How much rates vary
Facilitymedian $263 · 10th to 90th $66 to $832Professionalmedian $186 · 10th to 90th $138 to $417
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 $151.36 Median $154.88 Typical High $1,023.29 | Facility | None | $151.36 | $154.88 | $1,023.29 |
Aetna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $151.36 Typical High $239.88 | Professional | None (both parts) | $144.54 | $151.36 | $239.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $51.29 Typical High $63.10 | Professional | 26 · Professional part | $47.86 | $51.29 | $63.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $100.00 Typical High $162.18 | Professional | TC · Technical part | $91.20 | $100.00 | $162.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $537.03 Median $676.08 Typical High $870.96 | Facility | None | $537.03 | $676.08 | $870.96 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $151.36 Median $186.21 Typical High $245.47 | Professional | None (both parts) | $151.36 | $186.21 | $245.47 |
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 $104.71 Median $125.89 Typical High $162.18 | Professional | TC · Technical part | $104.71 | $125.89 | $162.18 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $81.28 Median $181.97 Typical High $234.42 | Professional | None (both parts) | $81.28 | $181.97 | $234.42 |
CareFirst 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 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $125.89 Typical High $141.25 | Professional | TC · Technical part | $112.20 | $125.89 | $141.25 |
Cigna Setting Facility Modifier None Typical Low $263.03 Median $426.58 Typical High $1,023.29 | Facility | None | $263.03 | $426.58 | $1,023.29 |
Cigna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $186.21 Typical High $630.96 | Professional | None (both parts) | $117.49 | $186.21 | $630.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $57.54 Typical High $107.15 | Professional | 26 · Professional part | $39.81 | $57.54 | $107.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $123.03 Typical High $549.54 | Professional | TC · Technical part | $79.43 | $123.03 | $549.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $162.18 Median $190.55 Typical High $239.88 | Professional | None | $162.18 | $190.55 | $239.88 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $58.88 Typical High $75.86 | Professional | 26 · Professional part | $52.48 | $58.88 | $75.86 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $131.83 Typical High $165.96 | Professional | TC · Technical part | $112.20 | $131.83 | $165.96 |
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 $83.18 Median $102.33 Typical High $102.33 | Professional | 26 · Professional part | $83.18 | $102.33 | $102.33 |
Medcost Setting Facility Modifier None Typical Low $309.03 Median $407.38 Typical High $407.38 | Facility | None | $309.03 | $407.38 | $407.38 |
Medcost Setting Professional Modifier None (both parts) Typical Low $151.36 Median $602.56 Typical High $660.69 | Professional | None (both parts) | $151.36 | $602.56 | $660.69 |
Sentara Setting Facility Modifier None Typical Low $60.26 Median $181.97 Typical High $549.54 | Facility | None | $60.26 | $181.97 | $549.54 |
Sentara Setting Professional Modifier None (both parts) Typical Low $72.44 Median $223.87 Typical High $630.96 | Professional | None (both parts) | $72.44 | $223.87 | $630.96 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $74.13 Typical High $120.23 | Professional | 26 · Professional part | $57.54 | $74.13 | $120.23 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $177.83 Typical High $467.74 | Professional | TC · Technical part | $109.65 | $177.83 | $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 $229.09 Typical High $630.96 | Professional | None (both parts) | $131.83 | $229.09 | $630.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $67.61 Typical High $107.15 | Professional | 26 · Professional part | $43.65 | $67.61 | $107.15 |
United Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $162.18 Typical High $562.34 | Professional | TC · Technical part | $87.10 | $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 $69.18 Median $75.86 Typical High $77.62 | Professional | 52 · Reduced service | $69.18 | $75.86 | $77.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $30.20 Typical High $30.90 | Professional | 53 · Discontinued | $27.54 | $30.20 | $30.90 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $114.82 Median $120.23 Typical High $123.03 | Professional | FX · Film X-ray | $114.82 | $120.23 | $123.03 |
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 4.0 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· 44th of 51
$186
AK $479TX $120
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.