professional | 26 · Professional part | $14.79 | $16.22 | $21.38 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $40.74 Typical High $50.12 | Professional | TC · Technical part | $33.88 | $40.74 | $50.12 |
Medcost Setting Professional Modifier None Typical Low $57.54 Median $72.44 Typical High $72.44 | Professional | None | $57.54 | $72.44 | $72.44 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $27.54 Typical High $27.54 | Professional | 26 · Professional part | $21.88 | $27.54 | $27.54 |
Medcost Setting Facility Modifier None Typical Low $67.61 Median $67.61 Typical High $83.18 | Facility | None | $67.61 | $67.61 | $83.18 |
Medcost Setting Professional Modifier None (both parts) Typical Low $44.67 Median $46.77 Typical High $64.57 | Professional | None (both parts) | $44.67 | $46.77 | $64.57 |
Sentara Setting Facility Modifier None Typical Low $16.98 Median $42.66 Typical High $234.42 | Facility | None | $16.98 | $42.66 | $234.42 |
Sentara Setting Professional Modifier None (both parts) Typical Low $19.95 Median $51.29 Typical High $104.71 | Professional | None (both parts) | $19.95 | $51.29 | $104.71 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $20.42 Typical High $35.48 | Professional | 26 · Professional part | $15.85 | $20.42 | $35.48 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $45.71 Typical High $75.86 | Professional | TC · Technical part | $33.88 | $45.71 | $75.86 |
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 $36.31 Median $56.23 Typical High $89.13 | Professional | None (both parts) | $36.31 | $56.23 | $89.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $18.62 Typical High $28.84 | Professional | 26 · Professional part | $11.48 | $18.62 | $28.84 |
United Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $37.15 Typical High $58.88 | Professional | TC · Technical part | $25.12 | $37.15 | $58.88 |
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 $20.89 Median $21.38 Typical High $23.99 | Professional | 52 · Reduced service | $20.89 | $21.38 | $23.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.32 Median $8.51 Typical High $9.55 | Professional | 53 · Discontinued | $8.32 | $8.51 | $9.55 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $33.11 Median $33.11 Typical High $38.02 | Professional | FX · Film X-ray | $33.11 | $33.11 | $38.02 |
Medcost Setting Professional Modifier 27 · Multiple hospital visits Typical Low $35.48 Median $44.67 Typical High $44.67 | Professional | 27 · Multiple hospital visits | $35.48 | $44.67 | $44.67 |
Where Virginia sits
The same service costs 4.5 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· 34th of 51
$53.70
AK $148UT $33.11
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.