How much rates vary
Facilitymedian $186 · 10th to 90th $28 to $692Professionalmedian $158 · 10th to 90th $107 to $229
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 $128.82 Median $151.36 Typical High $251.19 | Facility | None | $128.82 | $151.36 | $251.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $134.90 Typical High $151.36 | Professional | None (both parts) | $128.82 | $134.90 | $151.36 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $21.88 Typical High $22.39 | Professional | 26 · Professional part | $19.95 | $21.88 | $22.39 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $112.20 Typical High $131.83 | Professional | TC · Technical part | $107.15 | $112.20 | $131.83 |
Anthem BCBS Setting Facility Modifier None Typical Low $489.78 Median $616.60 Typical High $794.33 | Facility | None | $489.78 | $616.60 | $794.33 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $134.90 Median $169.82 Typical High $218.78 | Professional | None (both parts) | $134.90 | $169.82 | $218.78 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $25.12 Typical High $32.36 | Professional | 26 · Professional part | $21.38 | $25.12 | $32.36 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $144.54 Typical High $199.53 | Professional | TC · Technical part | $117.49 | $144.54 | $199.53 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $24.55 Median $154.88 Typical High $177.83 | Professional | None (both parts) | $24.55 | $154.88 | $177.83 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $21.88 Typical High $30.90 | Professional | 26 · Professional part | $21.88 | $21.88 | $30.90 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $144.54 Typical High $165.96 | Professional | TC · Technical part | $131.83 | $144.54 | $165.96 |
Cigna Setting Facility Modifier None Typical Low $281.84 Median $416.87 Typical High $870.96 | Facility | None | $281.84 | $416.87 | $870.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $147.91 Typical High $263.03 | Professional | None (both parts) | $107.15 | $147.91 | $263.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $23.99 Typical High $45.71 | Professional | 26 · Professional part | $16.60 | $23.99 | $45.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $120.23 Typical High $223.87 | Professional | TC · Technical part | $91.20 | $120.23 | $223.87 |
Kaiser Permanente Setting Professional Modifier None Typical Low $147.91 Median $177.83 Typical High $218.78 | Professional | None | $147.91 | $177.83 | $218.78 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $24.55 Typical High $31.62 | Professional | 26 · Professional part | $22.39 | $24.55 | $31.62 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $151.36 Typical High $190.55 | Professional | TC · Technical part | $125.89 | $151.36 | $190.55 |
Medcost Setting Professional Modifier None Typical Low $134.90 Median $169.82 Typical High $169.82 | Professional | None | $134.90 | $169.82 | $169.82 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $42.66 Typical High $42.66 | Professional | 26 · Professional part | $33.88 | $42.66 | $42.66 |
Medcost Setting Facility Modifier None Typical Low $181.97 Median $181.97 Typical High $263.03 | Facility | None | $181.97 | $181.97 | $263.03 |
Medcost Setting Professional Modifier None (both parts) Typical Low $107.15 Median $144.54 Typical High $177.83 | Professional | None (both parts) | $107.15 | $144.54 | $177.83 |
Sentara Setting Facility Modifier None Typical Low $24.55 Median $125.89 Typical High $407.38 | Facility | None | $24.55 | $125.89 | $407.38 |
Sentara Setting Professional Modifier None (both parts) Typical Low $30.90 Median $144.54 Typical High $281.84 | Professional | None (both parts) | $30.90 | $144.54 | $281.84 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $31.62 Typical High $53.70 | Professional | 26 · Professional part | $24.55 | $31.62 | $53.70 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $158.49 Typical High $295.12 | Professional | TC · Technical part | $102.33 | $158.49 | $295.12 |
United Setting Facility Modifier None Typical Low $331.13 Median $363.08 Typical High $812.83 | Facility | None | $331.13 | $363.08 | $812.83 |
United Setting Professional Modifier None (both parts) Typical Low $100.00 Median $154.88 Typical High $269.15 | Professional | None (both parts) | $100.00 | $154.88 | $269.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $28.84 Typical High $44.67 | Professional | 26 · Professional part | $17.78 | $28.84 | $44.67 |
United Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $128.82 Typical High $223.87 | Professional | TC · Technical part | $83.18 | $128.82 | $223.87 |
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 $64.57 Median $66.07 Typical High $75.86 | Professional | 52 · Reduced service | $64.57 | $66.07 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $26.92 Typical High $30.20 | Professional | 53 · Discontinued | $25.70 | $26.92 | $30.20 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $102.33 Median $102.33 Typical High $120.23 | Professional | FX · Film X-ray | $102.33 | $102.33 | $120.23 |
Medcost Setting Professional Modifier 27 · Multiple hospital visits Typical Low $102.33 Median $125.89 Typical High $125.89 | Professional | 27 · Multiple hospital visits | $102.33 | $125.89 | $125.89 |
Where Virginia sits
The same service costs 3.8 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· 35th of 51
$158
AK $447FL $117
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.