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 $100.00 Median $1,148.15 Typical High $2,398.83 | Facility | None | $100.00 | $1,148.15 | $2,398.83 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $61.66 Median $74.13 Typical High $245.47 | Facility | TC · Technical part | $61.66 | $74.13 | $245.47 |
Aetna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $100.00 Typical High $275.42 | Professional | None (both parts) | $87.10 | $100.00 | $275.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $29.51 Typical High $50.12 | Professional | 26 · Professional part | $25.12 | $29.51 | $50.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $72.44 Typical High $128.82 | Professional | TC · Technical part | $53.70 | $72.44 | $128.82 |
Anthem BCBS Setting Facility Modifier None Typical Low $316.23 Median $398.11 Typical High $524.81 | Facility | None | $316.23 | $398.11 | $524.81 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $93.33 Median $114.82 Typical High $151.36 | Professional | None (both parts) | $93.33 | $114.82 | $151.36 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $30.20 Typical High $38.02 | Professional | 26 · Professional part | $25.12 | $30.20 | $38.02 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $85.11 Typical High $112.20 | Professional | TC · Technical part | $69.18 | $85.11 | $112.20 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $95.50 Median $128.82 Typical High $147.91 | Professional | None (both parts) | $95.50 | $128.82 | $147.91 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $35.48 Typical High $35.48 | Professional | 26 · Professional part | $31.62 | $35.48 | $35.48 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $97.72 Typical High $134.90 | Professional | TC · Technical part | $97.72 | $97.72 | $134.90 |
Cigna Setting Facility Modifier None Typical Low $338.84 Median $524.81 Typical High $870.96 | Facility | None | $338.84 | $524.81 | $870.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $128.82 Typical High $257.04 | Professional | None (both parts) | $85.11 | $128.82 | $257.04 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $28.18 Typical High $56.23 | Professional | 26 · Professional part | $20.42 | $28.18 | $56.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $87.10 Typical High $186.21 | Professional | TC · Technical part | $61.66 | $87.10 | $186.21 |
Kaiser Permanente Setting Professional Modifier None Typical Low $97.72 Median $114.82 Typical High $144.54 | Professional | None | $97.72 | $114.82 | $144.54 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $28.84 Typical High $38.90 | Professional | 26 · Professional part | $26.30 | $28.84 | $38.90 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $85.11 Typical High $107.15 | Professional | TC · Technical part | $70.79 | $85.11 | $107.15 |
Medcost Setting Professional Modifier None Typical Low $114.82 Median $141.25 Typical High $141.25 | Professional | None | $114.82 | $141.25 | $141.25 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $48.98 Typical High $48.98 | Professional | 26 · Professional part | $38.02 | $48.98 | $48.98 |
Medcost Setting Facility Modifier None Typical Low $117.49 Median $125.89 Typical High $194.98 | Facility | None | $117.49 | $125.89 | $194.98 |
Medcost Setting Professional Modifier None (both parts) Typical Low $72.44 Median $72.44 Typical High $102.33 | Professional | None (both parts) | $72.44 | $72.44 | $102.33 |
Sentara Setting Facility Modifier None Typical Low $27.54 Median $72.44 Typical High $275.42 | Facility | None | $27.54 | $72.44 | $275.42 |
Sentara Setting Professional Modifier None (both parts) Typical Low $32.36 Median $75.86 Typical High $194.98 | Professional | None (both parts) | $32.36 | $75.86 | $194.98 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $33.88 Typical High $57.54 | Professional | 26 · Professional part | $26.92 | $33.88 | $57.54 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $61.66 Typical High $141.25 | Professional | TC · Technical part | $33.88 | $61.66 | $141.25 |
United Setting Facility Modifier None Typical Low $165.96 Median $181.97 Typical High $407.38 | Facility | None | $165.96 | $181.97 | $407.38 |
United Setting Professional Modifier None (both parts) Typical Low $70.79 Median $125.89 Typical High $190.55 | Professional | None (both parts) | $70.79 | $125.89 | $190.55 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $34.67 Typical High $54.95 | Professional | 26 · Professional part | $19.95 | $34.67 | $54.95 |
United Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $89.13 Typical High $141.25 | Professional | TC · Technical part | $50.12 | $89.13 | $141.25 |
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 CT · Older CT scanner Typical Low $77.62 Median $77.62 Typical High $85.11 | Professional | CT · Older CT scanner | $77.62 | $77.62 | $85.11 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $72.44 Median $72.44 Typical High $79.43 | Professional | FX · Film X-ray | $72.44 | $72.44 | $79.43 |
Medcost Setting Professional Modifier 27 · Multiple hospital visits Typical Low $77.62 Median $93.33 Typical High $93.33 | Professional | 27 · Multiple hospital visits | $77.62 | $93.33 | $93.33 |
Where Virginia sits
The same service costs 4.2 times more in Alaska than in Utah. 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· 34th of 51
$115
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.