How much rates vary
Facilitymedian $575 · 10th to 90th $174 to $2,188Professionalmedian $479 · 10th to 90th $316 to $832
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 $316.23 Median $831.76 Typical High $2,884.03 | Facility | None | $316.23 | $831.76 | $2,884.03 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $100.00 Median $169.82 Typical High $218.78 | Facility | 26 · Professional part | $100.00 | $169.82 | $218.78 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $173.78 Median $346.74 Typical High $794.33 | Facility | TC · Technical part | $173.78 | $346.74 | $794.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $275.42 Median $316.23 Typical High $758.58 | Professional | None (both parts) | $275.42 | $316.23 | $758.58 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $120.23 Typical High $208.93 | Professional | 26 · Professional part | $100.00 | $120.23 | $208.93 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $199.53 Typical High $512.86 | Professional | TC · Technical part | $173.78 | $199.53 | $512.86 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,318.26 Median $1,659.59 Typical High $2,137.96 | Facility | None | $1,318.26 | $1,659.59 | $2,137.96 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $380.19 Median $467.74 Typical High $616.60 | Professional | None (both parts) | $380.19 | $467.74 | $616.60 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $123.03 Typical High $158.49 | Professional | 26 · Professional part | $104.71 | $123.03 | $158.49 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $346.74 Typical High $436.52 | Professional | TC · Technical part | $281.84 | $346.74 | $436.52 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $446.68 Median $524.81 Typical High $691.83 | Professional | None (both parts) | $446.68 | $524.81 | $691.83 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $144.54 Typical High $165.96 | Professional | 26 · Professional part | $131.83 | $144.54 | $165.96 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $398.11 Median $398.11 Typical High $575.44 | Professional | TC · Technical part | $398.11 | $398.11 | $575.44 |
Cigna Setting Facility Modifier None Typical Low $776.25 Median $870.96 Typical High $2,187.76 | Facility | None | $776.25 | $870.96 | $2,187.76 |
Cigna Setting Professional Modifier None (both parts) Typical Low $346.74 Median $676.08 Typical High $1,000.00 | Professional | None (both parts) | $346.74 | $676.08 | $1,000.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $114.82 Typical High $218.78 | Professional | 26 · Professional part | $83.18 | $114.82 | $218.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $524.81 Typical High $794.33 | Professional | TC · Technical part | $251.19 | $524.81 | $794.33 |
Kaiser Permanente Setting Professional Modifier None Typical Low $407.38 Median $478.63 Typical High $602.56 | Professional | None | $407.38 | $478.63 | $602.56 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $120.23 Typical High $154.88 | Professional | 26 · Professional part | $107.15 | $120.23 | $154.88 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $354.81 Typical High $446.68 | Professional | TC · Technical part | $295.12 | $354.81 | $446.68 |
Medcost Setting Professional Modifier None Typical Low $891.25 Median $1,096.48 Typical High $1,096.48 | Professional | None | $891.25 | $1,096.48 | $1,096.48 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $169.82 Median $208.93 Typical High $208.93 | Professional | 26 · Professional part | $169.82 | $208.93 | $208.93 |
Medcost Setting Facility Modifier None Typical Low $416.87 Median $851.14 Typical High $851.14 | Facility | None | $416.87 | $851.14 | $851.14 |
Medcost Setting Professional Modifier None (both parts) Typical Low $269.15 Median $275.42 Typical High $645.65 | Professional | None (both parts) | $269.15 | $275.42 | $645.65 |
Sentara Setting Facility Modifier None Typical Low $138.04 Median $371.54 Typical High $2,137.96 | Facility | None | $138.04 | $371.54 | $2,137.96 |
Sentara Setting Professional Modifier None (both parts) Typical Low $151.36 Median $446.68 Typical High $1,000.00 | Professional | None (both parts) | $151.36 | $446.68 | $1,000.00 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $165.96 Typical High $245.47 | Professional | 26 · Professional part | $120.23 | $165.96 | $245.47 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $346.74 Typical High $741.31 | Professional | TC · Technical part | $181.97 | $346.74 | $741.31 |
United Setting Facility Modifier None Typical Low $331.13 Median $363.08 Typical High $812.83 | Facility | None | $331.13 | $363.08 | $812.83 |
United Setting Professional Modifier None (both parts) Typical Low $354.81 Median $562.34 Typical High $1,047.13 | Professional | None (both parts) | $354.81 | $562.34 | $1,047.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $141.25 Typical High $208.93 | Professional | 26 · Professional part | $81.28 | $141.25 | $208.93 |
United Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $407.38 Typical High $851.14 | Professional | TC · Technical part | $263.03 | $407.38 | $851.14 |
4 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 $138.04 Median $158.49 Typical High $158.49 | Professional | 52 · Reduced service | $138.04 | $158.49 | $158.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $64.57 Typical High $64.57 | Professional | 53 · Discontinued | $54.95 | $64.57 | $64.57 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $218.78 Median $257.04 Typical High $257.04 | Professional | FX · Film X-ray | $218.78 | $257.04 | $257.04 |
Medcost Setting Professional Modifier 27 · Multiple hospital visits Typical Low $724.44 Median $891.25 Typical High $891.25 | Professional | 27 · Multiple hospital visits | $724.44 | $891.25 | $891.25 |
Where Virginia sits
The same service costs 6.8 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· 30th of 51
$479
AK $1,148UT $170
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.