How much rates vary
Facilitymedian $251 · 10th to 90th $87 to $871Professionalmedian $186 · 10th to 90th $141 to $457
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 $151.36 Median $281.84 Typical High $870.96 | Facility | None | $151.36 | $281.84 | $870.96 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $81.28 Median $104.71 Typical High $134.90 | Facility | 26 · Professional part | $81.28 | $104.71 | $134.90 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $70.79 Median $281.84 Typical High $741.31 | Facility | TC · Technical part | $70.79 | $281.84 | $741.31 |
Aetna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $158.49 Typical High $338.84 | Professional | None (both parts) | $147.91 | $158.49 | $338.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $87.10 Typical High $125.89 | Professional | 26 · Professional part | $66.07 | $87.10 | $125.89 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $72.44 Typical High $234.42 | Professional | TC · Technical part | $64.57 | $72.44 | $234.42 |
Anthem BCBS Setting Facility Modifier None Typical Low $512.86 Median $645.65 Typical High $831.76 | Facility | None | $512.86 | $645.65 | $831.76 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $151.36 Median $181.97 Typical High $239.88 | Professional | None (both parts) | $151.36 | $181.97 | $239.88 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $102.33 Typical High $123.03 | Professional | 26 · Professional part | $83.18 | $102.33 | $123.03 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $81.28 Typical High $107.15 | Professional | TC · Technical part | $67.61 | $81.28 | $107.15 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $128.82 Median $177.83 Typical High $234.42 | Professional | None (both parts) | $128.82 | $177.83 | $234.42 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $95.50 Typical High $95.50 | Professional | 26 · Professional part | $87.10 | $95.50 | $95.50 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $83.18 Typical High $104.71 | Professional | TC · Technical part | $74.13 | $83.18 | $104.71 |
Cigna Setting Facility Modifier None Typical Low $169.82 Median $436.52 Typical High $870.96 | Facility | None | $169.82 | $436.52 | $870.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $204.17 Typical High $645.65 | Professional | None (both parts) | $117.49 | $204.17 | $645.65 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $83.18 Typical High $158.49 | Professional | 26 · Professional part | $64.57 | $83.18 | $158.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $107.15 Typical High $549.54 | Professional | TC · Technical part | $51.29 | $107.15 | $549.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $158.49 Median $181.97 Typical High $234.42 | Professional | None | $158.49 | $181.97 | $234.42 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $97.72 Typical High $125.89 | Professional | 26 · Professional part | $87.10 | $97.72 | $125.89 |
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 $691.83 Median $851.14 Typical High $870.96 | Professional | None | $691.83 | $851.14 | $870.96 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $117.49 Typical High $117.49 | Professional | 26 · Professional part | $93.33 | $117.49 | $117.49 |
Medcost Setting Facility Modifier None Typical Low $323.59 Median $446.68 Typical High $446.68 | Facility | None | $323.59 | $446.68 | $446.68 |
Medcost Setting Professional Modifier None (both parts) Typical Low $151.36 Median $602.56 Typical High $676.08 | Professional | None (both parts) | $151.36 | $602.56 | $676.08 |
Sentara Setting Facility Modifier None Typical Low $70.79 Median $194.98 Typical High $776.25 | Facility | None | $70.79 | $194.98 | $776.25 |
Sentara Setting Professional Modifier None (both parts) Typical Low $85.11 Median $245.47 Typical High $660.69 | Professional | None (both parts) | $85.11 | $245.47 | $660.69 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $95.50 Typical High $181.97 | Professional | 26 · Professional part | $66.07 | $95.50 | $181.97 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $169.82 Typical High $467.74 | Professional | TC · Technical part | $79.43 | $169.82 | $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 $141.25 Median $245.47 Typical High $645.65 | Professional | None (both parts) | $141.25 | $245.47 | $645.65 |
United Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $93.33 Typical High $162.18 | Professional | 26 · Professional part | $54.95 | $93.33 | $162.18 |
United Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $131.83 Typical High $562.34 | Professional | TC · Technical part | $63.10 | $131.83 | $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 $72.44 Median $77.62 Typical High $79.43 | Professional | 52 · Reduced service | $72.44 | $77.62 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $30.90 Typical High $31.62 | Professional | 53 · Discontinued | $28.84 | $30.90 | $31.62 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $120.23 Median $128.82 Typical High $128.82 | Professional | FX · Film X-ray | $120.23 | $128.82 | $128.82 |
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 5.1 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· 41st of 51
$191
AK $513UT $100
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.