How much rates vary
Facilitymedian $115 · 10th to 90th $28 to $447Professionalmedian $89 · 10th to 90th $58 to $135
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 $79.43 Median $85.11 Typical High $93.33 | Facility | None | $79.43 | $85.11 | $93.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $74.13 Median $79.43 Typical High $85.11 | Professional | None (both parts) | $74.13 | $79.43 | $85.11 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $21.88 Typical High $21.88 | Professional | 26 · Professional part | $19.95 | $21.88 | $21.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $58.88 Typical High $63.10 | Professional | TC · Technical part | $53.70 | $58.88 | $63.10 |
Anthem BCBS Setting Facility Modifier None Typical Low $269.15 Median $346.74 Typical High $446.68 | Facility | None | $269.15 | $346.74 | $446.68 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $70.79 Median $91.20 Typical High $114.82 | Professional | None (both parts) | $70.79 | $91.20 | $114.82 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $25.12 Typical High $31.62 | Professional | 26 · Professional part | $20.42 | $25.12 | $31.62 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $67.61 Typical High $83.18 | Professional | TC · Technical part | $56.23 | $67.61 | $83.18 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $60.26 Median $83.18 Typical High $102.33 | Professional | None (both parts) | $60.26 | $83.18 | $102.33 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $23.99 Typical High $27.54 | Professional | 26 · Professional part | $21.88 | $23.99 | $27.54 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $67.61 Typical High $79.43 | Professional | TC · Technical part | $67.61 | $67.61 | $79.43 |
Cigna Setting Facility Modifier None Typical Low $141.25 Median $229.09 Typical High $776.25 | Facility | None | $141.25 | $229.09 | $776.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $57.54 Median $81.28 Typical High $158.49 | Professional | None (both parts) | $57.54 | $81.28 | $158.49 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $22.91 Typical High $44.67 | Professional | 26 · Professional part | $16.60 | $22.91 | $44.67 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $58.88 Typical High $120.23 | Professional | TC · Technical part | $41.69 | $58.88 | $120.23 |
Kaiser Permanente Setting Professional Modifier None Typical Low $83.18 Median $97.72 Typical High $123.03 | Professional | None | $83.18 | $97.72 | $123.03 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $25.70 Typical High $32.36 | Professional | 26 · Professional part | $22.91 | $25.70 | $32.36 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $72.44 Typical High $91.20 | Professional | TC · Technical part | $60.26 | $72.44 | $91.20 |
Medcost Setting Professional Modifier None Typical Low $70.79 Median $104.71 Typical High $104.71 | Professional | None | $70.79 | $104.71 | $104.71 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $40.74 Typical High $40.74 | Professional | 26 · Professional part | $33.11 | $40.74 | $40.74 |
Medcost Setting Facility Modifier None Typical Low $120.23 Median $120.23 Typical High $173.78 | Facility | None | $120.23 | $120.23 | $173.78 |
Medcost Setting Professional Modifier None (both parts) Typical Low $57.54 Median $66.07 Typical High $123.03 | Professional | None (both parts) | $57.54 | $66.07 | $123.03 |
Sentara Setting Facility Modifier None Typical Low $23.99 Median $75.86 Typical High $302.00 | Facility | None | $23.99 | $75.86 | $302.00 |
Sentara Setting Professional Modifier None (both parts) Typical Low $29.51 Median $89.13 Typical High $169.82 | Professional | None (both parts) | $29.51 | $89.13 | $169.82 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $30.90 Typical High $53.70 | Professional | 26 · Professional part | $23.99 | $30.90 | $53.70 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $93.33 Typical High $141.25 | Professional | TC · Technical part | $50.12 | $93.33 | $141.25 |
United Setting Facility Modifier None Typical Low $199.53 Median $218.78 Typical High $489.78 | Facility | None | $199.53 | $218.78 | $489.78 |
United Setting Professional Modifier None (both parts) Typical Low $60.26 Median $93.33 Typical High $165.96 | Professional | None (both parts) | $60.26 | $93.33 | $165.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $28.18 Typical High $43.65 | Professional | 26 · Professional part | $16.98 | $28.18 | $43.65 |
United Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $67.61 Typical High $123.03 | Professional | TC · Technical part | $38.02 | $67.61 | $123.03 |
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 $39.81 Typical High $42.66 | Professional | 52 · Reduced service | $37.15 | $39.81 | $42.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $15.85 Typical High $16.98 | Professional | 53 · Discontinued | $14.79 | $15.85 | $16.98 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $61.66 Median $67.61 Typical High $67.61 | Professional | FX · Film X-ray | $61.66 | $67.61 | $67.61 |
Medcost Setting Professional Modifier 27 · Multiple hospital visits Typical Low $43.65 Median $79.43 Typical High $79.43 | Professional | 27 · Multiple hospital visits | $43.65 | $79.43 | $79.43 |
Where Virginia sits
The same service costs 3.8 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· 36th of 51
$89.13
AK $245UT $64.57
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.