How much rates vary
Facilitymedian $195 · 10th to 90th $58 to $776Professionalmedian $162 · 10th to 90th $102 to $240
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 $144.54 Median $186.21 Typical High $229.09 | Facility | None | $144.54 | $186.21 | $229.09 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $30.90 Median $50.12 Typical High $66.07 | Facility | 26 · Professional part | $30.90 | $50.12 | $66.07 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $104.71 Median $138.04 Typical High $446.68 | Facility | TC · Technical part | $104.71 | $138.04 | $446.68 |
Aetna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $147.91 Typical High $239.88 | Professional | None (both parts) | $131.83 | $147.91 | $239.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $43.65 Typical High $66.07 | Professional | 26 · Professional part | $30.90 | $43.65 | $66.07 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $112.20 Typical High $165.96 | Professional | TC · Technical part | $91.20 | $112.20 | $165.96 |
Anthem BCBS Setting Facility Modifier None Typical Low $478.63 Median $602.56 Typical High $776.25 | Facility | None | $478.63 | $602.56 | $776.25 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $138.04 Median $169.82 Typical High $218.78 | Professional | None (both parts) | $138.04 | $169.82 | $218.78 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $53.70 Typical High $66.07 | Professional | 26 · Professional part | $43.65 | $53.70 | $66.07 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $117.49 Typical High $144.54 | Professional | TC · Technical part | $97.72 | $117.49 | $144.54 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $45.71 Median $117.49 Typical High $169.82 | Professional | None (both parts) | $45.71 | $117.49 | $169.82 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $54.95 Typical High $72.44 | Professional | 26 · Professional part | $33.11 | $54.95 | $72.44 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $107.15 Typical High $131.83 | Professional | TC · Technical part | $107.15 | $107.15 | $131.83 |
Cigna Setting Facility Modifier None Typical Low $251.19 Median $338.84 Typical High $776.25 | Facility | None | $251.19 | $338.84 | $776.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $151.36 Typical High $269.15 | Professional | None (both parts) | $107.15 | $151.36 | $269.15 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $42.66 Typical High $87.10 | Professional | 26 · Professional part | $34.67 | $42.66 | $87.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $102.33 Typical High $190.55 | Professional | TC · Technical part | $72.44 | $102.33 | $190.55 |
Kaiser Permanente Setting Professional Modifier None Typical Low $147.91 Median $169.82 Typical High $218.78 | Professional | None | $147.91 | $169.82 | $218.78 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $52.48 Typical High $67.61 | Professional | 26 · Professional part | $46.77 | $52.48 | $67.61 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $120.23 Typical High $147.91 | Professional | TC · Technical part | $100.00 | $120.23 | $147.91 |
Medcost Setting Professional Modifier None Typical Low $131.83 Median $165.96 Typical High $165.96 | Professional | None | $131.83 | $165.96 | $165.96 |
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 $199.53 Median $199.53 Typical High $288.40 | Facility | None | $199.53 | $199.53 | $288.40 |
Medcost Setting Professional Modifier None (both parts) Typical Low $100.00 Median $100.00 Typical High $169.82 | Professional | None (both parts) | $100.00 | $100.00 | $169.82 |
Sentara Setting Facility Modifier None Typical Low $42.66 Median $134.90 Typical High $776.25 | Facility | None | $42.66 | $134.90 | $776.25 |
Sentara Setting Professional Modifier None (both parts) Typical Low $46.77 Median $144.54 Typical High $316.23 | Professional | None (both parts) | $46.77 | $144.54 | $316.23 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $50.12 Typical High $97.72 | Professional | 26 · Professional part | $34.67 | $50.12 | $97.72 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $147.91 Typical High $245.47 | Professional | TC · Technical part | $85.11 | $147.91 | $245.47 |
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 $102.33 Median $154.88 Typical High $281.84 | Professional | None (both parts) | $102.33 | $154.88 | $281.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $50.12 Typical High $87.10 | Professional | 26 · Professional part | $28.84 | $50.12 | $87.10 |
United Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $109.65 Typical High $194.98 | Professional | TC · Technical part | $69.18 | $109.65 | $194.98 |
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 $67.61 Median $72.44 Typical High $74.13 | Professional | 52 · Reduced service | $67.61 | $72.44 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $28.84 Typical High $29.51 | Professional | 53 · Discontinued | $27.54 | $28.84 | $29.51 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $109.65 Median $114.82 Typical High $120.23 | Professional | FX · Film X-ray | $109.65 | $114.82 | $120.23 |
Medcost Setting Professional Modifier 27 · Multiple hospital visits Typical Low $81.28 Median $125.89 Typical High $125.89 | Professional | 27 · Multiple hospital visits | $81.28 | $125.89 | $125.89 |
Where Virginia sits
The same service costs 4.3 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
$166
AK $447UT $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.