How much rates vary
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 $562.34 Median $575.44 Typical High $645.65 | Facility | None | $562.34 | $575.44 | $645.65 |
Aetna Setting Professional Modifier None (both parts) Typical Low $457.09 Median $562.34 Typical High $575.44 | Professional | None (both parts) | $457.09 | $562.34 | $575.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $39.81 Typical High $39.81 | Professional | 26 · Professional part | $36.31 | $39.81 | $39.81 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $446.68 Median $549.54 Typical High $562.34 | Professional | TC · Technical part | $446.68 | $549.54 | $562.34 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $478.63 Median $562.34 Typical High $707.95 | Professional | None (both parts) | $478.63 | $562.34 | $707.95 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $46.77 Typical High $58.88 | Professional | 26 · Professional part | $38.90 | $46.77 | $58.88 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $467.74 Median $549.54 Typical High $691.83 | Professional | TC · Technical part | $467.74 | $549.54 | $691.83 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $40.74 Median $707.95 Typical High $776.25 | Professional | None (both parts) | $40.74 | $707.95 | $776.25 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $53.70 Typical High $63.10 | Professional | 26 · Professional part | $44.67 | $53.70 | $63.10 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $660.69 Median $741.31 Typical High $831.76 | Professional | TC · Technical part | $660.69 | $741.31 | $831.76 |
Cigna Setting Facility Modifier None Typical Low $478.63 Median $645.65 Typical High $1,548.82 | Facility | None | $478.63 | $645.65 | $1,548.82 |
Cigna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $257.04 Typical High $467.74 | Professional | None (both parts) | $177.83 | $257.04 | $467.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $42.66 Typical High $83.18 | Professional | 26 · Professional part | $30.90 | $42.66 | $83.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $213.80 Typical High $398.11 | Professional | TC · Technical part | $147.91 | $213.80 | $398.11 |
Kaiser Permanente Setting Professional Modifier None Typical Low $251.19 Median $302.00 Typical High $371.54 | Professional | None | $251.19 | $302.00 | $371.54 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $47.86 Typical High $60.26 | Professional | 26 · Professional part | $42.66 | $47.86 | $60.26 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $251.19 Typical High $316.23 | Professional | TC · Technical part | $208.93 | $251.19 | $316.23 |
Medcost Setting Professional Modifier None Typical Low $316.23 Median $398.11 Typical High $398.11 | Professional | None | $316.23 | $398.11 | $398.11 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $75.86 Typical High $75.86 | Professional | 26 · Professional part | $60.26 | $75.86 | $75.86 |
Medcost Setting Facility Modifier None Typical Low $338.84 Median $338.84 Typical High $851.14 | Facility | None | $338.84 | $338.84 | $851.14 |
Medcost Setting Professional Modifier None (both parts) Typical Low $309.03 Median $309.03 Typical High $537.03 | Professional | None (both parts) | $309.03 | $309.03 | $537.03 |
Sentara Setting Facility Modifier None Typical Low $41.69 Median $234.42 Typical High $891.25 | Facility | None | $41.69 | $234.42 | $891.25 |
Sentara Setting Professional Modifier None (both parts) Typical Low $53.70 Median $269.15 Typical High $457.09 | Professional | None (both parts) | $53.70 | $269.15 | $457.09 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $54.95 Typical High $97.72 | Professional | 26 · Professional part | $41.69 | $54.95 | $97.72 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $275.42 Typical High $407.38 | Professional | TC · Technical part | $199.53 | $275.42 | $407.38 |
United Setting Facility Modifier None Typical Low $1,174.90 Median $1,318.26 Typical High $2,884.03 | Facility | None | $1,174.90 | $1,318.26 | $2,884.03 |
United Setting Professional Modifier None (both parts) Typical Low $229.09 Median $537.03 Typical High $1,122.02 | Professional | None (both parts) | $229.09 | $537.03 | $1,122.02 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $50.12 Typical High $79.43 | Professional | 26 · Professional part | $30.20 | $50.12 | $79.43 |
United Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $501.19 Typical High $1,047.13 | Professional | TC · Technical part | $186.21 | $501.19 | $1,047.13 |
3 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 $229.09 Median $281.84 Typical High $288.40 | Professional | 52 · Reduced service | $229.09 | $281.84 | $288.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $91.20 Median $112.20 Typical High $114.82 | Professional | 53 · Discontinued | $91.20 | $112.20 | $114.82 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $416.87 Median $446.68 Typical High $457.09 | Professional | FX · Film X-ray | $416.87 | $446.68 | $457.09 |
Where Virginia sits
The same service costs 4.8 times more in Alaska than in New Jersey. 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· 25th of 51
$501
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.