How much rates vary
Facilitymedian $87 · 10th to 90th $30 to $501Professionalmedian $427 · 10th to 90th $59 to $661
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 $147.91 Median $446.68 Typical High $501.19 | Facility | None | $147.91 | $446.68 | $501.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $398.11 Median $446.68 Typical High $501.19 | Professional | None (both parts) | $398.11 | $446.68 | $501.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $23.99 Typical High $23.99 | Professional | 26 · Professional part | $21.88 | $23.99 | $23.99 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $398.11 Median $436.52 Typical High $489.78 | Professional | TC · Technical part | $398.11 | $436.52 | $489.78 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $389.05 Median $489.78 Typical High $616.60 | Professional | None (both parts) | $389.05 | $489.78 | $616.60 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $27.54 Typical High $34.67 | Professional | 26 · Professional part | $22.91 | $27.54 | $34.67 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $380.19 Median $478.63 Typical High $602.56 | Professional | TC · Technical part | $380.19 | $478.63 | $602.56 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $23.99 Median $616.60 Typical High $776.25 | Professional | None (both parts) | $23.99 | $616.60 | $776.25 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $26.30 Typical High $33.11 | Professional | 26 · Professional part | $26.30 | $26.30 | $33.11 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $588.84 Median $660.69 Typical High $660.69 | Professional | TC · Technical part | $588.84 | $660.69 | $660.69 |
Cigna Setting Facility Modifier None Typical Low $102.33 Median $138.04 Typical High $870.96 | Facility | None | $102.33 | $138.04 | $870.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $48.98 Median $74.13 Typical High $134.90 | Professional | None (both parts) | $48.98 | $74.13 | $134.90 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $26.30 Typical High $50.12 | Professional | 26 · Professional part | $18.20 | $26.30 | $50.12 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $46.77 Typical High $85.11 | Professional | TC · Technical part | $31.62 | $46.77 | $85.11 |
Kaiser Permanente Setting Professional Modifier None Typical Low $67.61 Median $79.43 Typical High $100.00 | Professional | None | $67.61 | $79.43 | $100.00 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $26.92 Typical High $34.67 | Professional | 26 · Professional part | $24.55 | $26.92 | $34.67 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $51.29 Typical High $64.57 | Professional | TC · Technical part | $42.66 | $51.29 | $64.57 |
Medcost Setting Professional Modifier None Typical Low $97.72 Median $120.23 Typical High $120.23 | Professional | None | $97.72 | $120.23 | $120.23 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $46.77 Typical High $46.77 | Professional | 26 · Professional part | $38.02 | $46.77 | $46.77 |
Medcost Setting Facility Modifier None Typical Low $109.65 Median $109.65 Typical High $676.08 | Facility | None | $109.65 | $109.65 | $676.08 |
Medcost Setting Professional Modifier None (both parts) Typical Low $50.12 Median $50.12 Typical High $467.74 | Professional | None (both parts) | $50.12 | $50.12 | $467.74 |
Sentara Setting Facility Modifier None Typical Low $27.54 Median $67.61 Typical High $199.53 | Facility | None | $27.54 | $67.61 | $199.53 |
Sentara Setting Professional Modifier None (both parts) Typical Low $32.36 Median $74.13 Typical High $134.90 | Professional | None (both parts) | $32.36 | $74.13 | $134.90 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $34.67 Typical High $58.88 | Professional | 26 · Professional part | $26.92 | $34.67 | $58.88 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $60.26 Typical High $93.33 | Professional | TC · Technical part | $44.67 | $60.26 | $93.33 |
United Setting Facility Modifier None Typical Low $1,023.29 Median $1,148.15 Typical High $2,511.89 | Facility | None | $1,023.29 | $1,148.15 | $2,511.89 |
United Setting Professional Modifier None (both parts) Typical Low $67.61 Median $436.52 Typical High $870.96 | Professional | None (both parts) | $67.61 | $436.52 | $870.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $31.62 Typical High $48.98 | Professional | 26 · Professional part | $19.50 | $31.62 | $48.98 |
United Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $416.87 Typical High $870.96 | Professional | TC · Technical part | $42.66 | $416.87 | $870.96 |
3 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 $199.53 Median $223.87 Typical High $245.47 | Professional | 52 · Reduced service | $199.53 | $223.87 | $245.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $79.43 Median $89.13 Typical High $100.00 | Professional | 53 · Discontinued | $79.43 | $89.13 | $100.00 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $354.81 Median $354.81 Typical High $398.11 | Professional | FX · Film X-ray | $354.81 | $354.81 | $398.11 |
Where Virginia sits
The same service costs 8.7 times more in Colorado than in Michigan. 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· 13th of 51
$427
CO $661MI $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.