How much rates vary
Facilitymedian $132 · 10th to 90th $42 to $871Professionalmedian $120 · 10th to 90th $38 to $186
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 $125.89 Median $128.82 Typical High $309.03 | Facility | None | $125.89 | $128.82 | $309.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $125.89 Typical High $128.82 | Professional | None (both parts) | $125.89 | $125.89 | $128.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $33.11 Typical High $34.67 | Professional | 26 · Professional part | $32.36 | $33.11 | $34.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $91.20 Typical High $95.50 | Professional | TC · Technical part | $91.20 | $91.20 | $95.50 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $109.65 Median $134.90 Typical High $204.17 | Professional | None (both parts) | $109.65 | $134.90 | $204.17 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $39.81 Typical High $46.77 | Professional | 26 · Professional part | $33.11 | $39.81 | $46.77 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $141.25 Typical High $158.49 | Professional | TC · Technical part | $117.49 | $141.25 | $158.49 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $34.67 Median $47.86 Typical High $87.10 | Professional | None (both parts) | $34.67 | $47.86 | $87.10 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $43.65 Typical High $52.48 | Professional | 26 · Professional part | $38.90 | $43.65 | $52.48 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $43.65 Typical High $58.88 | Professional | TC · Technical part | $43.65 | $43.65 | $58.88 |
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 $95.50 Median $125.89 Typical High $199.53 | Professional | None (both parts) | $95.50 | $125.89 | $199.53 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $31.62 Typical High $54.95 | Professional | 26 · Professional part | $25.70 | $31.62 | $54.95 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $93.33 Typical High $144.54 | Professional | TC · Technical part | $69.18 | $93.33 | $144.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $125.89 Median $147.91 Typical High $239.88 | Professional | None | $125.89 | $147.91 | $239.88 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $38.02 Typical High $60.26 | Professional | 26 · Professional part | $34.67 | $38.02 | $60.26 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $112.20 Typical High $177.83 | Professional | TC · Technical part | $91.20 | $112.20 | $177.83 |
Medcost Setting Professional Modifier None Typical Low $177.83 Median $223.87 Typical High $223.87 | Professional | None | $177.83 | $223.87 | $223.87 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $66.07 Typical High $66.07 | Professional | 26 · Professional part | $53.70 | $66.07 | $66.07 |
Medcost Setting Facility Modifier None Typical Low $125.89 Median $190.55 Typical High $199.53 | Facility | None | $125.89 | $190.55 | $199.53 |
Medcost Setting Professional Modifier None (both parts) Typical Low $147.91 Median $151.36 Typical High $218.78 | Professional | None (both parts) | $147.91 | $151.36 | $218.78 |
Sentara Setting Facility Modifier None Typical Low $39.81 Median $131.83 Typical High $851.14 | Facility | None | $39.81 | $131.83 | $851.14 |
Sentara Setting Professional Modifier None (both parts) Typical Low $46.77 Median $144.54 Typical High $204.17 | Professional | None (both parts) | $46.77 | $144.54 | $204.17 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $42.66 Typical High $58.88 | Professional | 26 · Professional part | $37.15 | $42.66 | $58.88 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $125.89 Typical High $162.18 | Professional | TC · Technical part | $97.72 | $125.89 | $162.18 |
United Setting Professional Modifier None (both parts) Typical Low $100.00 Median $123.03 Typical High $218.78 | Professional | None (both parts) | $100.00 | $123.03 | $218.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $33.11 Typical High $56.23 | Professional | 26 · Professional part | $25.70 | $33.11 | $56.23 |
United Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $91.20 Typical High $169.82 | Professional | TC · Technical part | $74.13 | $91.20 | $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 $63.10 Median $63.10 Typical High $64.57 | Professional | 52 · Reduced service | $63.10 | $63.10 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $25.12 Typical High $25.70 | Professional | 53 · Discontinued | $25.12 | $25.12 | $25.70 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $100.00 Median $100.00 Typical High $102.33 | Professional | FX · Film X-ray | $100.00 | $100.00 | $102.33 |
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 4.5 times more in Alaska than in Washington, DC. 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
$120
AK $389DC $87.10
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.