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 $323.59 Median $691.83 Typical High $2,884.03 | Facility | None | $323.59 | $691.83 | $2,884.03 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $77.62 Median $114.82 Typical High $165.96 | Facility | 26 · Professional part | $77.62 | $114.82 | $165.96 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $229.09 Median $281.84 Typical High $501.19 | Facility | TC · Technical part | $229.09 | $281.84 | $501.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $302.00 Median $323.59 Typical High $645.65 | Professional | None (both parts) | $302.00 | $323.59 | $645.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $93.33 Typical High $144.54 | Professional | 26 · Professional part | $77.62 | $93.33 | $144.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $229.09 Typical High $389.05 | Professional | TC · Technical part | $218.78 | $229.09 | $389.05 |
Anthem BCBS Setting Facility Modifier None Typical Low $954.99 Median $1,202.26 Typical High $1,584.89 | Facility | None | $954.99 | $1,202.26 | $1,584.89 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $288.40 Median $346.74 Typical High $457.09 | Professional | None (both parts) | $288.40 | $346.74 | $457.09 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $95.50 Typical High $120.23 | Professional | 26 · Professional part | $79.43 | $95.50 | $120.23 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $251.19 Typical High $323.59 | Professional | TC · Technical part | $213.80 | $251.19 | $323.59 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $288.40 Median $389.05 Typical High $501.19 | Professional | None (both parts) | $288.40 | $389.05 | $501.19 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $112.20 Typical High $125.89 | Professional | 26 · Professional part | $100.00 | $112.20 | $125.89 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $323.59 Typical High $389.05 | Professional | TC · Technical part | $323.59 | $323.59 | $389.05 |
Cigna Setting Facility Modifier None Typical Low $776.25 Median $870.96 Typical High $1,621.81 | Facility | None | $776.25 | $870.96 | $1,621.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $263.03 Median $446.68 Typical High $724.44 | Professional | None (both parts) | $263.03 | $446.68 | $724.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $89.13 Typical High $169.82 | Professional | 26 · Professional part | $64.57 | $89.13 | $169.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $331.13 Typical High $537.03 | Professional | TC · Technical part | $190.55 | $331.13 | $537.03 |
Kaiser Permanente Setting Professional Modifier None Typical Low $295.12 Median $346.74 Typical High $436.52 | Professional | None | $295.12 | $346.74 | $436.52 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $91.20 Typical High $120.23 | Professional | 26 · Professional part | $83.18 | $91.20 | $120.23 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $257.04 Typical High $316.23 | Professional | TC · Technical part | $213.80 | $257.04 | $316.23 |
Medcost Setting Professional Modifier None Typical Low $489.78 Median $616.60 Typical High $616.60 | Professional | None | $489.78 | $616.60 | $616.60 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $169.82 Typical High $169.82 | Professional | 26 · Professional part | $134.90 | $169.82 | $169.82 |
Medcost Setting Facility Modifier None Typical Low $416.87 Median $489.78 Typical High $851.14 | Facility | None | $416.87 | $489.78 | $851.14 |
Medcost Setting Professional Modifier None (both parts) Typical Low $295.12 Median $338.84 Typical High $489.78 | Professional | None (both parts) | $295.12 | $338.84 | $489.78 |
Sentara Setting Facility Modifier None Typical Low $95.50 Median $323.59 Typical High $2,630.27 | Facility | None | $95.50 | $323.59 | $2,630.27 |
Sentara Setting Professional Modifier None (both parts) Typical Low $112.20 Median $354.81 Typical High $758.58 | Professional | None (both parts) | $112.20 | $354.81 | $758.58 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $109.65 Typical High $173.78 | Professional | 26 · Professional part | $87.10 | $109.65 | $173.78 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $302.00 Typical High $501.19 | Professional | TC · Technical part | $245.47 | $302.00 | $501.19 |
United Setting Facility Modifier None Typical Low $660.69 Median $724.44 Typical High $1,621.81 | Facility | None | $660.69 | $724.44 | $1,621.81 |
United Setting Professional Modifier None (both parts) Typical Low $239.88 Median $398.11 Typical High $630.96 | Professional | None (both parts) | $239.88 | $398.11 | $630.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $112.20 Typical High $162.18 | Professional | 26 · Professional part | $64.57 | $112.20 | $162.18 |
United Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $281.84 Typical High $467.74 | Professional | TC · Technical part | $173.78 | $281.84 | $467.74 |
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 $257.04 Median $269.15 Typical High $269.15 | Professional | CT · Older CT scanner | $257.04 | $269.15 | $269.15 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $245.47 Median $257.04 Typical High $257.04 | Professional | FX · Film X-ray | $245.47 | $257.04 | $257.04 |
Medcost Setting Professional Modifier 27 · Multiple hospital visits Typical Low $354.81 Median $446.68 Typical High $446.68 | Professional | 27 · Multiple hospital visits | $354.81 | $446.68 | $446.68 |
Where Virginia sits
The same service costs 15.8 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· 37th of 51
$363
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.