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 $147.91 Median $151.36 Typical High $1,023.29 | Facility | None | $147.91 | $151.36 | $1,023.29 |
Aetna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $147.91 Typical High $151.36 | Professional | None (both parts) | $134.90 | $147.91 | $151.36 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $51.29 Typical High $52.48 | Professional | 26 · Professional part | $46.77 | $51.29 | $52.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $97.72 Typical High $97.72 | Professional | TC · Technical part | $85.11 | $97.72 | $97.72 |
Anthem BCBS Setting Facility Modifier None Typical Low $478.63 Median $602.56 Typical High $794.33 | Facility | None | $478.63 | $602.56 | $794.33 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $144.54 Median $173.78 Typical High $229.09 | Professional | None (both parts) | $144.54 | $173.78 | $229.09 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $60.26 Typical High $77.62 | Professional | 26 · Professional part | $50.12 | $60.26 | $77.62 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $112.20 Typical High $147.91 | Professional | TC · Technical part | $93.33 | $112.20 | $147.91 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $51.29 Median $154.88 Typical High $204.17 | Professional | None (both parts) | $51.29 | $154.88 | $204.17 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $57.54 Typical High $74.13 | Professional | 26 · Professional part | $57.54 | $57.54 | $74.13 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $117.49 Typical High $138.04 | Professional | TC · Technical part | $104.71 | $117.49 | $138.04 |
Cigna Setting Facility Modifier None Typical Low $239.88 Median $398.11 Typical High $954.99 | Facility | None | $239.88 | $398.11 | $954.99 |
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 $38.90 Median $56.23 Typical High $107.15 | Professional | 26 · Professional part | $38.90 | $56.23 | $107.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $117.49 Typical High $537.03 | Professional | TC · Technical part | $72.44 | $117.49 | $537.03 |
Kaiser Permanente Setting Professional Modifier None Typical Low $147.91 Median $173.78 Typical High $218.78 | Professional | None | $147.91 | $173.78 | $218.78 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $57.54 Typical High $75.86 | Professional | 26 · Professional part | $51.29 | $57.54 | $75.86 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $114.82 Typical High $144.54 | Professional | TC · Technical part | $95.50 | $114.82 | $144.54 |
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 $81.28 Median $100.00 Typical High $100.00 | Professional | 26 · Professional part | $81.28 | $100.00 | $100.00 |
Medcost Setting Facility Modifier None Typical Low $302.00 Median $407.38 Typical High $407.38 | Facility | None | $302.00 | $407.38 | $407.38 |
Medcost Setting Professional Modifier None (both parts) Typical Low $144.54 Median $660.69 Typical High $660.69 | Professional | None (both parts) | $144.54 | $660.69 | $660.69 |
Sentara Setting Facility Modifier None Typical Low $60.26 Median $181.97 Typical High $537.03 | Facility | None | $60.26 | $181.97 | $537.03 |
Sentara Setting Professional Modifier None (both parts) Typical Low $70.79 Median $218.78 Typical High $630.96 | Professional | None (both parts) | $70.79 | $218.78 | $630.96 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $74.13 Typical High $117.49 | Professional | 26 · Professional part | $57.54 | $74.13 | $117.49 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $173.78 Typical High $467.74 | Professional | TC · Technical part | $104.71 | $173.78 | $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 $223.87 Typical High $630.96 | Professional | None (both parts) | $131.83 | $223.87 | $630.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $67.61 Typical High $104.71 | Professional | 26 · Professional part | $42.66 | $67.61 | $104.71 |
United Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $162.18 Typical High $562.34 | Professional | TC · Technical part | $85.11 | $162.18 | $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 $67.61 Median $72.44 Typical High $74.13 | Professional | 52 · Reduced service | $67.61 | $72.44 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $29.51 Typical High $30.20 | Professional | 53 · Discontinued | $26.92 | $29.51 | $30.20 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $109.65 Median $120.23 Typical High $120.23 | Professional | FX · Film X-ray | $109.65 | $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 4.4 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
$174
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.