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 $177.83 Median $213.80 Typical High $223.87 | Facility | None | $177.83 | $213.80 | $223.87 |
Aetna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $199.53 Typical High $223.87 | Professional | None (both parts) | $177.83 | $199.53 | $223.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $21.38 Typical High $25.12 | Professional | 26 · Professional part | $19.95 | $21.38 | $25.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $177.83 Typical High $213.80 | Professional | TC · Technical part | $154.88 | $177.83 | $213.80 |
Anthem BCBS Setting Facility Modifier None Typical Low $741.31 Median $933.25 Typical High $1,202.26 | Facility | None | $741.31 | $933.25 | $1,202.26 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $213.80 Median $257.04 Typical High $316.23 | Professional | None (both parts) | $213.80 | $257.04 | $316.23 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $24.55 Typical High $29.51 | Professional | 26 · Professional part | $20.42 | $24.55 | $29.51 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $229.09 Typical High $281.84 | Professional | TC · Technical part | $190.55 | $229.09 | $281.84 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $23.44 Median $229.09 Typical High $288.40 | Professional | None (both parts) | $23.44 | $229.09 | $288.40 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $229.09 Typical High $302.00 | Professional | TC · Technical part | $229.09 | $229.09 | $302.00 |
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 $154.88 Median $204.17 Typical High $380.19 | Professional | None (both parts) | $154.88 | $204.17 | $380.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $26.92 Typical High $44.67 | Professional | 26 · Professional part | $16.22 | $26.92 | $44.67 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $186.21 Typical High $323.59 | Professional | TC · Technical part | $123.03 | $186.21 | $323.59 |
Kaiser Permanente Setting Professional Modifier None Typical Low $223.87 Median $269.15 Typical High $331.13 | Professional | None | $223.87 | $269.15 | $331.13 |
Medcost Setting Professional Modifier None Typical Low $147.91 Median $199.53 Typical High $199.53 | Professional | None | $147.91 | $199.53 | $199.53 |
Medcost Setting Facility Modifier None Typical Low $177.83 Median $234.42 Typical High $363.08 | Facility | None | $177.83 | $234.42 | $363.08 |
Medcost Setting Professional Modifier None (both parts) Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | None (both parts) | $208.93 | $208.93 | $208.93 |
Sentara Setting Facility Modifier None Typical Low $24.55 Median $181.97 Typical High $977.24 | Facility | None | $24.55 | $181.97 | $977.24 |
Sentara Setting Professional Modifier None (both parts) Typical Low $30.20 Median $213.80 Typical High $562.34 | Professional | None (both parts) | $30.20 | $213.80 | $562.34 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $30.90 Typical High $54.95 | Professional | 26 · Professional part | $23.44 | $30.90 | $54.95 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $257.04 Typical High $512.86 | Professional | TC · Technical part | $85.11 | $257.04 | $512.86 |
United Setting Professional Modifier None (both parts) Typical Low $128.82 Median $223.87 Typical High $363.08 | Professional | None (both parts) | $128.82 | $223.87 | $363.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $31.62 Typical High $39.81 | Professional | 26 · Professional part | $17.78 | $31.62 | $39.81 |
United Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $199.53 Typical High $323.59 | Professional | TC · Technical part | $100.00 | $199.53 | $323.59 |
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 $89.13 Median $97.72 Typical High $112.20 | Professional | 52 · Reduced service | $89.13 | $97.72 | $112.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $38.90 Typical High $45.71 | Professional | 53 · Discontinued | $35.48 | $38.90 | $45.71 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $141.25 Median $141.25 Typical High $181.97 | Professional | FX · Film X-ray | $141.25 | $141.25 | $181.97 |
Where Virginia sits
The same service costs 4.3 times more in Alaska than in Kentucky. 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
$240
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.