How much rates vary
Facilitymedian $115 · 10th to 90th $41 to $776Professionalmedian $100 · 10th to 90th $76 to $138
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 $91.20 Median $169.82 Typical High $204.17 | Facility | None | $91.20 | $169.82 | $204.17 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $31.62 Median $56.23 Typical High $64.57 | Facility | 26 · Professional part | $31.62 | $56.23 | $64.57 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $58.88 Median $123.03 Typical High $239.88 | Facility | TC · Technical part | $58.88 | $123.03 | $239.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $91.20 Typical High $138.04 | Professional | None (both parts) | $91.20 | $91.20 | $138.04 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $33.11 Typical High $48.98 | Professional | 26 · Professional part | $31.62 | $33.11 | $48.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $60.26 Typical High $91.20 | Professional | TC · Technical part | $58.88 | $60.26 | $91.20 |
Anthem BCBS Setting Facility Modifier None Typical Low $295.12 Median $380.19 Typical High $489.78 | Facility | None | $295.12 | $380.19 | $489.78 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $75.86 Median $102.33 Typical High $125.89 | Professional | None (both parts) | $75.86 | $102.33 | $125.89 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $40.74 Typical High $48.98 | Professional | 26 · Professional part | $34.67 | $40.74 | $48.98 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $64.57 Typical High $75.86 | Professional | TC · Technical part | $53.70 | $64.57 | $75.86 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $95.50 Median $104.71 Typical High $120.23 | Professional | None (both parts) | $95.50 | $104.71 | $120.23 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $39.81 Typical High $45.71 | Professional | 26 · Professional part | $35.48 | $39.81 | $45.71 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $66.07 Typical High $75.86 | Professional | TC · Technical part | $58.88 | $66.07 | $75.86 |
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 $67.61 Median $93.33 Typical High $154.88 | Professional | None (both parts) | $67.61 | $93.33 | $154.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $31.62 Typical High $54.95 | Professional | 26 · Professional part | $26.92 | $31.62 | $54.95 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $57.54 Typical High $104.71 | Professional | TC · Technical part | $40.74 | $57.54 | $104.71 |
Kaiser Permanente Setting Professional Modifier None Typical Low $91.20 Median $107.15 Typical High $173.78 | Professional | None | $91.20 | $107.15 | $173.78 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $39.81 Typical High $57.54 | Professional | 26 · Professional part | $36.31 | $39.81 | $57.54 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $67.61 Typical High $114.82 | Professional | TC · Technical part | $56.23 | $67.61 | $114.82 |
Medcost Setting Professional Modifier None Typical Low $144.54 Median $177.83 Typical High $177.83 | Professional | None | $144.54 | $177.83 | $177.83 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $63.10 Typical High $63.10 | Professional | 26 · Professional part | $50.12 | $63.10 | $63.10 |
Medcost Setting Facility Modifier None Typical Low $91.20 Median $158.49 Typical High $186.21 | Facility | None | $91.20 | $158.49 | $186.21 |
Medcost Setting Professional Modifier None (both parts) Typical Low $120.23 Median $138.04 Typical High $177.83 | Professional | None (both parts) | $120.23 | $138.04 | $177.83 |
Sentara Setting Facility Modifier None Typical Low $36.31 Median $95.50 Typical High $851.14 | Facility | None | $36.31 | $95.50 | $851.14 |
Sentara Setting Professional Modifier None (both parts) Typical Low $42.66 Median $107.15 Typical High $154.88 | Professional | None (both parts) | $42.66 | $107.15 | $154.88 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $42.66 Typical High $57.54 | Professional | 26 · Professional part | $36.31 | $42.66 | $57.54 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $89.13 Typical High $117.49 | Professional | TC · Technical part | $58.88 | $89.13 | $117.49 |
United Setting Professional Modifier None (both parts) Typical Low $79.43 Median $95.50 Typical High $165.96 | Professional | None (both parts) | $79.43 | $95.50 | $165.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $30.90 Typical High $52.48 | Professional | 26 · Professional part | $24.55 | $30.90 | $52.48 |
United Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $63.10 Typical High $112.20 | Professional | TC · Technical part | $51.29 | $63.10 | $112.20 |
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 $45.71 Median $45.71 Typical High $45.71 | Professional | 52 · Reduced service | $45.71 | $45.71 | $45.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $18.20 Typical High $18.20 | Professional | 53 · Discontinued | $18.20 | $18.20 | $18.20 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | FX · Film X-ray | $72.44 | $72.44 | $72.44 |
Medcost Setting Professional Modifier 27 · Multiple hospital visits Typical Low $93.33 Median $117.49 Typical High $117.49 | Professional | 27 · Multiple hospital visits | $93.33 | $117.49 | $117.49 |
Where Virginia sits
The same service costs 4.5 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· 37th of 51
$102
AK $295TX $66.07
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.