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 $199.53 Median $549.54 Typical High $2,884.03 | Facility | None | $199.53 | $549.54 | $2,884.03 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $74.13 Median $109.65 Typical High $158.49 | Facility | 26 · Professional part | $74.13 | $109.65 | $158.49 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $104.71 Median $138.04 Typical High $257.04 | Facility | TC · Technical part | $104.71 | $138.04 | $257.04 |
Aetna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $199.53 Typical High $416.87 | Professional | None (both parts) | $177.83 | $199.53 | $416.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $89.13 Typical High $131.83 | Professional | 26 · Professional part | $72.44 | $89.13 | $131.83 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $112.20 Typical High $218.78 | Professional | TC · Technical part | $104.71 | $112.20 | $218.78 |
Anthem BCBS Setting Facility Modifier None Typical Low $575.44 Median $741.31 Typical High $954.99 | Facility | None | $575.44 | $741.31 | $954.99 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $173.78 Median $208.93 Typical High $275.42 | Professional | None (both parts) | $173.78 | $208.93 | $275.42 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $91.20 Typical High $114.82 | Professional | 26 · Professional part | $75.86 | $91.20 | $114.82 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $120.23 Typical High $154.88 | Professional | TC · Technical part | $100.00 | $120.23 | $154.88 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $107.15 Median $234.42 Typical High $295.12 | Professional | None (both parts) | $107.15 | $234.42 | $295.12 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $95.50 Typical High $123.03 | Professional | 26 · Professional part | $95.50 | $95.50 | $123.03 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $151.36 Typical High $177.83 | Professional | TC · Technical part | $138.04 | $151.36 | $177.83 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $776.25 Typical High $870.96 | Facility | None | $588.84 | $776.25 | $870.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $281.84 Typical High $457.09 | Professional | None (both parts) | $162.18 | $281.84 | $457.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $87.10 Typical High $162.18 | Professional | 26 · Professional part | $61.66 | $87.10 | $162.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $169.82 Typical High $275.42 | Professional | TC · Technical part | $91.20 | $169.82 | $275.42 |
Kaiser Permanente Setting Professional Modifier None Typical Low $177.83 Median $208.93 Typical High $269.15 | Professional | None | $177.83 | $208.93 | $269.15 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $87.10 Typical High $114.82 | Professional | 26 · Professional part | $79.43 | $87.10 | $114.82 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $120.23 Typical High $151.36 | Professional | TC · Technical part | $102.33 | $120.23 | $151.36 |
Medcost Setting Professional Modifier None Typical Low $316.23 Median $389.05 Typical High $389.05 | Professional | None | $316.23 | $389.05 | $389.05 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $162.18 Typical High $162.18 | Professional | 26 · Professional part | $128.82 | $162.18 | $162.18 |
Medcost Setting Facility Modifier None Typical Low $263.03 Median $316.23 Typical High $851.14 | Facility | None | $263.03 | $316.23 | $851.14 |
Medcost Setting Professional Modifier None (both parts) Typical Low $177.83 Median $338.84 Typical High $338.84 | Professional | None (both parts) | $177.83 | $338.84 | $338.84 |
Sentara Setting Facility Modifier None Typical Low $83.18 Median $194.98 Typical High $2,630.27 | Facility | None | $83.18 | $194.98 | $2,630.27 |
Sentara Setting Professional Modifier None (both parts) Typical Low $100.00 Median $213.80 Typical High $446.68 | Professional | None (both parts) | $100.00 | $213.80 | $446.68 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $104.71 Typical High $165.96 | Professional | 26 · Professional part | $83.18 | $104.71 | $165.96 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $151.36 Typical High $229.09 | Professional | TC · Technical part | $117.49 | $151.36 | $229.09 |
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 $144.54 Median $245.47 Typical High $389.05 | Professional | None (both parts) | $144.54 | $245.47 | $389.05 |
United Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $107.15 Typical High $162.18 | Professional | 26 · Professional part | $61.66 | $107.15 | $162.18 |
United Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $147.91 Typical High $239.88 | Professional | TC · Technical part | $85.11 | $147.91 | $239.88 |
3 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 CT · Older CT scanner Typical Low $151.36 Median $169.82 Typical High $169.82 | Professional | CT · Older CT scanner | $151.36 | $169.82 | $169.82 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $144.54 Median $162.18 Typical High $162.18 | Professional | FX · Film X-ray | $144.54 | $162.18 | $162.18 |
Medcost Setting Professional Modifier 27 · Multiple hospital visits Typical Low $186.21 Median $234.42 Typical High $234.42 | Professional | 27 · Multiple hospital visits | $186.21 | $234.42 | $234.42 |
Where Virginia sits
The same service costs 18.2 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· 39th of 51
$219
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.