How much rates vary
Facilitymedian $117 · 10th to 90th $22 to $479Professionalmedian $100 · 10th to 90th $66 to $145
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 $77.62 Median $77.62 Typical High $95.50 | Facility | None | $77.62 | $77.62 | $95.50 |
Aetna Setting Professional Modifier None (both parts) Typical Low $77.62 Median $83.18 Typical High $95.50 | Professional | None (both parts) | $77.62 | $83.18 | $95.50 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $16.60 Typical High $16.60 | Professional | 26 · Professional part | $15.14 | $16.60 | $16.60 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $67.61 Typical High $79.43 | Professional | TC · Technical part | $60.26 | $67.61 | $79.43 |
Anthem BCBS Setting Facility Modifier None Typical Low $323.59 Median $407.38 Typical High $537.03 | Facility | None | $323.59 | $407.38 | $537.03 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $87.10 Median $109.65 Typical High $138.04 | Professional | None (both parts) | $87.10 | $109.65 | $138.04 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $19.50 Typical High $25.12 | Professional | 26 · Professional part | $16.22 | $19.50 | $25.12 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $89.13 Typical High $112.20 | Professional | TC · Technical part | $72.44 | $89.13 | $112.20 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $16.98 Median $97.72 Typical High $117.49 | Professional | None (both parts) | $16.98 | $97.72 | $117.49 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $18.62 Typical High $21.88 | Professional | 26 · Professional part | $18.62 | $18.62 | $21.88 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $89.13 Typical High $97.72 | Professional | TC · Technical part | $81.28 | $89.13 | $97.72 |
Cigna Setting Facility Modifier None Typical Low $162.18 Median $251.19 Typical High $776.25 | Facility | None | $162.18 | $251.19 | $776.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $67.61 Median $91.20 Typical High $165.96 | Professional | None (both parts) | $67.61 | $91.20 | $165.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $18.62 Typical High $34.67 | Professional | 26 · Professional part | $12.88 | $18.62 | $34.67 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $72.44 Typical High $134.90 | Professional | TC · Technical part | $54.95 | $72.44 | $134.90 |
Kaiser Permanente Setting Professional Modifier None Typical Low $100.00 Median $117.49 Typical High $147.91 | Professional | None | $100.00 | $117.49 | $147.91 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $19.50 Typical High $24.55 | Professional | 26 · Professional part | $17.78 | $19.50 | $24.55 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $97.72 Typical High $123.03 | Professional | TC · Technical part | $81.28 | $97.72 | $123.03 |
Medcost Setting Professional Modifier None Typical Low $79.43 Median $100.00 Typical High $100.00 | Professional | None | $79.43 | $100.00 | $100.00 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $33.11 Typical High $33.11 | Professional | 26 · Professional part | $26.92 | $33.11 | $33.11 |
Medcost Setting Facility Modifier None Typical Low $117.49 Median $117.49 Typical High $154.88 | Facility | None | $117.49 | $117.49 | $154.88 |
Medcost Setting Professional Modifier None (both parts) Typical Low $50.12 Median $50.12 Typical High $114.82 | Professional | None (both parts) | $50.12 | $50.12 | $114.82 |
Sentara Setting Facility Modifier None Typical Low $19.05 Median $75.86 Typical High $245.47 | Facility | None | $19.05 | $75.86 | $245.47 |
Sentara Setting Professional Modifier None (both parts) Typical Low $23.44 Median $89.13 Typical High $173.78 | Professional | None (both parts) | $23.44 | $89.13 | $173.78 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $24.55 Typical High $41.69 | Professional | 26 · Professional part | $18.62 | $24.55 | $41.69 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $95.50 Typical High $173.78 | Professional | TC · Technical part | $58.88 | $95.50 | $173.78 |
United Setting Facility Modifier None Typical Low $446.68 Median $501.19 Typical High $1,096.48 | Facility | None | $446.68 | $501.19 | $1,096.48 |
United Setting Professional Modifier None (both parts) Typical Low $60.26 Median $95.50 Typical High $158.49 | Professional | None (both parts) | $60.26 | $95.50 | $158.49 |
United Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $21.88 Typical High $33.88 | Professional | 26 · Professional part | $13.80 | $21.88 | $33.88 |
United Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $74.13 Typical High $125.89 | Professional | TC · Technical part | $46.77 | $74.13 | $125.89 |
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 $38.90 Median $41.69 Typical High $46.77 | Professional | 52 · Reduced service | $38.90 | $41.69 | $46.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.49 Median $16.60 Typical High $19.05 | Professional | 53 · Discontinued | $15.49 | $16.60 | $19.05 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $61.66 Median $61.66 Typical High $75.86 | Professional | FX · Film X-ray | $61.66 | $61.66 | $75.86 |
Medcost Setting Professional Modifier 27 · Multiple hospital visits Typical Low $53.70 Median $70.79 Typical High $70.79 | Professional | 27 · Multiple hospital visits | $53.70 | $70.79 | $70.79 |
Where Virginia sits
The same service costs 3.8 times more in Alaska than in Kentucky. 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· 28th of 51
$100
AK $282KY $74.13
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.