How much rates vary
Facilitymedian $29 · 10th to 90th $11 to $100Professionalmedian $28 · 10th to 90th $17 to $58
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 $26.92 Median $27.54 Typical High $37.15 | Facility | None | $26.92 | $27.54 | $37.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $25.12 Median $26.92 Typical High $27.54 | Professional | None (both parts) | $25.12 | $26.92 | $27.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $9.55 Typical High $9.55 | Professional | 26 · Professional part | $8.71 | $9.55 | $9.55 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $17.78 Typical High $18.62 | Professional | TC · Technical part | $16.22 | $17.78 | $18.62 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $9.33 Median $28.18 Typical High $100.00 | Professional | None (both parts) | $9.33 | $28.18 | $100.00 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $2.45 Median $2.88 Typical High $4.37 | Professional | 26 · Professional part | $2.45 | $2.88 | $4.37 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $9.77 Median $11.48 Typical High $15.85 | Professional | TC · Technical part | $9.77 | $11.48 | $15.85 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $9.55 Median $19.50 Typical High $30.20 | Professional | None (both parts) | $9.55 | $19.50 | $30.20 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $10.72 Typical High $13.80 | Professional | 26 · Professional part | $10.72 | $10.72 | $13.80 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $8.71 Median $21.88 Typical High $25.70 | Professional | TC · Technical part | $8.71 | $21.88 | $25.70 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $776.25 Typical High $870.96 | Facility | None | $524.81 | $776.25 | $870.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $20.42 Median $29.51 Typical High $53.70 | Professional | None (both parts) | $20.42 | $29.51 | $53.70 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $10.47 Typical High $19.50 | Professional | 26 · Professional part | $7.24 | $10.47 | $19.50 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $13.18 Median $19.50 Typical High $35.48 | Professional | TC · Technical part | $13.18 | $19.50 | $35.48 |
Kaiser Permanente Setting Professional Modifier None Typical Low $26.30 Median $30.90 Typical High $38.90 | Professional | None | $26.30 | $30.90 | $38.90 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $10.23 Typical High $13.49 | Professional | 26 · Professional part | $9.12 | $10.23 | $13.49 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $20.42 Typical High $25.70 | Professional | TC · Technical part | $16.98 | $20.42 | $25.70 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $18.62 Typical High $18.62 | Professional | 26 · Professional part | $14.79 | $18.62 | $18.62 |
Medcost Setting Facility Modifier None Typical Low $41.69 Median $43.65 Typical High $43.65 | Facility | None | $41.69 | $43.65 | $43.65 |
Medcost Setting Professional Modifier None (both parts) Typical Low $25.12 Median $26.92 Typical High $44.67 | Professional | None (both parts) | $25.12 | $26.92 | $44.67 |
Sentara Setting Facility Modifier None Typical Low $10.72 Median $28.84 Typical High $83.18 | Facility | None | $10.72 | $28.84 | $83.18 |
Sentara Setting Professional Modifier None (both parts) Typical Low $13.18 Median $30.20 Typical High $57.54 | Professional | None (both parts) | $13.18 | $30.20 | $57.54 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $13.80 Typical High $23.99 | Professional | 26 · Professional part | $10.23 | $13.80 | $23.99 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $25.70 Typical High $41.69 | Professional | TC · Technical part | $18.62 | $25.70 | $41.69 |
United Setting Professional Modifier None (both parts) Typical Low $23.44 Median $42.66 Typical High $77.62 | Professional | None (both parts) | $23.44 | $42.66 | $77.62 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $12.59 Typical High $19.50 | Professional | 26 · Professional part | $7.59 | $12.59 | $19.50 |
United Setting Professional Modifier TC · Technical part Typical Low $15.14 Median $32.36 Typical High $58.88 | Professional | TC · Technical part | $15.14 | $32.36 | $58.88 |
3 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 $12.30 Median $13.49 Typical High $13.80 | Professional | 52 · Reduced service | $12.30 | $13.49 | $13.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.01 Median $5.50 Typical High $5.50 | Professional | 53 · Discontinued | $5.01 | $5.50 | $5.50 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $21.38 Median $21.88 Typical High $21.88 | Professional | FX · Film X-ray | $21.38 | $21.88 | $21.88 |
Where Virginia sits
The same service costs 4.7 times more in Alaska than in Florida. 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· 46th of 51
$28.18
AK $110FL $23.44
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.