How much rates vary
Facilitymedian $151 · 10th to 90th $36 to $708Professionalmedian $117 · 10th to 90th $79 to $182
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 $104.71 Median $109.65 Typical High $112.20 | Facility | None | $104.71 | $109.65 | $112.20 |
Aetna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $104.71 Typical High $109.65 | Professional | None (both parts) | $95.50 | $104.71 | $109.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $31.62 Typical High $31.62 | Professional | 26 · Professional part | $28.84 | $31.62 | $31.62 |
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 $338.84 Median $426.58 Typical High $549.54 | Facility | None | $338.84 | $426.58 | $549.54 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $100.00 Median $120.23 Typical High $154.88 | Professional | None (both parts) | $100.00 | $120.23 | $154.88 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $37.15 Typical High $46.77 | Professional | 26 · Professional part | $30.90 | $37.15 | $46.77 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $83.18 Typical High $107.15 | Professional | TC · Technical part | $69.18 | $83.18 | $107.15 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $31.62 Median $109.65 Typical High $120.23 | Professional | None (both parts) | $31.62 | $109.65 | $120.23 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $35.48 Typical High $44.67 | Professional | 26 · Professional part | $35.48 | $35.48 | $44.67 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $77.62 Typical High $112.20 | Professional | TC · Technical part | $77.62 | $77.62 | $112.20 |
Cigna Setting Facility Modifier None Typical Low $177.83 Median $275.42 Typical High $870.96 | Facility | None | $177.83 | $275.42 | $870.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $77.62 Median $109.65 Typical High $229.09 | Professional | None (both parts) | $77.62 | $109.65 | $229.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $33.88 Typical High $66.07 | Professional | 26 · Professional part | $23.99 | $33.88 | $66.07 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $74.13 Typical High $177.83 | Professional | TC · Technical part | $53.70 | $74.13 | $177.83 |
Kaiser Permanente Setting Professional Modifier None Typical Low $104.71 Median $120.23 Typical High $154.88 | Professional | None | $104.71 | $120.23 | $154.88 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $35.48 Typical High $46.77 | Professional | 26 · Professional part | $31.62 | $35.48 | $46.77 |
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 $95.50 Median $181.97 Typical High $181.97 | Professional | None | $95.50 | $181.97 | $181.97 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $61.66 Typical High $61.66 | Professional | 26 · Professional part | $48.98 | $61.66 | $61.66 |
Medcost Setting Facility Modifier None Typical Low $169.82 Median $169.82 Typical High $218.78 | Facility | None | $169.82 | $169.82 | $218.78 |
Medcost Setting Professional Modifier None (both parts) Typical Low $89.13 Median $89.13 Typical High $165.96 | Professional | None (both parts) | $89.13 | $89.13 | $165.96 |
Sentara Setting Facility Modifier None Typical Low $35.48 Median $91.20 Typical High $371.54 | Facility | None | $35.48 | $91.20 | $371.54 |
Sentara Setting Professional Modifier None (both parts) Typical Low $42.66 Median $114.82 Typical High $229.09 | Professional | None (both parts) | $42.66 | $114.82 | $229.09 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $45.71 Typical High $77.62 | Professional | 26 · Professional part | $35.48 | $45.71 | $77.62 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $117.49 Typical High $186.21 | Professional | TC · Technical part | $61.66 | $117.49 | $186.21 |
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 $77.62 Median $120.23 Typical High $234.42 | Professional | None (both parts) | $77.62 | $120.23 | $234.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $41.69 Typical High $64.57 | Professional | 26 · Professional part | $25.70 | $41.69 | $64.57 |
United Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $83.18 Typical High $173.78 | Professional | TC · Technical part | $47.86 | $83.18 | $173.78 |
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 $47.86 Median $52.48 Typical High $54.95 | Professional | 52 · Reduced service | $47.86 | $52.48 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $20.89 Typical High $21.88 | Professional | 53 · Discontinued | $19.05 | $20.89 | $21.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $83.18 Median $87.10 Typical High $87.10 | Professional | FX · Film X-ray | $83.18 | $87.10 | $87.10 |
Medcost Setting Professional Modifier 27 · Multiple hospital visits Typical Low $52.48 Median $144.54 Typical High $144.54 | Professional | 27 · Multiple hospital visits | $52.48 | $144.54 | $144.54 |
Where Virginia sits
The same service costs 4.6 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· 38th of 51
$117
AK $324TX $70.79
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.