How much rates vary
Facilitymedian $178 · 10th to 90th $50 to $550Professionalmedian $148 · 10th to 90th $98 to $214
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 $123.03 Median $186.21 Typical High $229.09 | Facility | None | $123.03 | $186.21 | $229.09 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $30.90 Median $53.70 Typical High $69.18 | Facility | 26 · Professional part | $30.90 | $53.70 | $69.18 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $97.72 Median $128.82 Typical High $208.93 | Facility | TC · Technical part | $97.72 | $128.82 | $208.93 |
Aetna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $134.90 Typical High $208.93 | Professional | None (both parts) | $123.03 | $134.90 | $208.93 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $38.02 Typical High $63.10 | Professional | 26 · Professional part | $30.90 | $38.02 | $63.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $97.72 Typical High $147.91 | Professional | TC · Technical part | $85.11 | $97.72 | $147.91 |
Anthem BCBS Setting Facility Modifier None Typical Low $426.58 Median $549.54 Typical High $707.95 | Facility | None | $426.58 | $549.54 | $707.95 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $125.89 Median $154.88 Typical High $199.53 | Professional | None (both parts) | $125.89 | $154.88 | $199.53 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $46.77 Typical High $60.26 | Professional | 26 · Professional part | $38.02 | $46.77 | $60.26 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $109.65 Typical High $134.90 | Professional | TC · Technical part | $89.13 | $109.65 | $134.90 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $97.72 Median $138.04 Typical High $162.18 | Professional | None (both parts) | $97.72 | $138.04 | $162.18 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $44.67 Typical High $50.12 | Professional | 26 · Professional part | $39.81 | $44.67 | $50.12 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $109.65 Typical High $134.90 | Professional | TC · Technical part | $102.33 | $109.65 | $134.90 |
Cigna Setting Facility Modifier None Typical Low $229.09 Median $316.23 Typical High $776.25 | Facility | None | $229.09 | $316.23 | $776.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $134.90 Typical High $239.88 | Professional | None (both parts) | $97.72 | $134.90 | $239.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $40.74 Typical High $75.86 | Professional | 26 · Professional part | $30.20 | $40.74 | $75.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $93.33 Typical High $169.82 | Professional | TC · Technical part | $67.61 | $93.33 | $169.82 |
Kaiser Permanente Setting Professional Modifier None Typical Low $131.83 Median $154.88 Typical High $194.98 | Professional | None | $131.83 | $154.88 | $194.98 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $44.67 Typical High $58.88 | Professional | 26 · Professional part | $40.74 | $44.67 | $58.88 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $109.65 Typical High $138.04 | Professional | TC · Technical part | $91.20 | $109.65 | $138.04 |
Medcost Setting Professional Modifier None Typical Low $125.89 Median $158.49 Typical High $158.49 | Professional | None | $125.89 | $158.49 | $158.49 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $60.26 Typical High $60.26 | Professional | 26 · Professional part | $48.98 | $60.26 | $60.26 |
Medcost Setting Facility Modifier None Typical Low $169.82 Median $169.82 Typical High $245.47 | Facility | None | $169.82 | $169.82 | $245.47 |
Medcost Setting Professional Modifier None (both parts) Typical Low $131.83 Median $131.83 Typical High $173.78 | Professional | None (both parts) | $131.83 | $131.83 | $173.78 |
Sentara Setting Facility Modifier None Typical Low $37.15 Median $114.82 Typical High $363.08 | Facility | None | $37.15 | $114.82 | $363.08 |
Sentara Setting Professional Modifier None (both parts) Typical Low $44.67 Median $125.89 Typical High $257.04 | Professional | None (both parts) | $44.67 | $125.89 | $257.04 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $45.71 Typical High $85.11 | Professional | 26 · Professional part | $34.67 | $45.71 | $85.11 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $128.82 Typical High $218.78 | Professional | TC · Technical part | $81.28 | $128.82 | $218.78 |
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 $93.33 Median $144.54 Typical High $245.47 | Professional | None (both parts) | $93.33 | $144.54 | $245.47 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $45.71 Typical High $75.86 | Professional | 26 · Professional part | $28.84 | $45.71 | $75.86 |
United Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $97.72 Typical High $169.82 | Professional | TC · Technical part | $63.10 | $97.72 | $169.82 |
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 $60.26 Median $60.26 Typical High $67.61 | Professional | 52 · Reduced service | $60.26 | $60.26 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $24.55 Typical High $26.92 | Professional | 53 · Discontinued | $24.55 | $24.55 | $26.92 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $97.72 Median $97.72 Typical High $109.65 | Professional | FX · Film X-ray | $97.72 | $97.72 | $109.65 |
Medcost Setting Professional Modifier 27 · Multiple hospital visits Typical Low $79.43 Median $97.72 Typical High $97.72 | Professional | 27 · Multiple hospital visits | $79.43 | $97.72 | $97.72 |
Where Virginia sits
The same service costs 3.9 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· 31st of 51
$148
AK $407UT $105
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.