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 $331.13 Median $1,318.26 Typical High $2,398.83 | Facility | None | $331.13 | $1,318.26 | $2,398.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $281.84 Median $331.13 Typical High $676.08 | Professional | None (both parts) | $281.84 | $331.13 | $676.08 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $123.03 Typical High $128.82 | Professional | 26 · Professional part | $102.33 | $123.03 | $128.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $199.53 Typical High $251.19 | Professional | TC · Technical part | $173.78 | $199.53 | $251.19 |
Anthem BCBS Setting Facility Modifier None Typical Low $977.24 Median $1,230.27 Typical High $1,621.81 | Facility | None | $977.24 | $1,230.27 | $1,621.81 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $288.40 Median $354.81 Typical High $457.09 | Professional | None (both parts) | $288.40 | $354.81 | $457.09 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $131.83 Typical High $169.82 | Professional | 26 · Professional part | $109.65 | $131.83 | $169.82 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $213.80 Typical High $275.42 | Professional | TC · Technical part | $181.97 | $213.80 | $275.42 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $154.88 Median $275.42 Typical High $426.58 | Professional | None (both parts) | $154.88 | $275.42 | $426.58 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $138.04 Median $138.04 Typical High $204.17 | Professional | 26 · Professional part | $138.04 | $138.04 | $204.17 |
Cigna Setting Facility Modifier None Typical Low $776.25 Median $870.96 Typical High $1,348.96 | Facility | None | $776.25 | $870.96 | $1,348.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $275.42 Median $467.74 Typical High $741.31 | Professional | None (both parts) | $275.42 | $467.74 | $741.31 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $120.23 Typical High $229.09 | Professional | 26 · Professional part | $87.10 | $120.23 | $229.09 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $302.00 Typical High $489.78 | Professional | TC · Technical part | $173.78 | $302.00 | $489.78 |
Kaiser Permanente Setting Professional Modifier None Typical Low $302.00 Median $354.81 Typical High $446.68 | Professional | None | $302.00 | $354.81 | $446.68 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $128.82 Typical High $165.96 | Professional | 26 · Professional part | $117.49 | $128.82 | $165.96 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $223.87 Typical High $281.84 | Professional | TC · Technical part | $186.21 | $223.87 | $281.84 |
Medcost Setting Professional Modifier None Typical Low $478.63 Median $588.84 Typical High $588.84 | Professional | None | $478.63 | $588.84 | $588.84 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $165.96 Median $208.93 Typical High $208.93 | Professional | 26 · Professional part | $165.96 | $208.93 | $208.93 |
Medcost Setting Facility Modifier None Typical Low $426.58 Median $524.81 Typical High $794.33 | Facility | None | $426.58 | $524.81 | $794.33 |
Medcost Setting Professional Modifier None (both parts) Typical Low $281.84 Median $371.54 Typical High $524.81 | Professional | None (both parts) | $281.84 | $371.54 | $524.81 |
Sentara Setting Facility Modifier None Typical Low $123.03 Median $309.03 Typical High $1,621.81 | Facility | None | $123.03 | $309.03 | $1,621.81 |
Sentara Setting Professional Modifier None (both parts) Typical Low $151.36 Median $354.81 Typical High $741.31 | Professional | None (both parts) | $151.36 | $354.81 | $741.31 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $151.36 Typical High $251.19 | Professional | 26 · Professional part | $117.49 | $151.36 | $251.19 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $263.03 Typical High $416.87 | Professional | TC · Technical part | $208.93 | $263.03 | $416.87 |
United Setting Facility Modifier None Typical Low $660.69 Median $724.44 Typical High $1,621.81 | Facility | None | $660.69 | $724.44 | $1,621.81 |
United Setting Professional Modifier None (both parts) Typical Low $257.04 Median $436.52 Typical High $741.31 | Professional | None (both parts) | $257.04 | $436.52 | $741.31 |
United Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $151.36 Typical High $229.09 | Professional | 26 · Professional part | $87.10 | $151.36 | $229.09 |
United Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $281.84 Typical High $512.86 | Professional | TC · Technical part | $165.96 | $281.84 | $512.86 |
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 $239.88 Median $275.42 Typical High $275.42 | Professional | CT · Older CT scanner | $239.88 | $275.42 | $275.42 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $223.87 Median $263.03 Typical High $263.03 | Professional | FX · Film X-ray | $223.87 | $263.03 | $263.03 |
Medcost Setting Professional Modifier 27 · Multiple hospital visits Typical Low $316.23 Median $380.19 Typical High $380.19 | Professional | 27 · Multiple hospital visits | $316.23 | $380.19 | $380.19 |
Where Virginia sits
The same service costs 5.8 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· 36th of 51
$355
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.