How much rates vary
Facilitymedian $245 · 10th to 90th $102 to $1,023Professionalmedian $251 · 10th to 90th $166 to $339
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 $208.93 Median $245.47 Typical High $457.09 | Facility | None | $208.93 | $245.47 | $457.09 |
Aetna Setting Professional Modifier None (both parts) Typical Low $208.93 Median $229.09 Typical High $245.47 | Professional | None (both parts) | $208.93 | $229.09 | $245.47 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $91.20 Typical High $93.33 | Professional | 26 · Professional part | $89.13 | $91.20 | $93.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $141.25 Typical High $154.88 | Professional | TC · Technical part | $114.82 | $141.25 | $154.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $891.25 Median $1,122.02 Typical High $1,479.11 | Facility | None | $891.25 | $1,122.02 | $1,479.11 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $234.42 Median $288.40 Typical High $338.84 | Professional | None (both parts) | $234.42 | $288.40 | $338.84 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $107.15 Typical High $128.82 | Professional | 26 · Professional part | $91.20 | $107.15 | $128.82 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $173.78 Typical High $204.17 | Professional | TC · Technical part | $147.91 | $173.78 | $204.17 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $95.50 Median $186.21 Typical High $288.40 | Professional | None (both parts) | $95.50 | $186.21 | $288.40 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $107.15 Typical High $123.03 | Professional | 26 · Professional part | $107.15 | $107.15 | $123.03 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $213.80 Typical High $251.19 | Professional | TC · Technical part | $169.82 | $213.80 | $251.19 |
Cigna Setting Facility Modifier None Typical Low $102.33 Median $316.23 Typical High $776.25 | Facility | None | $102.33 | $316.23 | $776.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $186.21 Median $234.42 Typical High $316.23 | Professional | None (both parts) | $186.21 | $234.42 | $316.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $87.10 Typical High $147.91 | Professional | 26 · Professional part | $72.44 | $87.10 | $147.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $147.91 Typical High $181.97 | Professional | TC · Technical part | $104.71 | $147.91 | $181.97 |
Kaiser Permanente Setting Professional Modifier None Typical Low $275.42 Median $323.59 Typical High $407.38 | Professional | None | $275.42 | $323.59 | $407.38 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $112.20 Typical High $162.18 | Professional | 26 · Professional part | $100.00 | $112.20 | $162.18 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $208.93 Typical High $257.04 | Professional | TC · Technical part | $173.78 | $208.93 | $257.04 |
Medcost Setting Professional Modifier None Typical Low $263.03 Median $331.13 Typical High $331.13 | Professional | None | $263.03 | $331.13 | $331.13 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $177.83 Typical High $177.83 | Professional | 26 · Professional part | $141.25 | $177.83 | $177.83 |
Medcost Setting Facility Modifier None Typical Low $208.93 Median $288.40 Typical High $426.58 | Facility | None | $208.93 | $288.40 | $426.58 |
Medcost Setting Professional Modifier None (both parts) Typical Low $151.36 Median $239.88 Typical High $323.59 | Professional | None (both parts) | $151.36 | $239.88 | $323.59 |
Sentara Setting Facility Modifier None Typical Low $95.50 Median $199.53 Typical High $645.65 | Facility | None | $95.50 | $199.53 | $645.65 |
Sentara Setting Professional Modifier None (both parts) Typical Low $114.82 Median $223.87 Typical High $346.74 | Professional | None (both parts) | $114.82 | $223.87 | $346.74 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $114.82 Typical High $158.49 | Professional | 26 · Professional part | $102.33 | $114.82 | $158.49 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $158.49 Typical High $245.47 | Professional | TC · Technical part | $109.65 | $158.49 | $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 $154.88 Median $223.87 Typical High $338.84 | Professional | None (both parts) | $154.88 | $223.87 | $338.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $89.13 Typical High $151.36 | Professional | 26 · Professional part | $69.18 | $89.13 | $151.36 |
United Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $134.90 Typical High $190.55 | Professional | TC · Technical part | $81.28 | $134.90 | $190.55 |
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 $104.71 Median $114.82 Typical High $123.03 | Professional | 52 · Reduced service | $104.71 | $114.82 | $123.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $45.71 Typical High $48.98 | Professional | 53 · Discontinued | $41.69 | $45.71 | $48.98 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $165.96 Median $181.97 Typical High $194.98 | Professional | FX · Film X-ray | $165.96 | $181.97 | $194.98 |
Medcost Setting Professional Modifier 27 · Multiple hospital visits Typical Low $123.03 Median $151.36 Typical High $154.88 | Professional | 27 · Multiple hospital visits | $123.03 | $151.36 | $154.88 |
Where Virginia sits
The same service costs 5.4 times more in Alaska than in Texas. 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· 26th of 51
$251
AK $741TX $138
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.