How much rates vary
Facilitymedian $102 · 10th to 90th $35 to $372Professionalmedian $204 · 10th to 90th $71 to $316
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 $208.93 Median $208.93 Typical High $234.42 | Facility | None | $208.93 | $208.93 | $234.42 |
Aetna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $208.93 Typical High $234.42 | Professional | None (both parts) | $194.98 | $208.93 | $234.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $28.18 Typical High $28.18 | Professional | 26 · Professional part | $25.70 | $28.18 | $28.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $204.17 Typical High $229.09 | Professional | TC · Technical part | $190.55 | $204.17 | $229.09 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $186.21 Median $223.87 Typical High $275.42 | Professional | None (both parts) | $186.21 | $223.87 | $275.42 |
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 $177.83 Median $213.80 Typical High $269.15 | Professional | TC · Technical part | $177.83 | $213.80 | $269.15 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $28.18 Median $288.40 Typical High $316.23 | Professional | None (both parts) | $28.18 | $288.40 | $316.23 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $30.90 Typical High $38.90 | Professional | 26 · Professional part | $30.90 | $30.90 | $38.90 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $257.04 Typical High $363.08 | Professional | TC · Technical part | $257.04 | $257.04 | $363.08 |
Cigna Setting Facility Modifier None Typical Low $120.23 Median $165.96 Typical High $776.25 | Facility | None | $120.23 | $165.96 | $776.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $57.54 Median $87.10 Typical High $154.88 | Professional | None (both parts) | $57.54 | $87.10 | $154.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $30.20 Typical High $58.88 | Professional | 26 · Professional part | $21.38 | $30.20 | $58.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $54.95 Typical High $100.00 | Professional | TC · Technical part | $38.02 | $54.95 | $100.00 |
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 $28.18 Median $31.62 Typical High $41.69 | Professional | 26 · Professional part | $28.18 | $31.62 | $41.69 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $60.26 Typical High $75.86 | Professional | TC · Technical part | $48.98 | $60.26 | $75.86 |
Medcost Setting Professional Modifier None Typical Low $112.20 Median $141.25 Typical High $141.25 | Professional | None | $112.20 | $141.25 | $141.25 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $54.95 Typical High $54.95 | Professional | 26 · Professional part | $43.65 | $54.95 | $54.95 |
Medcost Setting Facility Modifier None Typical Low $123.03 Median $123.03 Typical High $323.59 | Facility | None | $123.03 | $123.03 | $323.59 |
Medcost Setting Professional Modifier None (both parts) Typical Low $95.50 Median $95.50 Typical High $245.47 | Professional | None (both parts) | $95.50 | $95.50 | $245.47 |
Sentara Setting Facility Modifier None Typical Low $31.62 Median $75.86 Typical High $165.96 | Facility | None | $31.62 | $75.86 | $165.96 |
Sentara Setting Professional Modifier None (both parts) Typical Low $38.02 Median $85.11 Typical High $141.25 | Professional | None (both parts) | $38.02 | $85.11 | $141.25 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $40.74 Typical High $69.18 | Professional | 26 · Professional part | $31.62 | $40.74 | $69.18 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $70.79 Typical High $107.15 | Professional | TC · Technical part | $52.48 | $70.79 | $107.15 |
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 $77.62 Median $229.09 Typical High $436.52 | Professional | None (both parts) | $77.62 | $229.09 | $436.52 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $37.15 Typical High $57.54 | Professional | 26 · Professional part | $22.39 | $37.15 | $57.54 |
United Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $208.93 Typical High $389.05 | Professional | TC · Technical part | $48.98 | $208.93 | $389.05 |
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 $97.72 Median $104.71 Typical High $117.49 | Professional | 52 · Reduced service | $97.72 | $104.71 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $41.69 Typical High $46.77 | Professional | 53 · Discontinued | $38.90 | $41.69 | $46.77 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $169.82 Median $169.82 Typical High $190.55 | Professional | FX · Film X-ray | $169.82 | $169.82 | $190.55 |
Where Virginia sits
The same service costs 5.9 times more in Nebraska than in Hawaii. 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· 20th of 51
$204
NE $389HI $66.07
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.