How much rates vary
Facilitymedian $132 · 10th to 90th $20 to $479Professionalmedian $112 · 10th to 90th $76 to $155
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 $81.28 Median $134.90 Typical High $181.97 | Facility | None | $81.28 | $134.90 | $181.97 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $13.80 Median $25.70 Typical High $30.20 | Facility | 26 · Professional part | $13.80 | $25.70 | $30.20 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $81.28 Median $114.82 Typical High $257.04 | Facility | TC · Technical part | $81.28 | $114.82 | $257.04 |
Aetna Setting Professional Modifier None (both parts) Typical Low $81.28 Median $100.00 Typical High $147.91 | Professional | None (both parts) | $81.28 | $100.00 | $147.91 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $14.79 Typical High $27.54 | Professional | 26 · Professional part | $13.80 | $14.79 | $27.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $81.28 Typical High $123.03 | Professional | TC · Technical part | $66.07 | $81.28 | $123.03 |
Anthem BCBS Setting Facility Modifier None Typical Low $338.84 Median $426.58 Typical High $562.34 | Facility | None | $338.84 | $426.58 | $562.34 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $93.33 Median $117.49 Typical High $147.91 | Professional | None (both parts) | $93.33 | $117.49 | $147.91 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $16.98 Typical High $21.88 | Professional | 26 · Professional part | $14.13 | $16.98 | $21.88 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $100.00 Typical High $123.03 | Professional | TC · Technical part | $81.28 | $100.00 | $123.03 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $79.43 Median $109.65 Typical High $128.82 | Professional | None (both parts) | $79.43 | $109.65 | $128.82 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $16.22 Typical High $16.22 | Professional | 26 · Professional part | $14.79 | $16.22 | $16.22 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $100.00 Typical High $100.00 | Professional | TC · Technical part | $89.13 | $100.00 | $100.00 |
Cigna Setting Facility Modifier None Typical Low $181.97 Median $281.84 Typical High $812.83 | Facility | None | $181.97 | $281.84 | $812.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $72.44 Median $102.33 Typical High $177.83 | Professional | None (both parts) | $72.44 | $102.33 | $177.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $16.22 Typical High $30.90 | Professional | 26 · Professional part | $10.96 | $16.22 | $30.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $81.28 Typical High $151.36 | Professional | TC · Technical part | $61.66 | $81.28 | $151.36 |
Kaiser Permanente Setting Professional Modifier None Typical Low $104.71 Median $123.03 Typical High $154.88 | Professional | None | $104.71 | $123.03 | $154.88 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $16.98 Typical High $21.38 | Professional | 26 · Professional part | $15.49 | $16.98 | $21.38 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $104.71 Typical High $131.83 | Professional | TC · Technical part | $89.13 | $104.71 | $131.83 |
Medcost Setting Professional Modifier None Typical Low $100.00 Median $125.89 Typical High $125.89 | Professional | None | $100.00 | $125.89 | $125.89 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $29.51 Typical High $29.51 | Professional | 26 · Professional part | $23.44 | $29.51 | $29.51 |
Medcost Setting Facility Modifier None Typical Low $125.89 Median $125.89 Typical High $162.18 | Facility | None | $125.89 | $125.89 | $162.18 |
Medcost Setting Professional Modifier None (both parts) Typical Low $50.12 Median $50.12 Typical High $120.23 | Professional | None (both parts) | $50.12 | $50.12 | $120.23 |
Sentara Setting Facility Modifier None Typical Low $16.98 Median $83.18 Typical High $257.04 | Facility | None | $16.98 | $83.18 | $257.04 |
Sentara Setting Professional Modifier None (both parts) Typical Low $20.89 Median $95.50 Typical High $186.21 | Professional | None (both parts) | $20.89 | $95.50 | $186.21 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $20.89 Typical High $35.48 | Professional | 26 · Professional part | $16.60 | $20.89 | $35.48 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $104.71 Typical High $194.98 | Professional | TC · Technical part | $75.86 | $104.71 | $194.98 |
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 $69.18 Median $107.15 Typical High $165.96 | Professional | None (both parts) | $69.18 | $107.15 | $165.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $19.50 Typical High $30.20 | Professional | 26 · Professional part | $12.30 | $19.50 | $30.20 |
United Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $87.10 Typical High $141.25 | Professional | TC · Technical part | $57.54 | $87.10 | $141.25 |
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 $40.74 Median $44.67 Typical High $51.29 | Professional | 52 · Reduced service | $40.74 | $44.67 | $51.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $17.78 Typical High $20.42 | Professional | 53 · Discontinued | $16.22 | $17.78 | $20.42 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $64.57 Median $66.07 Typical High $81.28 | Professional | FX · Film X-ray | $64.57 | $66.07 | $81.28 |
Medcost Setting Professional Modifier 27 · Multiple hospital visits Typical Low $75.86 Median $95.50 Typical High $95.50 | Professional | 27 · Multiple hospital visits | $75.86 | $95.50 | $95.50 |
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· 28th of 51
$112
AK $288NY $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.