How much rates vary
Facilitymedian $95 · 10th to 90th $36 to $776Professionalmedian $117 · 10th to 90th $25 to $174
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 $63.10 Median $91.20 Typical High $112.20 | Facility | None | $63.10 | $91.20 | $112.20 |
Aetna Setting Professional Modifier None (both parts) Typical Low $63.10 Median $67.61 Typical High $91.20 | Professional | None (both parts) | $63.10 | $67.61 | $91.20 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $27.54 Typical High $32.36 | Professional | 26 · Professional part | $20.89 | $27.54 | $32.36 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $42.66 Typical High $58.88 | Professional | TC · Technical part | $41.69 | $42.66 | $58.88 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $81.28 Median $147.91 Typical High $229.09 | Professional | None (both parts) | $81.28 | $147.91 | $229.09 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $25.70 Typical High $30.20 | Professional | 26 · Professional part | $21.38 | $25.70 | $30.20 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $117.49 Typical High $128.82 | Professional | TC · Technical part | $100.00 | $117.49 | $128.82 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $21.88 Median $138.04 Typical High $162.18 | Professional | None (both parts) | $21.88 | $138.04 | $162.18 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $28.84 Typical High $35.48 | Professional | 26 · Professional part | $25.12 | $28.84 | $35.48 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $158.49 Typical High $181.97 | Professional | TC · Technical part | $141.25 | $158.49 | $181.97 |
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 $46.77 Median $64.57 Typical High $154.88 | Professional | None (both parts) | $46.77 | $64.57 | $154.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $22.91 Typical High $48.98 | Professional | 26 · Professional part | $16.60 | $22.91 | $48.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $42.66 Typical High $100.00 | Professional | TC · Technical part | $30.20 | $42.66 | $100.00 |
Kaiser Permanente Setting Professional Modifier None Typical Low $67.61 Median $79.43 Typical High $138.04 | Professional | None | $67.61 | $79.43 | $138.04 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $26.92 Typical High $45.71 | Professional | 26 · Professional part | $23.99 | $26.92 | $45.71 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $53.70 Typical High $91.20 | Professional | TC · Technical part | $43.65 | $53.70 | $91.20 |
Medcost Setting Professional Modifier None Typical Low $223.87 Median $223.87 Typical High $281.84 | Professional | None | $223.87 | $223.87 | $281.84 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $61.66 Typical High $61.66 | Professional | 26 · Professional part | $48.98 | $61.66 | $61.66 |
Medcost Setting Facility Modifier None Typical Low $91.20 Median $138.04 Typical High $144.54 | Facility | None | $91.20 | $138.04 | $144.54 |
Medcost Setting Professional Modifier None (both parts) Typical Low $144.54 Median $173.78 Typical High $245.47 | Professional | None (both parts) | $144.54 | $173.78 | $245.47 |
Sentara Setting Facility Modifier None Typical Low $35.48 Median $91.20 Typical High $537.03 | Facility | None | $35.48 | $91.20 | $537.03 |
Sentara Setting Professional Modifier None (both parts) Typical Low $41.69 Median $104.71 Typical High $158.49 | Professional | None (both parts) | $41.69 | $104.71 | $158.49 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $36.31 Typical High $50.12 | Professional | 26 · Professional part | $23.44 | $36.31 | $50.12 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $79.43 Typical High $114.82 | Professional | TC · Technical part | $43.65 | $79.43 | $114.82 |
United Setting Professional Modifier None (both parts) Typical Low $117.49 Median $141.25 Typical High $251.19 | Professional | None (both parts) | $117.49 | $141.25 | $251.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $30.20 Typical High $52.48 | Professional | 26 · Professional part | $23.44 | $30.20 | $52.48 |
United Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $112.20 Typical High $204.17 | Professional | TC · Technical part | $93.33 | $112.20 | $204.17 |
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 $31.62 Median $31.62 Typical High $45.71 | Professional | 52 · Reduced service | $31.62 | $31.62 | $45.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.59 Median $12.59 Typical High $18.20 | Professional | 53 · Discontinued | $12.59 | $12.59 | $18.20 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $50.12 Median $50.12 Typical High $72.44 | Professional | FX · Film X-ray | $50.12 | $50.12 | $72.44 |
Where Virginia sits
The same service costs 6.6 times more in Nebraska 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· 33rd of 51
$115
NE $363FL $54.95
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.