How much rates vary
Facilitymedian $269 · 10th to 90th $74 to $871Professionalmedian $195 · 10th to 90th $138 to $427
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 $162.18 Median $162.18 Typical High $1,380.38 | Facility | None | $162.18 | $162.18 | $1,380.38 |
Aetna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $162.18 Typical High $162.18 | Professional | None (both parts) | $147.91 | $162.18 | $162.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $57.54 Typical High $57.54 | Professional | 26 · Professional part | $52.48 | $57.54 | $57.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $104.71 Typical High $107.15 | Professional | TC · Technical part | $93.33 | $104.71 | $107.15 |
Anthem BCBS Setting Facility Modifier None Typical Low $562.34 Median $707.95 Typical High $912.01 | Facility | None | $562.34 | $707.95 | $912.01 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $158.49 Median $194.98 Typical High $251.19 | Professional | None (both parts) | $158.49 | $194.98 | $251.19 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $67.61 Typical High $85.11 | Professional | 26 · Professional part | $56.23 | $67.61 | $85.11 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $125.89 Typical High $165.96 | Professional | TC · Technical part | $104.71 | $125.89 | $165.96 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $57.54 Median $173.78 Typical High $218.78 | Professional | None (both parts) | $57.54 | $173.78 | $218.78 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $63.10 Typical High $83.18 | Professional | 26 · Professional part | $63.10 | $63.10 | $83.18 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $117.49 Typical High $169.82 | Professional | TC · Technical part | $117.49 | $117.49 | $169.82 |
Cigna Setting Facility Modifier None Typical Low $269.15 Median $436.52 Typical High $1,071.52 | Facility | None | $269.15 | $436.52 | $1,071.52 |
Cigna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $204.17 Typical High $645.65 | Professional | None (both parts) | $123.03 | $204.17 | $645.65 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $64.57 Typical High $120.23 | Professional | 26 · Professional part | $43.65 | $64.57 | $120.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $134.90 Typical High $562.34 | Professional | TC · Technical part | $81.28 | $134.90 | $562.34 |
Kaiser Permanente Setting Professional Modifier None Typical Low $173.78 Median $199.53 Typical High $251.19 | Professional | None | $173.78 | $199.53 | $251.19 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $64.57 Typical High $83.18 | Professional | 26 · Professional part | $58.88 | $64.57 | $83.18 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $134.90 Typical High $169.82 | Professional | TC · Technical part | $112.20 | $134.90 | $169.82 |
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 $114.82 Typical High $114.82 | Professional | 26 · Professional part | $93.33 | $114.82 | $114.82 |
Medcost Setting Facility Modifier None Typical Low $323.59 Median $457.09 Typical High $457.09 | Facility | None | $323.59 | $457.09 | $457.09 |
Medcost Setting Professional Modifier None (both parts) Typical Low $158.49 Median $676.08 Typical High $676.08 | Professional | None (both parts) | $158.49 | $676.08 | $676.08 |
Sentara Setting Facility Modifier None Typical Low $66.07 Median $194.98 Typical High $575.44 | Facility | None | $66.07 | $194.98 | $575.44 |
Sentara Setting Professional Modifier None (both parts) Typical Low $79.43 Median $245.47 Typical High $630.96 | Professional | None (both parts) | $79.43 | $245.47 | $630.96 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $83.18 Typical High $131.83 | Professional | 26 · Professional part | $64.57 | $83.18 | $131.83 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $186.21 Typical High $467.74 | Professional | TC · Technical part | $112.20 | $186.21 | $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 $251.19 Typical High $660.69 | Professional | None (both parts) | $141.25 | $251.19 | $660.69 |
United Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $77.62 Typical High $117.49 | Professional | 26 · Professional part | $48.98 | $77.62 | $117.49 |
United Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $173.78 Typical High $562.34 | Professional | TC · Technical part | $91.20 | $173.78 | $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 $74.13 Median $81.28 Typical High $81.28 | Professional | 52 · Reduced service | $74.13 | $81.28 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $32.36 Typical High $32.36 | Professional | 53 · Discontinued | $29.51 | $32.36 | $32.36 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $123.03 Median $128.82 Typical High $128.82 | Professional | FX · Film X-ray | $123.03 | $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 4.4 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
$195
AK $513TX $117
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.