How much rates vary
Facilitymedian $155 · 10th to 90th $60 to $1,778Professionalmedian $126 · 10th to 90th $79 to $219
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 $123.03 Median $933.25 Typical High $2,884.03 | Facility | None | $123.03 | $933.25 | $2,884.03 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $57.54 Median $120.23 Typical High $251.19 | Facility | TC · Technical part | $57.54 | $120.23 | $251.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $123.03 Typical High $426.58 | Professional | None (both parts) | $107.15 | $123.03 | $426.58 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $58.88 Typical High $107.15 | Professional | 26 · Professional part | $48.98 | $58.88 | $107.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $63.10 Typical High $165.96 | Professional | TC · Technical part | $57.54 | $63.10 | $165.96 |
Anthem BCBS Setting Facility Modifier None Typical Low $354.81 Median $446.68 Typical High $588.84 | Facility | None | $354.81 | $446.68 | $588.84 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $93.33 Median $125.89 Typical High $154.88 | Professional | None (both parts) | $93.33 | $125.89 | $154.88 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $60.26 Typical High $74.13 | Professional | 26 · Professional part | $50.12 | $60.26 | $74.13 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $64.57 Typical High $79.43 | Professional | TC · Technical part | $53.70 | $64.57 | $79.43 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $64.57 Median $109.65 Typical High $162.18 | Professional | None (both parts) | $64.57 | $109.65 | $162.18 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $57.54 Typical High $72.44 | Professional | 26 · Professional part | $52.48 | $57.54 | $72.44 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $58.88 Typical High $77.62 | Professional | TC · Technical part | $58.88 | $58.88 | $77.62 |
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 $79.43 Median $125.89 Typical High $239.88 | Professional | None (both parts) | $79.43 | $125.89 | $239.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $58.88 Typical High $100.00 | Professional | 26 · Professional part | $38.90 | $58.88 | $100.00 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $66.07 Typical High $147.91 | Professional | TC · Technical part | $39.81 | $66.07 | $147.91 |
Kaiser Permanente Setting Professional Modifier None Typical Low $109.65 Median $131.83 Typical High $162.18 | Professional | None | $109.65 | $131.83 | $162.18 |
Medcost Setting Professional Modifier None Typical Low $234.42 Median $288.40 Typical High $288.40 | Professional | None | $234.42 | $288.40 | $288.40 |
Medcost Setting Facility Modifier None Typical Low $123.03 Median $204.17 Typical High $218.78 | Facility | None | $123.03 | $204.17 | $218.78 |
Medcost Setting Professional Modifier None (both parts) Typical Low $190.55 Median $190.55 Typical High $190.55 | Professional | None (both parts) | $190.55 | $190.55 | $190.55 |
Sentara Setting Facility Modifier None Typical Low $60.26 Median $117.49 Typical High $891.25 | Facility | None | $60.26 | $117.49 | $891.25 |
Sentara Setting Professional Modifier None (both parts) Typical Low $67.61 Median $147.91 Typical High $269.15 | Professional | None (both parts) | $67.61 | $147.91 | $269.15 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $75.86 Typical High $128.82 | Professional | 26 · Professional part | $58.88 | $75.86 | $128.82 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $91.20 Typical High $147.91 | Professional | TC · Technical part | $63.10 | $91.20 | $147.91 |
United Setting Professional Modifier None (both parts) Typical Low $97.72 Median $162.18 Typical High $257.04 | Professional | None (both parts) | $97.72 | $162.18 | $257.04 |
United Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $70.79 Typical High $100.00 | Professional | 26 · Professional part | $43.65 | $70.79 | $100.00 |
United Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $83.18 Typical High $165.96 | Professional | TC · Technical part | $50.12 | $83.18 | $165.96 |
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 $53.70 Median $60.26 Typical High $67.61 | Professional | 52 · Reduced service | $53.70 | $60.26 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $24.55 Typical High $26.92 | Professional | 53 · Discontinued | $21.38 | $24.55 | $26.92 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $85.11 Median $97.72 Typical High $97.72 | Professional | FX · Film X-ray | $85.11 | $97.72 | $97.72 |
Where Virginia sits
The same service costs 5.6 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· 40th of 51
$126
AK $447TX $79.43
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.