How much rates vary
Facilitymedian $234 · 10th to 90th $63 to $776Professionalmedian $162 · 10th to 90th $120 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 $134.90 Median $138.04 Typical High $354.81 | Facility | None | $134.90 | $138.04 | $354.81 |
Aetna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $138.04 Typical High $302.00 | Professional | None (both parts) | $125.89 | $138.04 | $302.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $50.12 Typical High $89.13 | Professional | 26 · Professional part | $45.71 | $50.12 | $89.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $89.13 Typical High $199.53 | Professional | TC · Technical part | $81.28 | $89.13 | $199.53 |
Anthem BCBS Setting Facility Modifier None Typical Low $457.09 Median $575.44 Typical High $741.31 | Facility | None | $457.09 | $575.44 | $741.31 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $128.82 Median $162.18 Typical High $208.93 | Professional | None (both parts) | $128.82 | $162.18 | $208.93 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $57.54 Typical High $72.44 | Professional | 26 · Professional part | $47.86 | $57.54 | $72.44 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $102.33 Typical High $144.54 | Professional | TC · Technical part | $87.10 | $102.33 | $144.54 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $144.54 Median $162.18 Typical High $213.80 | Professional | None (both parts) | $144.54 | $162.18 | $213.80 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $53.70 Typical High $61.66 | Professional | 26 · Professional part | $48.98 | $53.70 | $61.66 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $107.15 Typical High $134.90 | Professional | TC · Technical part | $97.72 | $107.15 | $134.90 |
Cigna Setting Facility Modifier None Typical Low $218.78 Median $363.08 Typical High $891.25 | Facility | None | $218.78 | $363.08 | $891.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $169.82 Typical High $616.60 | Professional | None (both parts) | $104.71 | $169.82 | $616.60 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $54.95 Typical High $102.33 | Professional | 26 · Professional part | $37.15 | $54.95 | $102.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $112.20 Typical High $537.03 | Professional | TC · Technical part | $66.07 | $112.20 | $537.03 |
Kaiser Permanente Setting Professional Modifier None Typical Low $141.25 Median $162.18 Typical High $208.93 | Professional | None | $141.25 | $162.18 | $208.93 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $53.70 Typical High $70.79 | Professional | 26 · Professional part | $48.98 | $53.70 | $70.79 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $109.65 Typical High $138.04 | Professional | TC · Technical part | $91.20 | $109.65 | $138.04 |
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 $102.33 Typical High $102.33 | Professional | 26 · Professional part | $81.28 | $102.33 | $102.33 |
Medcost Setting Facility Modifier None Typical Low $281.84 Median $398.11 Typical High $398.11 | Facility | None | $281.84 | $398.11 | $398.11 |
Medcost Setting Professional Modifier None (both parts) Typical Low $134.90 Median $602.56 Typical High $660.69 | Professional | None (both parts) | $134.90 | $602.56 | $660.69 |
Sentara Setting Facility Modifier None Typical Low $58.88 Median $165.96 Typical High $588.84 | Facility | None | $58.88 | $165.96 | $588.84 |
Sentara Setting Professional Modifier None (both parts) Typical Low $67.61 Median $204.17 Typical High $630.96 | Professional | None (both parts) | $67.61 | $204.17 | $630.96 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $70.79 Typical High $112.20 | Professional | 26 · Professional part | $54.95 | $70.79 | $112.20 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $162.18 Typical High $467.74 | Professional | TC · Technical part | $97.72 | $162.18 | $467.74 |
United Setting Facility Modifier None Typical Low $10,471.29 Median $11,748.98 Typical High $25,703.96 | Facility | None | $10,471.29 | $11,748.98 | $25,703.96 |
United Setting Professional Modifier None (both parts) Typical Low $123.03 Median $218.78 Typical High $630.96 | Professional | None (both parts) | $123.03 | $218.78 | $630.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $66.07 Typical High $102.33 | Professional | 26 · Professional part | $41.69 | $66.07 | $102.33 |
United Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $147.91 Typical High $562.34 | Professional | TC · Technical part | $77.62 | $147.91 | $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 $63.10 Median $67.61 Typical High $69.18 | Professional | 52 · Reduced service | $63.10 | $67.61 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $26.92 Typical High $27.54 | Professional | 53 · Discontinued | $25.12 | $26.92 | $27.54 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $102.33 Median $112.20 Typical High $112.20 | Professional | FX · Film X-ray | $102.33 | $112.20 | $112.20 |
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 4.2 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· 43rd of 51
$166
AK $437UT $105
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.