How much rates vary
Facilitymedian $55 · 10th to 90th $19 to $224Professionalmedian $47 · 10th to 90th $29 to $78
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 $35.48 Median $74.13 Typical High $114.82 | Facility | None | $35.48 | $74.13 | $114.82 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $13.49 Median $24.55 Typical High $28.84 | Facility | 26 · Professional part | $13.49 | $24.55 | $28.84 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $20.42 Median $48.98 Typical High $87.10 | Facility | TC · Technical part | $20.42 | $48.98 | $87.10 |
Aetna Setting Professional Modifier None (both parts) Typical Low $35.48 Median $39.81 Typical High $87.10 | Professional | None (both parts) | $35.48 | $39.81 | $87.10 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $14.79 Typical High $28.84 | Professional | 26 · Professional part | $13.49 | $14.79 | $28.84 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $25.70 Typical High $57.54 | Professional | TC · Technical part | $20.42 | $25.70 | $57.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $131.83 Median $169.82 Typical High $218.78 | Facility | None | $131.83 | $169.82 | $218.78 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $26.30 Median $44.67 Typical High $60.26 | Professional | None (both parts) | $26.30 | $44.67 | $60.26 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $16.98 Typical High $21.88 | Professional | 26 · Professional part | $13.80 | $16.98 | $21.88 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $30.90 Typical High $48.98 | Professional | TC · Technical part | $24.55 | $30.90 | $48.98 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $38.02 Median $46.77 Typical High $57.54 | Professional | None (both parts) | $38.02 | $46.77 | $57.54 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $15.85 Typical High $16.60 | Professional | 26 · Professional part | $14.45 | $15.85 | $16.60 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $30.20 Typical High $30.20 | Professional | TC · Technical part | $27.54 | $30.20 | $30.20 |
Cigna Setting Facility Modifier None Typical Low $63.10 Median $100.00 Typical High $776.25 | Facility | None | $63.10 | $100.00 | $776.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $29.51 Median $43.65 Typical High $91.20 | Professional | None (both parts) | $29.51 | $43.65 | $91.20 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $15.49 Typical High $30.20 | Professional | 26 · Professional part | $10.72 | $15.49 | $30.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $26.30 Typical High $64.57 | Professional | TC · Technical part | $18.62 | $26.30 | $64.57 |
Kaiser Permanente Setting Professional Modifier None Typical Low $40.74 Median $47.86 Typical High $60.26 | Professional | None | $40.74 | $47.86 | $60.26 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $16.22 Typical High $20.89 | Professional | 26 · Professional part | $14.79 | $16.22 | $20.89 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $31.62 Typical High $38.90 | Professional | TC · Technical part | $26.30 | $31.62 | $38.90 |
Medcost Setting Professional Modifier None Typical Low $72.44 Median $89.13 Typical High $91.20 | Professional | None | $72.44 | $89.13 | $91.20 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $28.18 Typical High $28.18 | Professional | 26 · Professional part | $22.91 | $28.18 | $28.18 |
Medcost Setting Facility Modifier None Typical Low $70.79 Median $107.15 Typical High $107.15 | Facility | None | $70.79 | $107.15 | $107.15 |
Medcost Setting Professional Modifier None (both parts) Typical Low $38.90 Median $50.12 Typical High $104.71 | Professional | None (both parts) | $38.90 | $50.12 | $104.71 |
Sentara Setting Facility Modifier None Typical Low $16.22 Median $38.90 Typical High $141.25 | Facility | None | $16.22 | $38.90 | $141.25 |
Sentara Setting Professional Modifier None (both parts) Typical Low $19.95 Median $50.12 Typical High $95.50 | Professional | None (both parts) | $19.95 | $50.12 | $95.50 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $20.42 Typical High $34.67 | Professional | 26 · Professional part | $16.22 | $20.42 | $34.67 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $38.90 Typical High $70.79 | Professional | TC · Technical part | $26.30 | $38.90 | $70.79 |
United Setting Facility Modifier None Typical Low $660.69 Median $724.44 Typical High $1,621.81 | Facility | None | $660.69 | $724.44 | $1,621.81 |
United Setting Professional Modifier None (both parts) Typical Low $32.36 Median $54.95 Typical High $95.50 | Professional | None (both parts) | $32.36 | $54.95 | $95.50 |
United Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $19.05 Typical High $29.51 | Professional | 26 · Professional part | $11.75 | $19.05 | $29.51 |
United Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $33.88 Typical High $64.57 | Professional | TC · Technical part | $19.50 | $33.88 | $64.57 |
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 $17.38 Median $17.78 Typical High $19.95 | Professional | 52 · Reduced service | $17.38 | $17.78 | $19.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.92 Median $7.08 Typical High $7.94 | Professional | 53 · Discontinued | $6.92 | $7.08 | $7.94 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $28.18 Median $28.18 Typical High $31.62 | Professional | FX · Film X-ray | $28.18 | $28.18 | $31.62 |
Medcost Setting Professional Modifier 27 · Multiple hospital visits Typical Low $50.12 Median $63.10 Typical High $63.10 | Professional | 27 · Multiple hospital visits | $50.12 | $63.10 | $63.10 |
Where Virginia sits
The same service costs 3.8 times more in Alaska than in New York. 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· 42nd of 51
$46.77
AK $115NY $30.20
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.