How much rates vary
Facilitymedian $148 · 10th to 90th $35 to $741Professionalmedian $105 · 10th to 90th $49 to $257
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 $74.13 Median $169.82 Typical High $741.31 | Facility | None | $74.13 | $169.82 | $741.31 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $15.49 Median $28.84 Typical High $40.74 | Facility | 26 · Professional part | $15.49 | $28.84 | $40.74 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $50.12 Median $158.49 Typical High $707.95 | Facility | TC · Technical part | $50.12 | $158.49 | $707.95 |
Aetna Setting Professional Modifier None (both parts) Typical Low $74.13 Median $91.20 Typical High $234.42 | Professional | None (both parts) | $74.13 | $91.20 | $234.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $33.11 Typical High $58.88 | Professional | 26 · Professional part | $15.49 | $33.11 | $58.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $57.54 Typical High $181.97 | Professional | TC · Technical part | $47.86 | $57.54 | $181.97 |
Anthem BCBS Setting Facility Modifier None Typical Low $302.00 Median $380.19 Typical High $489.78 | Facility | None | $302.00 | $380.19 | $489.78 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $48.98 Median $102.33 Typical High $131.83 | Professional | None (both parts) | $48.98 | $102.33 | $131.83 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $51.29 Typical High $67.61 | Professional | 26 · Professional part | $41.69 | $51.29 | $67.61 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $57.54 Typical High $75.86 | Professional | TC · Technical part | $47.86 | $57.54 | $75.86 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $47.86 Median $95.50 Typical High $120.23 | Professional | None (both parts) | $47.86 | $95.50 | $120.23 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $43.65 Typical High $63.10 | Professional | 26 · Professional part | $43.65 | $43.65 | $63.10 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $57.54 Typical High $81.28 | Professional | TC · Technical part | $57.54 | $57.54 | $81.28 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $776.25 Typical High $870.96 | Facility | None | $524.81 | $776.25 | $870.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $69.18 Median $107.15 Typical High $549.54 | Professional | None (both parts) | $69.18 | $107.15 | $549.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $35.48 Typical High $75.86 | Professional | 26 · Professional part | $17.78 | $35.48 | $75.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $70.79 Typical High $524.81 | Professional | TC · Technical part | $36.31 | $70.79 | $524.81 |
Kaiser Permanente Setting Professional Modifier None Typical Low $93.33 Median $107.15 Typical High $138.04 | Professional | None | $93.33 | $107.15 | $138.04 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $47.86 Typical High $63.10 | Professional | 26 · Professional part | $43.65 | $47.86 | $63.10 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $60.26 Typical High $74.13 | Professional | TC · Technical part | $50.12 | $60.26 | $74.13 |
Medcost Setting Professional Modifier None Typical Low $616.60 Median $776.25 Typical High $776.25 | Professional | None | $616.60 | $776.25 | $776.25 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $32.36 Typical High $32.36 | Professional | 26 · Professional part | $25.70 | $32.36 | $32.36 |
Medcost Setting Facility Modifier None Typical Low $147.91 Median $295.12 Typical High $295.12 | Facility | None | $147.91 | $295.12 | $295.12 |
Medcost Setting Professional Modifier None (both parts) Typical Low $91.20 Median $562.34 Typical High $616.60 | Professional | None (both parts) | $91.20 | $562.34 | $616.60 |
Sentara Setting Facility Modifier None Typical Low $22.91 Median $117.49 Typical High $537.03 | Facility | None | $22.91 | $117.49 | $537.03 |
Sentara Setting Professional Modifier None (both parts) Typical Low $25.70 Median $131.83 Typical High $588.84 | Professional | None (both parts) | $25.70 | $131.83 | $588.84 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $28.84 Typical High $91.20 | Professional | 26 · Professional part | $18.62 | $28.84 | $91.20 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $97.72 Typical High $467.74 | Professional | TC · Technical part | $57.54 | $97.72 | $467.74 |
United Setting Professional Modifier None (both parts) Typical Low $87.10 Median $144.54 Typical High $588.84 | Professional | None (both parts) | $87.10 | $144.54 | $588.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $39.81 Typical High $75.86 | Professional | 26 · Professional part | $15.49 | $39.81 | $75.86 |
United Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $97.72 Typical High $562.34 | Professional | TC · Technical part | $47.86 | $97.72 | $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 $37.15 Median $42.66 Typical High $45.71 | Professional | 52 · Reduced service | $37.15 | $42.66 | $45.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $16.98 Typical High $18.20 | Professional | 53 · Discontinued | $14.79 | $16.98 | $18.20 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $58.88 Median $58.88 Typical High $72.44 | Professional | FX · Film X-ray | $58.88 | $58.88 | $72.44 |
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· 43rd of 51
$105
AK $295TX $74.13
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.