How much rates vary
Facilitymedian $135 · 10th to 90th $35 to $380Professionalmedian $105 · 10th to 90th $74 to $151
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 $87.10 Median $134.90 Typical High $162.18 | Facility | None | $87.10 | $134.90 | $162.18 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $25.70 Median $38.02 Typical High $47.86 | Facility | 26 · Professional part | $25.70 | $38.02 | $47.86 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $69.18 Median $93.33 Typical High $147.91 | Facility | TC · Technical part | $69.18 | $93.33 | $147.91 |
Aetna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $95.50 Typical High $158.49 | Professional | None (both parts) | $87.10 | $95.50 | $158.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $30.90 Typical High $43.65 | Professional | 26 · Professional part | $23.99 | $30.90 | $43.65 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $70.79 Typical High $112.20 | Professional | TC · Technical part | $56.23 | $70.79 | $112.20 |
Anthem BCBS Setting Facility Modifier None Typical Low $302.00 Median $380.19 Typical High $489.78 | Facility | None | $302.00 | $380.19 | $489.78 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $89.13 Median $109.65 Typical High $134.90 | Professional | None (both parts) | $89.13 | $109.65 | $134.90 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $31.62 Typical High $38.90 | Professional | 26 · Professional part | $25.70 | $31.62 | $38.90 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $77.62 Typical High $112.20 | Professional | TC · Technical part | $64.57 | $77.62 | $112.20 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $77.62 Median $97.72 Typical High $109.65 | Professional | None (both parts) | $77.62 | $97.72 | $109.65 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $30.20 Typical High $30.90 | Professional | 26 · Professional part | $26.92 | $30.20 | $30.90 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $70.79 Typical High $100.00 | Professional | TC · Technical part | $70.79 | $70.79 | $100.00 |
Cigna Setting Facility Modifier None Typical Low $165.96 Median $223.87 Typical High $776.25 | Facility | None | $165.96 | $223.87 | $776.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $69.18 Median $95.50 Typical High $169.82 | Professional | None (both parts) | $69.18 | $95.50 | $169.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $28.18 Typical High $50.12 | Professional | 26 · Professional part | $20.42 | $28.18 | $50.12 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $67.61 Typical High $120.23 | Professional | TC · Technical part | $47.86 | $67.61 | $120.23 |
Kaiser Permanente Setting Professional Modifier None Typical Low $93.33 Median $109.65 Typical High $138.04 | Professional | None | $93.33 | $109.65 | $138.04 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $30.20 Typical High $39.81 | Professional | 26 · Professional part | $27.54 | $30.20 | $39.81 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $77.62 Typical High $97.72 | Professional | TC · Technical part | $64.57 | $77.62 | $97.72 |
Medcost Setting Professional Modifier None Typical Low $89.13 Median $109.65 Typical High $109.65 | Professional | None | $89.13 | $109.65 | $109.65 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $40.74 Typical High $40.74 | Professional | 26 · Professional part | $32.36 | $40.74 | $40.74 |
Medcost Setting Facility Modifier None Typical Low $120.23 Median $120.23 Typical High $173.78 | Facility | None | $120.23 | $120.23 | $173.78 |
Medcost Setting Professional Modifier None (both parts) Typical Low $60.26 Median $60.26 Typical High $117.49 | Professional | None (both parts) | $60.26 | $60.26 | $117.49 |
Sentara Setting Facility Modifier None Typical Low $29.51 Median $83.18 Typical High $309.03 | Facility | None | $29.51 | $83.18 | $309.03 |
Sentara Setting Professional Modifier None (both parts) Typical Low $31.62 Median $91.20 Typical High $204.17 | Professional | None (both parts) | $31.62 | $91.20 | $204.17 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $30.20 Typical High $56.23 | Professional | 26 · Professional part | $22.91 | $30.20 | $56.23 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $93.33 Typical High $154.88 | Professional | TC · Technical part | $57.54 | $93.33 | $154.88 |
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 $66.07 Median $102.33 Typical High $173.78 | Professional | None (both parts) | $66.07 | $102.33 | $173.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $30.90 Typical High $51.29 | Professional | 26 · Professional part | $19.05 | $30.90 | $51.29 |
United Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $70.79 Typical High $123.03 | Professional | TC · Technical part | $45.71 | $70.79 | $123.03 |
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 $42.66 Median $43.65 Typical High $47.86 | Professional | 52 · Reduced service | $42.66 | $43.65 | $47.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $17.38 Typical High $19.05 | Professional | 53 · Discontinued | $17.38 | $17.38 | $19.05 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $69.18 Median $69.18 Typical High $75.86 | Professional | FX · Film X-ray | $69.18 | $69.18 | $75.86 |
Medcost Setting Professional Modifier 27 · Multiple hospital visits Typical Low $56.23 Median $70.79 Typical High $70.79 | Professional | 27 · Multiple hospital visits | $56.23 | $70.79 | $70.79 |
Where Virginia sits
The same service costs 3.8 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· 29th of 51
$105
AK $282UT $74.13
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.