How much rates vary
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 $79.43 Median $79.43 Typical High $147.91 | Facility | None | $79.43 | $79.43 | $147.91 |
Aetna Setting Professional Modifier None (both parts) Typical Low $72.44 Median $79.43 Typical High $79.43 | Professional | None (both parts) | $72.44 | $79.43 | $79.43 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $28.18 Typical High $28.18 | Professional | 26 · Professional part | $25.12 | $28.18 | $28.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $51.29 Typical High $53.70 | Professional | TC · Technical part | $45.71 | $51.29 | $53.70 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $41.69 Median $85.11 Typical High $173.78 | Professional | None (both parts) | $41.69 | $85.11 | $173.78 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $32.36 Typical High $40.74 | Professional | 26 · Professional part | $26.92 | $32.36 | $40.74 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $95.50 Typical High $123.03 | Professional | TC · Technical part | $79.43 | $95.50 | $123.03 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $30.20 Median $208.93 Typical High $234.42 | Professional | None (both parts) | $30.20 | $208.93 | $234.42 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $27.54 Typical High $38.90 | Professional | 26 · Professional part | $27.54 | $27.54 | $38.90 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $181.97 Typical High $251.19 | Professional | TC · Technical part | $181.97 | $181.97 | $251.19 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $776.25 Typical High $870.96 | Facility | None | $524.81 | $776.25 | $870.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $58.88 Median $89.13 Typical High $173.78 | Professional | None (both parts) | $58.88 | $89.13 | $173.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $29.51 Typical High $57.54 | Professional | 26 · Professional part | $20.89 | $29.51 | $57.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $57.54 Typical High $125.89 | Professional | TC · Technical part | $38.90 | $57.54 | $125.89 |
Kaiser Permanente Setting Professional Modifier None Typical Low $77.62 Median $91.20 Typical High $114.82 | Professional | None | $77.62 | $91.20 | $114.82 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $30.20 Typical High $40.74 | Professional | 26 · Professional part | $27.54 | $30.20 | $40.74 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $61.66 Typical High $75.86 | Professional | TC · Technical part | $50.12 | $61.66 | $75.86 |
Medcost Setting Professional Modifier None Typical Low $218.78 Median $218.78 Typical High $234.42 | Professional | None | $218.78 | $218.78 | $234.42 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $53.70 Typical High $53.70 | Professional | 26 · Professional part | $42.66 | $53.70 | $53.70 |
Medcost Setting Facility Modifier None Typical Low $120.23 Median $125.89 Typical High $125.89 | Facility | None | $120.23 | $125.89 | $125.89 |
Medcost Setting Professional Modifier None (both parts) Typical Low $77.62 Median $100.00 Typical High $123.03 | Professional | None (both parts) | $77.62 | $100.00 | $123.03 |
Sentara Setting Facility Modifier None Typical Low $32.36 Median $85.11 Typical High $251.19 | Facility | None | $32.36 | $85.11 | $251.19 |
Sentara Setting Professional Modifier None (both parts) Typical Low $38.02 Median $107.15 Typical High $181.97 | Professional | None (both parts) | $38.02 | $107.15 | $181.97 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $39.81 Typical High $69.18 | Professional | 26 · Professional part | $30.20 | $39.81 | $69.18 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $72.44 Typical High $128.82 | Professional | TC · Technical part | $54.95 | $72.44 | $128.82 |
United Setting Professional Modifier None (both parts) Typical Low $75.86 Median $138.04 Typical High $275.42 | Professional | None (both parts) | $75.86 | $138.04 | $275.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $36.31 Typical High $56.23 | Professional | 26 · Professional part | $21.88 | $36.31 | $56.23 |
United Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $109.65 Typical High $223.87 | Professional | TC · Technical part | $45.71 | $109.65 | $223.87 |
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 $36.31 Median $39.81 Typical High $39.81 | Professional | 52 · Reduced service | $36.31 | $39.81 | $39.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.45 Median $15.85 Typical High $15.85 | Professional | 53 · Discontinued | $14.45 | $15.85 | $15.85 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $61.66 Median $63.10 Typical High $63.10 | Professional | FX · Film X-ray | $61.66 | $63.10 | $63.10 |
Where Virginia sits
The same service costs 4.4 times more in Alaska than in Texas. 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· 41st of 51
$107
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.