How much rates vary
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 $933.25 Median $1,148.15 Typical High $1,819.70 | Facility | None | $933.25 | $1,148.15 | $1,819.70 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $63.10 Median $104.71 Typical High $120.23 | Facility | 26 · Professional part | $63.10 | $104.71 | $120.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $912.01 Median $933.25 Typical High $1,148.15 | Professional | None (both parts) | $912.01 | $933.25 | $1,148.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $64.57 Typical High $117.49 | Professional | 26 · Professional part | $63.10 | $64.57 | $117.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $831.76 Median $870.96 Typical High $1,071.52 | Professional | TC · Technical part | $831.76 | $870.96 | $1,071.52 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,000.00 Median $1,258.93 Typical High $1,659.59 | Facility | None | $1,000.00 | $1,258.93 | $1,659.59 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $190.55 Median $190.55 Typical High $1,288.25 | Professional | None (both parts) | $190.55 | $190.55 | $1,288.25 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $79.43 Typical High $100.00 | Professional | 26 · Professional part | $66.07 | $79.43 | $100.00 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $831.76 Median $1,023.29 Typical High $1,230.27 | Professional | TC · Technical part | $831.76 | $1,023.29 | $1,230.27 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $954.99 Median $1,047.13 Typical High $1,318.26 | Professional | None (both parts) | $954.99 | $1,047.13 | $1,318.26 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $75.86 Typical High $95.50 | Professional | 26 · Professional part | $69.18 | $75.86 | $95.50 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $891.25 Median $977.24 Typical High $1,148.15 | Professional | TC · Technical part | $891.25 | $977.24 | $1,148.15 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $776.25 Typical High $870.96 | Facility | None | $524.81 | $776.25 | $870.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $724.44 Median $1,000.00 Typical High $1,862.09 | Professional | None (both parts) | $724.44 | $1,000.00 | $1,862.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $69.18 Typical High $120.23 | Professional | 26 · Professional part | $50.12 | $69.18 | $120.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $676.08 Median $933.25 Typical High $1,737.80 | Professional | TC · Technical part | $676.08 | $933.25 | $1,737.80 |
Kaiser Permanente Setting Professional Modifier None Typical Low $309.03 Median $371.54 Typical High $457.09 | Professional | None | $309.03 | $371.54 | $457.09 |
Medcost Setting Professional Modifier None Typical Low $1,230.27 Median $1,548.82 Typical High $1,548.82 | Professional | None | $1,230.27 | $1,548.82 | $1,548.82 |
Medcost Setting Facility Modifier None Typical Low $933.25 Median $1,348.96 Typical High $1,412.54 | Facility | None | $933.25 | $1,348.96 | $1,412.54 |
Medcost Setting Professional Modifier None (both parts) Typical Low $1,348.96 Median $1,348.96 Typical High $1,348.96 | Professional | None (both parts) | $1,348.96 | $1,348.96 | $1,348.96 |
Sentara Setting Facility Modifier None Typical Low $77.62 Median $933.25 Typical High $2,754.23 | Facility | None | $77.62 | $933.25 | $2,754.23 |
Sentara Setting Professional Modifier None (both parts) Typical Low $87.10 Median $1,071.52 Typical High $2,187.76 | Professional | None (both parts) | $87.10 | $1,071.52 | $2,187.76 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $93.33 Typical High $162.18 | Professional | 26 · Professional part | $66.07 | $93.33 | $162.18 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $933.25 Median $1,258.93 Typical High $1,995.26 | Professional | TC · Technical part | $933.25 | $1,258.93 | $1,995.26 |
United Setting Professional Modifier None (both parts) Typical Low $165.96 Median $1,000.00 Typical High $1,862.09 | Professional | None (both parts) | $165.96 | $1,000.00 | $1,862.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $87.10 Typical High $123.03 | Professional | 26 · Professional part | $47.86 | $87.10 | $123.03 |
United Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $933.25 Typical High $1,737.80 | Professional | TC · Technical part | $100.00 | $933.25 | $1,737.80 |
3 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 $446.68 Median $467.74 Typical High $489.78 | Professional | 52 · Reduced service | $446.68 | $467.74 | $489.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $181.97 Median $186.21 Typical High $194.98 | Professional | 53 · Discontinued | $181.97 | $186.21 | $194.98 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $741.31 Median $741.31 Typical High $794.33 | Professional | FX · Film X-ray | $741.31 | $741.31 | $794.33 |
Where Virginia sits
The same service costs 20.4 times more in Alaska than in Oregon. 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· 26th of 51
$1,000
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.