How much rates vary
Facilitymedian $204 · 10th to 90th $76 to $759Professionalmedian $155 · 10th to 90th $93 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 $131.83 Median $131.83 Typical High $416.87 | Facility | None | $131.83 | $131.83 | $416.87 |
Aetna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $131.83 Typical High $138.04 | Professional | None (both parts) | $123.03 | $131.83 | $138.04 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $61.66 Typical High $61.66 | Professional | 26 · Professional part | $56.23 | $61.66 | $61.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $72.44 Typical High $75.86 | Professional | TC · Technical part | $66.07 | $72.44 | $75.86 |
Anthem BCBS Setting Facility Modifier None Typical Low $426.58 Median $537.03 Typical High $707.95 | Facility | None | $426.58 | $537.03 | $707.95 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $117.49 Median $154.88 Typical High $204.17 | Professional | None (both parts) | $117.49 | $154.88 | $204.17 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $72.44 Typical High $91.20 | Professional | 26 · Professional part | $60.26 | $72.44 | $91.20 |
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 $69.18 Median $83.18 Typical High $154.88 | Professional | None (both parts) | $69.18 | $83.18 | $154.88 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $61.66 Typical High $87.10 | Professional | 26 · Professional part | $61.66 | $61.66 | $87.10 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $100.00 Typical High $338.84 | Professional | TC · Technical part | $83.18 | $100.00 | $338.84 |
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 $102.33 Median $165.96 Typical High $630.96 | Professional | None (both parts) | $102.33 | $165.96 | $630.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $69.18 Typical High $128.82 | Professional | 26 · Professional part | $46.77 | $69.18 | $128.82 |
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 $131.83 Median $154.88 Typical High $194.98 | Professional | None | $131.83 | $154.88 | $194.98 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $69.18 Typical High $89.13 | Professional | 26 · Professional part | $61.66 | $69.18 | $89.13 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $85.11 Typical High $107.15 | Professional | TC · Technical part | $70.79 | $85.11 | $107.15 |
Medcost Setting Professional Modifier None Typical Low $691.83 Median $851.14 Typical High $870.96 | Professional | None | $691.83 | $851.14 | $870.96 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $125.89 Typical High $125.89 | Professional | 26 · Professional part | $100.00 | $125.89 | $125.89 |
Medcost Setting Facility Modifier None Typical Low $275.42 Median $398.11 Typical High $398.11 | Facility | None | $275.42 | $398.11 | $398.11 |
Medcost Setting Professional Modifier None (both parts) Typical Low $131.83 Median $616.60 Typical High $691.83 | Professional | None (both parts) | $131.83 | $616.60 | $691.83 |
Sentara Setting Facility Modifier None Typical Low $72.44 Median $158.49 Typical High $537.03 | Facility | None | $72.44 | $158.49 | $537.03 |
Sentara Setting Professional Modifier None (both parts) Typical Low $83.18 Median $199.53 Typical High $630.96 | Professional | None (both parts) | $83.18 | $199.53 | $630.96 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $91.20 Typical High $144.54 | Professional | 26 · Professional part | $69.18 | $91.20 | $144.54 |
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 $120.23 Median $213.80 Typical High $645.65 | Professional | None (both parts) | $120.23 | $213.80 | $645.65 |
United Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $83.18 Typical High $125.89 | Professional | 26 · Professional part | $52.48 | $83.18 | $125.89 |
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 $61.66 Median $64.57 Typical High $67.61 | Professional | 52 · Reduced service | $61.66 | $64.57 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $26.30 Typical High $27.54 | Professional | 53 · Discontinued | $24.55 | $26.30 | $27.54 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $102.33 Median $109.65 Typical High $109.65 | Professional | FX · Film X-ray | $102.33 | $109.65 | $109.65 |
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 4.5 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
$155
AK $427UT $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.