How much rates vary
Facilitymedian $112 · 10th to 90th $30 to $646Professionalmedian $98 · 10th to 90th $31 to $162
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 $100.00 Typical High $309.03 | Facility | None | $97.72 | $100.00 | $309.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $100.00 Typical High $100.00 | Professional | None (both parts) | $97.72 | $100.00 | $100.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $24.55 Typical High $25.12 | Professional | 26 · Professional part | $22.91 | $24.55 | $25.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $75.86 Typical High $75.86 | Professional | TC · Technical part | $72.44 | $75.86 | $75.86 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $25.12 Median $25.12 Typical High $102.33 | Professional | None (both parts) | $25.12 | $25.12 | $102.33 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $28.18 Typical High $33.11 | Professional | 26 · Professional part | $22.91 | $28.18 | $33.11 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $107.15 Typical High $117.49 | Professional | TC · Technical part | $89.13 | $107.15 | $117.49 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $23.99 Median $77.62 Typical High $89.13 | Professional | None (both parts) | $23.99 | $77.62 | $89.13 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $26.92 Typical High $31.62 | Professional | 26 · Professional part | $26.92 | $26.92 | $31.62 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $60.26 Typical High $70.79 | Professional | TC · Technical part | $60.26 | $60.26 | $70.79 |
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 $72.44 Median $95.50 Typical High $173.78 | Professional | None (both parts) | $72.44 | $95.50 | $173.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $22.91 Typical High $38.90 | Professional | 26 · Professional part | $18.20 | $22.91 | $38.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $72.44 Typical High $134.90 | Professional | TC · Technical part | $53.70 | $72.44 | $134.90 |
Kaiser Permanente Setting Professional Modifier None Typical Low $97.72 Median $114.82 Typical High $181.97 | Professional | None | $97.72 | $114.82 | $181.97 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $27.54 Typical High $42.66 | Professional | 26 · Professional part | $24.55 | $27.54 | $42.66 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $89.13 Typical High $141.25 | Professional | TC · Technical part | $72.44 | $89.13 | $141.25 |
Medcost Setting Professional Modifier None Typical Low $162.18 Median $204.17 Typical High $204.17 | Professional | None | $162.18 | $204.17 | $204.17 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $46.77 Typical High $46.77 | Professional | 26 · Professional part | $38.02 | $46.77 | $46.77 |
Medcost Setting Facility Modifier None Typical Low $97.72 Median $147.91 Typical High $181.97 | Facility | None | $97.72 | $147.91 | $181.97 |
Medcost Setting Professional Modifier None (both parts) Typical Low $138.04 Median $151.36 Typical High $199.53 | Professional | None (both parts) | $138.04 | $151.36 | $199.53 |
Sentara Setting Facility Modifier None Typical Low $28.18 Median $104.71 Typical High $489.78 | Facility | None | $28.18 | $104.71 | $489.78 |
Sentara Setting Professional Modifier None (both parts) Typical Low $33.11 Median $117.49 Typical High $165.96 | Professional | None (both parts) | $33.11 | $117.49 | $165.96 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $30.20 Typical High $41.69 | Professional | 26 · Professional part | $26.30 | $30.20 | $41.69 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $97.72 Typical High $131.83 | Professional | TC · Technical part | $77.62 | $97.72 | $131.83 |
United Setting Professional Modifier None (both parts) Typical Low $93.33 Median $117.49 Typical High $208.93 | Professional | None (both parts) | $93.33 | $117.49 | $208.93 |
United Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $23.44 Typical High $39.81 | Professional | 26 · Professional part | $18.62 | $23.44 | $39.81 |
United Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $93.33 Typical High $169.82 | Professional | TC · Technical part | $74.13 | $93.33 | $169.82 |
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 $50.12 | Professional | 52 · Reduced service | $48.98 | $48.98 | $50.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $19.50 Typical High $19.95 | Professional | 53 · Discontinued | $19.50 | $19.50 | $19.95 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $77.62 Median $77.62 Typical High $79.43 | Professional | FX · Film X-ray | $77.62 | $77.62 | $79.43 |
Medcost Setting Professional Modifier 27 · Multiple hospital visits Typical Low $125.89 Median $154.88 Typical High $154.88 | Professional | 27 · Multiple hospital visits | $125.89 | $154.88 | $154.88 |
Where Virginia sits
The same service costs 4.0 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· 47th of 51
$97.72
AK $302FL $75.86
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.