How much rates vary
Facilitymedian $776 · 10th to 90th $148 to $2,138Professionalmedian $427 · 10th to 90th $324 to $1,023
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 $524.81 Median $1,096.48 Typical High $3,162.28 | Facility | None | $524.81 | $1,096.48 | $3,162.28 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $117.49 Median $173.78 Typical High $213.80 | Facility | 26 · Professional part | $117.49 | $173.78 | $213.80 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $281.84 Median $524.81 Typical High $1,000.00 | Facility | TC · Technical part | $281.84 | $524.81 | $1,000.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $398.11 Median $524.81 Typical High $1,096.48 | Professional | None (both parts) | $398.11 | $524.81 | $1,096.48 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $154.88 Typical High $199.53 | Professional | 26 · Professional part | $117.49 | $154.88 | $199.53 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $371.54 Typical High $776.25 | Professional | TC · Technical part | $281.84 | $371.54 | $776.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,071.52 Median $1,348.96 Typical High $1,778.28 | Facility | None | $1,071.52 | $1,348.96 | $1,778.28 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $323.59 Median $398.11 Typical High $524.81 | Professional | None (both parts) | $323.59 | $398.11 | $524.81 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $114.82 Typical High $144.54 | Professional | 26 · Professional part | $95.50 | $114.82 | $144.54 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $275.42 Typical High $363.08 | Professional | TC · Technical part | $229.09 | $275.42 | $363.08 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $323.59 Median $457.09 Typical High $645.65 | Professional | None (both parts) | $323.59 | $457.09 | $645.65 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $144.54 Typical High $154.88 | Professional | 26 · Professional part | $128.82 | $144.54 | $154.88 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $363.08 Median $363.08 Typical High $537.03 | Professional | TC · Technical part | $363.08 | $363.08 | $537.03 |
Cigna Setting Facility Modifier None Typical Low $776.25 Median $1,318.26 Typical High $2,187.76 | Facility | None | $776.25 | $1,318.26 | $2,187.76 |
Cigna Setting Professional Modifier None (both parts) Typical Low $302.00 Median $758.58 Typical High $1,380.38 | Professional | None (both parts) | $302.00 | $758.58 | $1,380.38 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $109.65 Typical High $204.17 | Professional | 26 · Professional part | $77.62 | $109.65 | $204.17 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $549.54 Typical High $1,202.26 | Professional | TC · Technical part | $223.87 | $549.54 | $1,202.26 |
Kaiser Permanente Setting Professional Modifier None Typical Low $331.13 Median $389.05 Typical High $489.78 | Professional | None | $331.13 | $389.05 | $489.78 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $109.65 Typical High $144.54 | Professional | 26 · Professional part | $100.00 | $109.65 | $144.54 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $275.42 Typical High $346.74 | Professional | TC · Technical part | $229.09 | $275.42 | $346.74 |
Medcost Setting Professional Modifier None Typical Low $1,318.26 Median $1,621.81 Typical High $1,621.81 | Professional | None | $1,318.26 | $1,621.81 | $1,621.81 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $158.49 Median $199.53 Typical High $199.53 | Professional | 26 · Professional part | $158.49 | $199.53 | $199.53 |
Medcost Setting Facility Modifier None Typical Low $524.81 Median $1,122.02 Typical High $1,202.26 | Facility | None | $524.81 | $1,122.02 | $1,202.26 |
Medcost Setting Professional Modifier None (both parts) Typical Low $331.13 Median $602.56 Typical High $912.01 | Professional | None (both parts) | $331.13 | $602.56 | $912.01 |
Sentara Setting Facility Modifier None Typical Low $123.03 Median $457.09 Typical High $1,778.28 | Facility | None | $123.03 | $457.09 | $1,778.28 |
Sentara Setting Professional Modifier None (both parts) Typical Low $134.90 Median $616.60 Typical High $1,318.26 | Professional | None (both parts) | $134.90 | $616.60 | $1,318.26 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $141.25 Typical High $218.78 | Professional | 26 · Professional part | $109.65 | $141.25 | $218.78 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $537.03 Typical High $1,023.29 | Professional | TC · Technical part | $275.42 | $537.03 | $1,023.29 |
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 $316.23 Median $575.44 Typical High $1,445.44 | Professional | None (both parts) | $316.23 | $575.44 | $1,445.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $131.83 Typical High $199.53 | Professional | 26 · Professional part | $77.62 | $131.83 | $199.53 |
United Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $426.58 Typical High $1,288.25 | Professional | TC · Technical part | $223.87 | $426.58 | $1,288.25 |
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 $199.53 Median $257.04 Typical High $263.03 | Professional | 52 · Reduced service | $199.53 | $257.04 | $263.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $79.43 Median $102.33 Typical High $104.71 | Professional | 53 · Discontinued | $79.43 | $102.33 | $104.71 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $323.59 Median $416.87 Typical High $416.87 | Professional | FX · Film X-ray | $323.59 | $416.87 | $416.87 |
Medcost Setting Professional Modifier 27 · Multiple hospital visits Typical Low $1,148.15 Median $1,445.44 Typical High $1,445.44 | Professional | 27 · Multiple hospital visits | $1,148.15 | $1,445.44 | $1,445.44 |
Where Virginia sits
The same service costs 5.8 times more in Wyoming 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· 43rd of 51
$437
WY $1,349UT $234
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.