How much rates vary
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 $239.88 Median $562.34 Typical High $2,884.03 | Facility | None | $239.88 | $562.34 | $2,884.03 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $53.70 Median $81.28 Typical High $114.82 | Facility | 26 · Professional part | $53.70 | $81.28 | $114.82 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $173.78 Median $316.23 Typical High $512.86 | Facility | TC · Technical part | $173.78 | $316.23 | $512.86 |
Aetna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $263.03 Typical High $562.34 | Professional | None (both parts) | $229.09 | $263.03 | $562.34 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $64.57 Typical High $112.20 | Professional | 26 · Professional part | $53.70 | $64.57 | $112.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $173.78 Typical High $407.38 | Professional | TC · Technical part | $173.78 | $173.78 | $407.38 |
Anthem BCBS Setting Facility Modifier None Typical Low $741.31 Median $933.25 Typical High $1,202.26 | Facility | None | $741.31 | $933.25 | $1,202.26 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $223.87 Median $269.15 Typical High $354.81 | Professional | None (both parts) | $223.87 | $269.15 | $354.81 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $66.07 Typical High $85.11 | Professional | 26 · Professional part | $56.23 | $66.07 | $85.11 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $199.53 Typical High $263.03 | Professional | TC · Technical part | $169.82 | $199.53 | $263.03 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $77.62 Median $302.00 Typical High $354.81 | Professional | None (both parts) | $77.62 | $302.00 | $354.81 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $70.79 Typical High $97.72 | Professional | 26 · Professional part | $70.79 | $70.79 | $97.72 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $229.09 Typical High $338.84 | Professional | TC · Technical part | $229.09 | $229.09 | $338.84 |
Cigna Setting Facility Modifier None Typical Low $776.25 Median $870.96 Typical High $1,288.25 | Facility | None | $776.25 | $870.96 | $1,288.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $199.53 Median $371.54 Typical High $562.34 | Professional | None (both parts) | $199.53 | $371.54 | $562.34 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $61.66 Typical High $120.23 | Professional | 26 · Professional part | $45.71 | $61.66 | $120.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $295.12 Typical High $457.09 | Professional | TC · Technical part | $151.36 | $295.12 | $457.09 |
Kaiser Permanente Setting Professional Modifier None Typical Low $223.87 Median $269.15 Typical High $338.84 | Professional | None | $223.87 | $269.15 | $338.84 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $63.10 Typical High $83.18 | Professional | 26 · Professional part | $57.54 | $63.10 | $83.18 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $204.17 Typical High $251.19 | Professional | TC · Technical part | $169.82 | $204.17 | $251.19 |
Medcost Setting Professional Modifier None Typical Low $416.87 Median $512.86 Typical High $512.86 | Professional | None | $416.87 | $512.86 | $512.86 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $112.20 Typical High $112.20 | Professional | 26 · Professional part | $89.13 | $112.20 | $112.20 |
Medcost Setting Facility Modifier None Typical Low $309.03 Median $501.19 Typical High $1,737.80 | Facility | None | $309.03 | $501.19 | $1,737.80 |
Medcost Setting Professional Modifier None (both parts) Typical Low $223.87 Median $223.87 Typical High $446.68 | Professional | None (both parts) | $223.87 | $223.87 | $446.68 |
Sentara Setting Facility Modifier None Typical Low $70.79 Median $288.40 Typical High $1,071.52 | Facility | None | $70.79 | $288.40 | $1,071.52 |
Sentara Setting Professional Modifier None (both parts) Typical Low $81.28 Median $316.23 Typical High $602.56 | Professional | None (both parts) | $81.28 | $316.23 | $602.56 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $81.28 Typical High $125.89 | Professional | 26 · Professional part | $63.10 | $81.28 | $125.89 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $295.12 Typical High $446.68 | Professional | TC · Technical part | $177.83 | $295.12 | $446.68 |
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 $199.53 Median $323.59 Typical High $549.54 | Professional | None (both parts) | $199.53 | $323.59 | $549.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $75.86 Typical High $112.20 | Professional | 26 · Professional part | $44.67 | $75.86 | $112.20 |
United Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $245.47 Typical High $436.52 | Professional | TC · Technical part | $147.91 | $245.47 | $436.52 |
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 $114.82 Median $120.23 Typical High $138.04 | Professional | 52 · Reduced service | $114.82 | $120.23 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $47.86 Typical High $54.95 | Professional | 53 · Discontinued | $45.71 | $47.86 | $54.95 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $194.98 Median $204.17 Typical High $204.17 | Professional | CT · Older CT scanner | $194.98 | $204.17 | $204.17 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $181.97 Median $190.55 Typical High $190.55 | Professional | FX · Film X-ray | $181.97 | $190.55 | $190.55 |
Medcost Setting Professional Modifier 27 · Multiple hospital visits Typical Low $323.59 Median $407.38 Typical High $407.38 | Professional | 27 · Multiple hospital visits | $323.59 | $407.38 | $407.38 |
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· 41st of 51
$282
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.