How much rates vary
Facilitymedian $200 · 10th to 90th $65 to $776Professionalmedian $145 · 10th to 90th $91 to $363
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 $123.03 Median $128.82 Typical High $1,023.29 | Facility | None | $123.03 | $128.82 | $1,023.29 |
Aetna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $123.03 Typical High $128.82 | Professional | None (both parts) | $114.82 | $123.03 | $128.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $51.29 Typical High $52.48 | Professional | 26 · Professional part | $46.77 | $51.29 | $52.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $74.13 Typical High $77.62 | Professional | TC · Technical part | $67.61 | $74.13 | $77.62 |
Anthem BCBS Setting Facility Modifier None Typical Low $398.11 Median $501.19 Typical High $660.69 | Facility | None | $398.11 | $501.19 | $660.69 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $91.20 Median $141.25 Typical High $186.21 | Professional | None (both parts) | $91.20 | $141.25 | $186.21 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $60.26 Typical High $77.62 | Professional | 26 · Professional part | $50.12 | $60.26 | $77.62 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $83.18 Typical High $112.20 | Professional | TC · Technical part | $70.79 | $83.18 | $112.20 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $51.29 Median $128.82 Typical High $162.18 | Professional | None (both parts) | $51.29 | $128.82 | $162.18 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $67.61 Typical High $79.43 | Professional | 26 · Professional part | $54.95 | $67.61 | $79.43 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $85.11 Typical High $102.33 | Professional | TC · Technical part | $77.62 | $85.11 | $102.33 |
Cigna Setting Facility Modifier None Typical Low $177.83 Median $457.09 Typical High $870.96 | Facility | None | $177.83 | $457.09 | $870.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $151.36 Typical High $616.60 | Professional | None (both parts) | $93.33 | $151.36 | $616.60 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $54.95 Typical High $107.15 | Professional | 26 · Professional part | $38.90 | $54.95 | $107.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $93.33 Typical High $537.03 | Professional | TC · Technical part | $53.70 | $93.33 | $537.03 |
Kaiser Permanente Setting Professional Modifier None Typical Low $123.03 Median $144.54 Typical High $181.97 | Professional | None | $123.03 | $144.54 | $181.97 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $57.54 Typical High $75.86 | Professional | 26 · Professional part | $51.29 | $57.54 | $75.86 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $87.10 Typical High $107.15 | Professional | TC · Technical part | $72.44 | $87.10 | $107.15 |
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 $109.65 Typical High $109.65 | Professional | 26 · Professional part | $81.28 | $109.65 | $109.65 |
Medcost Setting Facility Modifier None Typical Low $263.03 Median $407.38 Typical High $407.38 | Facility | None | $263.03 | $407.38 | $407.38 |
Medcost Setting Professional Modifier None (both parts) Typical Low $123.03 Median $660.69 Typical High $660.69 | Professional | None (both parts) | $123.03 | $660.69 | $660.69 |
Sentara Setting Facility Modifier None Typical Low $58.88 Median $154.88 Typical High $524.81 | Facility | None | $58.88 | $154.88 | $524.81 |
Sentara Setting Professional Modifier None (both parts) Typical Low $69.18 Median $181.97 Typical High $630.96 | Professional | None (both parts) | $69.18 | $181.97 | $630.96 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $74.13 Typical High $114.82 | Professional | 26 · Professional part | $57.54 | $74.13 | $114.82 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $138.04 Typical High $467.74 | Professional | TC · Technical part | $83.18 | $138.04 | $467.74 |
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 $114.82 Median $208.93 Typical High $630.96 | Professional | None (both parts) | $114.82 | $208.93 | $630.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $69.18 Typical High $107.15 | Professional | 26 · Professional part | $43.65 | $69.18 | $107.15 |
United Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $128.82 Typical High $562.34 | Professional | TC · Technical part | $67.61 | $128.82 | $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 $57.54 Median $61.66 Typical High $64.57 | Professional | 52 · Reduced service | $57.54 | $61.66 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $24.55 Typical High $25.70 | Professional | 53 · Discontinued | $22.91 | $24.55 | $25.70 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $93.33 Median $102.33 Typical High $102.33 | Professional | FX · Film X-ray | $93.33 | $102.33 | $102.33 |
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 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· 43rd of 51
$145
AK $398TX $81.28
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.