How much rates vary
Facilitymedian $186 · 10th to 90th $60 to $776Professionalmedian $135 · 10th to 90th $81 to $316
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 $114.82 Median $123.03 Typical High $1,023.29 | Facility | None | $114.82 | $123.03 | $1,023.29 |
Aetna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $123.03 Typical High $190.55 | Professional | None (both parts) | $107.15 | $123.03 | $190.55 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $50.12 Typical High $57.54 | Professional | 26 · Professional part | $45.71 | $50.12 | $57.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $72.44 Typical High $141.25 | Professional | TC · Technical part | $61.66 | $72.44 | $141.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $380.19 Median $478.63 Typical High $616.60 | Facility | None | $380.19 | $478.63 | $616.60 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $81.28 Median $128.82 Typical High $169.82 | Professional | None (both parts) | $81.28 | $128.82 | $169.82 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $56.23 Typical High $75.86 | Professional | 26 · Professional part | $47.86 | $56.23 | $75.86 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $77.62 Typical High $138.04 | Professional | TC · Technical part | $66.07 | $77.62 | $138.04 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $47.86 Median $120.23 Typical High $158.49 | Professional | None (both parts) | $47.86 | $120.23 | $158.49 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $53.70 Typical High $67.61 | Professional | 26 · Professional part | $53.70 | $53.70 | $67.61 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $79.43 Typical High $97.72 | Professional | TC · Technical part | $72.44 | $79.43 | $97.72 |
Cigna Setting Facility Modifier None Typical Low $162.18 Median $309.03 Typical High $870.96 | Facility | None | $162.18 | $309.03 | $870.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $151.36 Typical High $602.56 | Professional | None (both parts) | $87.10 | $151.36 | $602.56 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $56.23 Typical High $102.33 | Professional | 26 · Professional part | $37.15 | $56.23 | $102.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $89.13 Typical High $537.03 | Professional | TC · Technical part | $48.98 | $89.13 | $537.03 |
Kaiser Permanente Setting Professional Modifier None Typical Low $117.49 Median $134.90 Typical High $173.78 | Professional | None | $117.49 | $134.90 | $173.78 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $53.70 Typical High $70.79 | Professional | 26 · Professional part | $48.98 | $53.70 | $70.79 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $81.28 Typical High $102.33 | Professional | TC · Technical part | $67.61 | $81.28 | $102.33 |
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 $81.28 Median $100.00 Typical High $100.00 | Professional | 26 · Professional part | $81.28 | $100.00 | $100.00 |
Medcost Setting Facility Modifier None Typical Low $245.47 Median $363.08 Typical High $363.08 | Facility | None | $245.47 | $363.08 | $363.08 |
Medcost Setting Professional Modifier None (both parts) Typical Low $112.20 Median $660.69 Typical High $660.69 | Professional | None (both parts) | $112.20 | $660.69 | $660.69 |
Sentara Setting Facility Modifier None Typical Low $57.54 Median $141.25 Typical High $524.81 | Facility | None | $57.54 | $141.25 | $524.81 |
Sentara Setting Professional Modifier None (both parts) Typical Low $69.18 Median $181.97 Typical High $616.60 | Professional | None (both parts) | $69.18 | $181.97 | $616.60 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $72.44 Typical High $120.23 | Professional | 26 · Professional part | $54.95 | $72.44 | $120.23 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $125.89 Typical High $467.74 | Professional | TC · Technical part | $75.86 | $125.89 | $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 $104.71 Median $186.21 Typical High $630.96 | Professional | None (both parts) | $104.71 | $186.21 | $630.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $66.07 Typical High $102.33 | Professional | 26 · Professional part | $41.69 | $66.07 | $102.33 |
United Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $117.49 Typical High $562.34 | Professional | TC · Technical part | $61.66 | $117.49 | $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 $53.70 Median $57.54 Typical High $60.26 | Professional | 52 · Reduced service | $53.70 | $57.54 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $22.91 Typical High $24.55 | Professional | 53 · Discontinued | $21.38 | $22.91 | $24.55 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $89.13 Median $97.72 Typical High $97.72 | Professional | FX · Film X-ray | $89.13 | $97.72 | $97.72 |
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 4.9 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· 43rd of 51
$135
AK $372UT $75.86
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.