How much rates vary
Facilitymedian $200 · 10th to 90th $71 to $776Professionalmedian $145 · 10th to 90th $110 to $372
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 $123.03 Median $131.83 Typical High $1,023.29 | Facility | None | $123.03 | $131.83 | $1,023.29 |
Aetna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $125.89 Typical High $131.83 | Professional | None (both parts) | $114.82 | $125.89 | $131.83 |
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 $63.10 Median $70.79 Typical High $74.13 | Professional | TC · Technical part | $63.10 | $70.79 | $74.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $407.38 Median $512.86 Typical High $660.69 | Facility | None | $407.38 | $512.86 | $660.69 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $117.49 Median $144.54 Typical High $190.55 | Professional | None (both parts) | $117.49 | $144.54 | $190.55 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $66.07 Typical High $85.11 | Professional | 26 · Professional part | $54.95 | $66.07 | $85.11 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $79.43 Typical High $104.71 | Professional | TC · Technical part | $66.07 | $79.43 | $104.71 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $128.82 Median $144.54 Typical High $186.21 | Professional | None (both parts) | $128.82 | $144.54 | $186.21 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $63.10 Typical High $66.07 | Professional | 26 · Professional part | $56.23 | $63.10 | $66.07 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $81.28 Typical High $95.50 | Professional | TC · Technical part | $72.44 | $81.28 | $95.50 |
Cigna Setting Facility Modifier None Typical Low $165.96 Median $309.03 Typical High $870.96 | Facility | None | $165.96 | $309.03 | $870.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $162.18 Typical High $616.60 | Professional | None (both parts) | $95.50 | $162.18 | $616.60 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $63.10 Typical High $117.49 | Professional | 26 · Professional part | $42.66 | $63.10 | $117.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $91.20 Typical High $537.03 | Professional | TC · Technical part | $51.29 | $91.20 | $537.03 |
Kaiser Permanente Setting Professional Modifier None Typical Low $125.89 Median $144.54 Typical High $186.21 | Professional | None | $125.89 | $144.54 | $186.21 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $63.10 Typical High $83.18 | Professional | 26 · Professional part | $57.54 | $63.10 | $83.18 |
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 $691.83 Median $851.14 Typical High $851.14 | Professional | None | $691.83 | $851.14 | $851.14 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $114.82 Typical High $114.82 | Professional | 26 · Professional part | $91.20 | $114.82 | $114.82 |
Medcost Setting Facility Modifier None Typical Low $263.03 Median $380.19 Typical High $380.19 | Facility | None | $263.03 | $380.19 | $380.19 |
Medcost Setting Professional Modifier None (both parts) Typical Low $123.03 Median $676.08 Typical High $676.08 | Professional | None (both parts) | $123.03 | $676.08 | $676.08 |
Sentara Setting Facility Modifier None Typical Low $66.07 Median $151.36 Typical High $524.81 | Facility | None | $66.07 | $151.36 | $524.81 |
Sentara Setting Professional Modifier None (both parts) Typical Low $77.62 Median $190.55 Typical High $630.96 | Professional | None (both parts) | $77.62 | $190.55 | $630.96 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $81.28 Typical High $131.83 | Professional | 26 · Professional part | $64.57 | $81.28 | $131.83 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $128.82 Typical High $467.74 | Professional | TC · Technical part | $77.62 | $128.82 | $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 $114.82 Median $204.17 Typical High $645.65 | Professional | None (both parts) | $114.82 | $204.17 | $645.65 |
United Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $75.86 Typical High $117.49 | Professional | 26 · Professional part | $47.86 | $75.86 | $117.49 |
United Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $123.03 Typical High $562.34 | Professional | TC · Technical part | $64.57 | $123.03 | $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 $57.54 Median $61.66 Typical High $66.07 | Professional | 52 · Reduced service | $57.54 | $61.66 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $24.55 Typical High $26.30 | Professional | 53 · Discontinued | $23.44 | $24.55 | $26.30 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $95.50 Median $104.71 Typical High $104.71 | Professional | FX · Film X-ray | $95.50 | $104.71 | $104.71 |
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 5.4 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
$148
AK $407UT $75.86
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.