How much rates vary
Facilitymedian $209 · 10th to 90th $63 to $776Professionalmedian $151 · 10th to 90th $110 to $363
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 $128.82 Median $131.83 Typical High $1,023.29 | Facility | None | $128.82 | $131.83 | $1,023.29 |
Aetna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $131.83 Typical High $147.91 | Professional | None (both parts) | $120.23 | $131.83 | $147.91 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $48.98 Typical High $50.12 | Professional | 26 · Professional part | $46.77 | $48.98 | $50.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $81.28 Typical High $83.18 | Professional | TC · Technical part | $72.44 | $81.28 | $83.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $426.58 Median $537.03 Typical High $707.95 | Facility | None | $426.58 | $537.03 | $707.95 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $109.65 Median $151.36 Typical High $199.53 | Professional | None (both parts) | $109.65 | $151.36 | $199.53 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $57.54 Typical High $74.13 | Professional | 26 · Professional part | $47.86 | $57.54 | $74.13 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $93.33 Typical High $123.03 | Professional | TC · Technical part | $77.62 | $93.33 | $123.03 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $87.10 Median $134.90 Typical High $186.21 | Professional | None (both parts) | $87.10 | $134.90 | $186.21 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $54.95 Typical High $61.66 | Professional | 26 · Professional part | $48.98 | $54.95 | $61.66 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $95.50 Typical High $123.03 | Professional | TC · Technical part | $95.50 | $95.50 | $123.03 |
Cigna Setting Facility Modifier None Typical Low $194.98 Median $346.74 Typical High $870.96 | Facility | None | $194.98 | $346.74 | $870.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $165.96 Typical High $616.60 | Professional | None (both parts) | $97.72 | $165.96 | $616.60 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $54.95 Typical High $104.71 | Professional | 26 · Professional part | $38.02 | $54.95 | $104.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $102.33 Typical High $537.03 | Professional | TC · Technical part | $60.26 | $102.33 | $537.03 |
Kaiser Permanente Setting Professional Modifier None Typical Low $131.83 Median $154.88 Typical High $194.98 | Professional | None | $131.83 | $154.88 | $194.98 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $54.95 Typical High $72.44 | Professional | 26 · Professional part | $50.12 | $54.95 | $72.44 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $97.72 Typical High $123.03 | Professional | TC · Technical part | $81.28 | $97.72 | $123.03 |
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 $79.43 Median $100.00 Typical High $100.00 | Professional | 26 · Professional part | $79.43 | $100.00 | $100.00 |
Medcost Setting Facility Modifier None Typical Low $269.15 Median $380.19 Typical High $380.19 | Facility | None | $269.15 | $380.19 | $380.19 |
Medcost Setting Professional Modifier None (both parts) Typical Low $125.89 Median $602.56 Typical High $660.69 | Professional | None (both parts) | $125.89 | $602.56 | $660.69 |
Sentara Setting Facility Modifier None Typical Low $57.54 Median $158.49 Typical High $524.81 | Facility | None | $57.54 | $158.49 | $524.81 |
Sentara Setting Professional Modifier None (both parts) Typical Low $69.18 Median $199.53 Typical High $630.96 | Professional | None (both parts) | $69.18 | $199.53 | $630.96 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $72.44 Typical High $117.49 | Professional | 26 · Professional part | $56.23 | $72.44 | $117.49 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $147.91 Typical High $467.74 | Professional | TC · Technical part | $89.13 | $147.91 | $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 $117.49 Median $208.93 Typical High $630.96 | Professional | None (both parts) | $117.49 | $208.93 | $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 $70.79 Median $134.90 Typical High $562.34 | Professional | TC · Technical part | $70.79 | $134.90 | $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 $60.26 Median $64.57 Typical High $66.07 | Professional | 52 · Reduced service | $60.26 | $64.57 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $25.70 Typical High $26.30 | Professional | 53 · Discontinued | $23.99 | $25.70 | $26.30 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $97.72 Median $104.71 Typical High $104.71 | Professional | FX · Film X-ray | $97.72 | $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 4.3 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· 42nd of 51
$151
AK $407UT $95.50
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.