How much rates vary
Facilitymedian $219 · 10th to 90th $78 to $776Professionalmedian $170 · 10th to 90th $95 to $398
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 $141.25 Median $151.36 Typical High $426.58 | Facility | None | $141.25 | $151.36 | $426.58 |
Aetna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $151.36 Typical High $363.08 | Professional | None (both parts) | $134.90 | $151.36 | $363.08 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $77.62 Typical High $120.23 | Professional | 26 · Professional part | $60.26 | $77.62 | $120.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $72.44 Typical High $251.19 | Professional | TC · Technical part | $64.57 | $72.44 | $251.19 |
Anthem BCBS Setting Facility Modifier None Typical Low $467.74 Median $588.84 Typical High $776.25 | Facility | None | $467.74 | $588.84 | $776.25 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $95.50 Median $162.18 Typical High $213.80 | Professional | None (both parts) | $95.50 | $162.18 | $213.80 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $91.20 Typical High $114.82 | Professional | 26 · Professional part | $74.13 | $91.20 | $114.82 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $77.62 Typical High $102.33 | Professional | TC · Technical part | $64.57 | $77.62 | $102.33 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $147.91 Median $162.18 Typical High $229.09 | Professional | None (both parts) | $147.91 | $162.18 | $229.09 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $85.11 Typical High $93.33 | Professional | 26 · Professional part | $77.62 | $85.11 | $93.33 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $77.62 Typical High $91.20 | Professional | TC · Technical part | $70.79 | $77.62 | $91.20 |
Cigna Setting Facility Modifier None Typical Low $162.18 Median $371.54 Typical High $870.96 | Facility | None | $162.18 | $371.54 | $870.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $177.83 Typical High $616.60 | Professional | None (both parts) | $109.65 | $177.83 | $616.60 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $72.44 Typical High $144.54 | Professional | 26 · Professional part | $57.54 | $72.44 | $144.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $102.33 Typical High $537.03 | Professional | TC · Technical part | $48.98 | $102.33 | $537.03 |
Kaiser Permanente Setting Professional Modifier None Typical Low $144.54 Median $169.82 Typical High $213.80 | Professional | None | $144.54 | $169.82 | $213.80 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $87.10 Typical High $112.20 | Professional | 26 · Professional part | $77.62 | $87.10 | $112.20 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $81.28 Typical High $102.33 | Professional | TC · Technical part | $67.61 | $81.28 | $102.33 |
Medcost Setting Professional Modifier None Typical Low $676.08 Median $831.76 Typical High $851.14 | Professional | None | $676.08 | $831.76 | $851.14 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $102.33 Typical High $102.33 | Professional | 26 · Professional part | $83.18 | $102.33 | $102.33 |
Medcost Setting Facility Modifier None Typical Low $302.00 Median $398.11 Typical High $398.11 | Facility | None | $302.00 | $398.11 | $398.11 |
Medcost Setting Professional Modifier None (both parts) Typical Low $141.25 Median $602.56 Typical High $660.69 | Professional | None (both parts) | $141.25 | $602.56 | $660.69 |
Sentara Setting Facility Modifier None Typical Low $64.57 Median $181.97 Typical High $660.69 | Facility | None | $64.57 | $181.97 | $660.69 |
Sentara Setting Professional Modifier None (both parts) Typical Low $75.86 Median $208.93 Typical High $645.65 | Professional | None (both parts) | $75.86 | $208.93 | $645.65 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $85.11 Typical High $162.18 | Professional | 26 · Professional part | $60.26 | $85.11 | $162.18 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $144.54 Typical High $467.74 | Professional | TC · Technical part | $75.86 | $144.54 | $467.74 |
United Setting Facility Modifier None Typical Low $6,025.60 Median $6,606.93 Typical High $14,791.08 | Facility | None | $6,025.60 | $6,606.93 | $14,791.08 |
United Setting Professional Modifier None (both parts) Typical Low $131.83 Median $218.78 Typical High $630.96 | Professional | None (both parts) | $131.83 | $218.78 | $630.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $83.18 Typical High $144.54 | Professional | 26 · Professional part | $48.98 | $83.18 | $144.54 |
United Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $125.89 Typical High $562.34 | Professional | TC · Technical part | $61.66 | $125.89 | $562.34 |
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 $66.07 Median $70.79 Typical High $74.13 | Professional | 52 · Reduced service | $66.07 | $70.79 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $28.84 Typical High $30.20 | Professional | 53 · Discontinued | $26.30 | $28.84 | $30.20 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $112.20 Median $120.23 Typical High $120.23 | Professional | FX · Film X-ray | $112.20 | $120.23 | $120.23 |
Medcost Setting Professional Modifier 27 · Multiple hospital visits Typical Low $602.56 Median $741.31 Typical High $741.31 | Professional | 27 · Multiple hospital visits | $602.56 | $741.31 | $741.31 |
Where Virginia sits
The same service costs 4.1 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· 42nd of 51
$170
AK $468TX $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.