How much rates vary
Facilitymedian $195 · 10th to 90th $65 to $776Professionalmedian $141 · 10th to 90th $85 to $331
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 $120.23 Median $125.89 Typical High $1,023.29 | Facility | None | $120.23 | $125.89 | $1,023.29 |
Aetna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $125.89 Typical High $190.55 | Professional | None (both parts) | $112.20 | $125.89 | $190.55 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $51.29 Typical High $58.88 | Professional | 26 · Professional part | $46.77 | $51.29 | $58.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $75.86 Typical High $123.03 | Professional | TC · Technical part | $66.07 | $75.86 | $123.03 |
Anthem BCBS Setting Facility Modifier None Typical Low $407.38 Median $524.81 Typical High $676.08 | Facility | None | $407.38 | $524.81 | $676.08 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $107.15 Median $141.25 Typical High $186.21 | Professional | None (both parts) | $107.15 | $141.25 | $186.21 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $58.88 Typical High $74.13 | Professional | 26 · Professional part | $48.98 | $58.88 | $74.13 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $81.28 Typical High $107.15 | Professional | TC · Technical part | $67.61 | $81.28 | $107.15 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $51.29 Median $85.11 Typical High $141.25 | Professional | None (both parts) | $51.29 | $85.11 | $141.25 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $75.86 Typical High $117.49 | Professional | TC · Technical part | $75.86 | $75.86 | $117.49 |
Cigna Setting Facility Modifier None Typical Low $173.78 Median $309.03 Typical High $870.96 | Facility | None | $173.78 | $309.03 | $870.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $151.36 Typical High $616.60 | Professional | None (both parts) | $91.20 | $151.36 | $616.60 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $56.23 Typical High $104.71 | Professional | 26 · Professional part | $38.90 | $56.23 | $104.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $91.20 Typical High $537.03 | Professional | TC · Technical part | $52.48 | $91.20 | $537.03 |
Kaiser Permanente Setting Professional Modifier None Typical Low $125.89 Median $147.91 Typical High $186.21 | Professional | None | $125.89 | $147.91 | $186.21 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $57.54 Typical High $74.13 | Professional | 26 · Professional part | $52.48 | $57.54 | $74.13 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $89.13 Typical High $112.20 | Professional | TC · Technical part | $74.13 | $89.13 | $112.20 |
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 $79.43 Median $100.00 Typical High $100.00 | Professional | 26 · Professional part | $79.43 | $100.00 | $100.00 |
Medcost Setting Facility Modifier None Typical Low $257.04 Median $371.54 Typical High $371.54 | Facility | None | $257.04 | $371.54 | $371.54 |
Medcost Setting Professional Modifier None (both parts) Typical Low $117.49 Median $602.56 Typical High $660.69 | Professional | None (both parts) | $117.49 | $602.56 | $660.69 |
Sentara Setting Facility Modifier None Typical Low $58.88 Median $151.36 Typical High $524.81 | Facility | None | $58.88 | $151.36 | $524.81 |
Sentara Setting Professional Modifier None (both parts) Typical Low $69.18 Median $186.21 Typical High $616.60 | Professional | None (both parts) | $69.18 | $186.21 | $616.60 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $74.13 Typical High $114.82 | Professional | 26 · Professional part | $56.23 | $74.13 | $114.82 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $134.90 Typical High $467.74 | Professional | TC · Technical part | $81.28 | $134.90 | $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 $112.20 Median $199.53 Typical High $630.96 | Professional | None (both parts) | $112.20 | $199.53 | $630.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $67.61 Typical High $104.71 | Professional | 26 · Professional part | $42.66 | $67.61 | $104.71 |
United Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $125.89 Typical High $562.34 | Professional | TC · Technical part | $66.07 | $125.89 | $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 $56.23 Median $60.26 Typical High $63.10 | Professional | 52 · Reduced service | $56.23 | $60.26 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $23.99 Typical High $25.12 | Professional | 53 · Discontinued | $22.39 | $23.99 | $25.12 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $93.33 Median $100.00 Typical High $100.00 | Professional | FX · Film X-ray | $93.33 | $100.00 | $100.00 |
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 4.1 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· 42nd of 51
$141
AK $389TX $95.50
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.