How much rates vary
Facilitymedian $155 · 10th to 90th $46 to $776Professionalmedian $151 · 10th to 90th $60 to $263
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 $97.72 Median $151.36 Typical High $186.21 | Facility | None | $97.72 | $151.36 | $186.21 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $24.55 Median $51.29 Typical High $81.28 | Facility | 26 · Professional part | $24.55 | $51.29 | $81.28 |
Aetna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $112.20 Typical High $151.36 | Professional | None (both parts) | $97.72 | $112.20 | $151.36 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $36.31 Typical High $40.74 | Professional | 26 · Professional part | $24.55 | $36.31 | $40.74 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $79.43 Typical High $109.65 | Professional | TC · Technical part | $72.44 | $79.43 | $109.65 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $134.90 Median $158.49 Typical High $239.88 | Professional | None (both parts) | $134.90 | $158.49 | $239.88 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $30.20 Typical High $35.48 | Professional | 26 · Professional part | $25.12 | $30.20 | $35.48 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $169.82 Typical High $186.21 | Professional | TC · Technical part | $141.25 | $169.82 | $186.21 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $25.70 Median $234.42 Typical High $281.84 | Professional | None (both parts) | $25.70 | $234.42 | $281.84 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $28.18 Typical High $33.11 | Professional | 26 · Professional part | $28.18 | $28.18 | $33.11 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $234.42 Typical High $269.15 | Professional | TC · Technical part | $208.93 | $234.42 | $269.15 |
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 $70.79 Median $97.72 Typical High $229.09 | Professional | None (both parts) | $70.79 | $97.72 | $229.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $26.92 Typical High $63.10 | Professional | 26 · Professional part | $19.05 | $26.92 | $63.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $70.79 Typical High $165.96 | Professional | TC · Technical part | $51.29 | $70.79 | $165.96 |
Kaiser Permanente Setting Professional Modifier None Typical Low $100.00 Median $117.49 Typical High $204.17 | Professional | None | $100.00 | $117.49 | $204.17 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $30.20 Typical High $52.48 | Professional | 26 · Professional part | $27.54 | $30.20 | $52.48 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $87.10 Typical High $151.36 | Professional | TC · Technical part | $72.44 | $87.10 | $151.36 |
Medcost Setting Professional Modifier None Typical Low $213.80 Median $263.03 Typical High $263.03 | Professional | None | $213.80 | $263.03 | $263.03 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $79.43 Typical High $79.43 | Professional | 26 · Professional part | $63.10 | $79.43 | $79.43 |
Medcost Setting Facility Modifier None Typical Low $151.36 Median $229.09 Typical High $239.88 | Facility | None | $151.36 | $229.09 | $239.88 |
Medcost Setting Professional Modifier None (both parts) Typical Low $44.67 Median $93.33 Typical High $263.03 | Professional | None (both parts) | $44.67 | $93.33 | $263.03 |
Sentara Setting Facility Modifier None Typical Low $45.71 Median $151.36 Typical High $676.08 | Facility | None | $45.71 | $151.36 | $676.08 |
Sentara Setting Professional Modifier None (both parts) Typical Low $53.70 Median $154.88 Typical High $223.87 | Professional | None (both parts) | $53.70 | $154.88 | $223.87 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $46.77 Typical High $64.57 | Professional | 26 · Professional part | $28.84 | $46.77 | $64.57 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $134.90 Typical High $181.97 | Professional | TC · Technical part | $74.13 | $134.90 | $181.97 |
United Setting Professional Modifier None (both parts) Typical Low $123.03 Median $158.49 Typical High $269.15 | Professional | None (both parts) | $123.03 | $158.49 | $269.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $38.90 Typical High $67.61 | Professional | 26 · Professional part | $28.84 | $38.90 | $67.61 |
United Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $117.49 Typical High $204.17 | Professional | TC · Technical part | $93.33 | $117.49 | $204.17 |
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 $48.98 Median $48.98 Typical High $75.86 | Professional | 52 · Reduced service | $48.98 | $48.98 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $19.50 Typical High $30.20 | Professional | 53 · Discontinued | $19.50 | $19.50 | $30.20 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $77.62 Median $77.62 Typical High $120.23 | Professional | FX · Film X-ray | $77.62 | $77.62 | $120.23 |
Medcost Setting Professional Modifier 27 · Multiple hospital visits Typical Low $151.36 Median $186.21 Typical High $186.21 | Professional | 27 · Multiple hospital visits | $151.36 | $186.21 | $186.21 |
Where Virginia sits
The same service costs 4.2 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· 41st of 51
$151
NE $380FL $91.20
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.