How much rates vary
Facilitymedian $331 · 10th to 90th $47 to $1,479Professionalmedian $2,399 · 10th to 90th $234 to $3,548
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 $724.44 Median $977.24 Typical High $2,884.03 | Facility | None | $724.44 | $977.24 | $2,884.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $977.24 Median $2,238.72 Typical High $2,884.03 | Professional | None (both parts) | $977.24 | $2,238.72 | $2,884.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $37.15 Typical High $37.15 | Professional | 26 · Professional part | $33.11 | $37.15 | $37.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $954.99 Median $2,238.72 Typical High $2,884.03 | Professional | TC · Technical part | $954.99 | $2,238.72 | $2,884.03 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $2,238.72 Median $2,818.38 Typical High $3,467.37 | Professional | None (both parts) | $2,238.72 | $2,818.38 | $3,467.37 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $42.66 Typical High $53.70 | Professional | 26 · Professional part | $34.67 | $42.66 | $53.70 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $2,238.72 Median $2,818.38 Typical High $3,467.37 | Professional | TC · Technical part | $2,238.72 | $2,818.38 | $3,467.37 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $40.74 Median $3,388.44 Typical High $3,801.89 | Professional | None (both parts) | $40.74 | $3,388.44 | $3,801.89 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $36.31 Typical High $51.29 | Professional | 26 · Professional part | $36.31 | $36.31 | $51.29 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $4,265.80 Typical High $5,370.32 | Professional | TC · Technical part | $251.19 | $4,265.80 | $5,370.32 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $676.08 Typical High $1,548.82 | Facility | None | $501.19 | $676.08 | $1,548.82 |
Cigna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $275.42 Typical High $478.63 | Professional | None (both parts) | $181.97 | $275.42 | $478.63 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $39.81 Typical High $75.86 | Professional | 26 · Professional part | $27.54 | $39.81 | $75.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $229.09 Typical High $416.87 | Professional | TC · Technical part | $158.49 | $229.09 | $416.87 |
Kaiser Permanente Setting Professional Modifier None Typical Low $245.47 Median $295.12 Typical High $363.08 | Professional | None | $245.47 | $295.12 | $363.08 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $40.74 Typical High $53.70 | Professional | 26 · Professional part | $37.15 | $40.74 | $53.70 |
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 $346.74 Median $436.52 Typical High $436.52 | Professional | None | $346.74 | $436.52 | $436.52 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $72.44 Typical High $72.44 | Professional | 26 · Professional part | $57.54 | $72.44 | $72.44 |
Medcost Setting Facility Modifier None Typical Low $389.05 Median $389.05 Typical High $1,479.11 | Facility | None | $389.05 | $389.05 | $1,479.11 |
Medcost Setting Professional Modifier None (both parts) Typical Low $302.00 Median $338.84 Typical High $2,691.53 | Professional | None (both parts) | $302.00 | $338.84 | $2,691.53 |
Sentara Setting Facility Modifier None Typical Low $41.69 Median $257.04 Typical High $933.25 | Facility | None | $41.69 | $257.04 | $933.25 |
Sentara Setting Professional Modifier None (both parts) Typical Low $50.12 Median $288.40 Typical High $489.78 | Professional | None (both parts) | $50.12 | $288.40 | $489.78 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $52.48 Typical High $91.20 | Professional | 26 · Professional part | $40.74 | $52.48 | $91.20 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $288.40 Typical High $436.52 | Professional | TC · Technical part | $213.80 | $288.40 | $436.52 |
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 $245.47 Median $1,318.26 Typical High $2,754.23 | Professional | None (both parts) | $245.47 | $1,318.26 | $2,754.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $48.98 Typical High $75.86 | Professional | 26 · Professional part | $29.51 | $48.98 | $75.86 |
United Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $1,288.25 Typical High $2,691.53 | Professional | TC · Technical part | $208.93 | $1,288.25 | $2,691.53 |
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 $489.78 Median $1,148.15 Typical High $1,445.44 | Professional | 52 · Reduced service | $489.78 | $1,148.15 | $1,445.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $194.98 Median $467.74 Typical High $575.44 | Professional | 53 · Discontinued | $194.98 | $467.74 | $575.44 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $776.25 Median $776.25 Typical High $2,344.23 | Professional | FX · Film X-ray | $776.25 | $776.25 | $2,344.23 |
Where Virginia sits
The same service costs 15.1 times more in Colorado 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· 5th of 51
$2,399
CO $3,715NJ $245
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.