How much rates vary
Facilitymedian $72 · 10th to 90th $28 to $295Professionalmedian $65 · 10th to 90th $39 to $95
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 $51.29 Median $57.54 Typical High $120.23 | Facility | None | $51.29 | $57.54 | $120.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $51.29 Median $57.54 Typical High $104.71 | Professional | None (both parts) | $51.29 | $57.54 | $104.71 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $23.44 Typical High $42.66 | Professional | 26 · Professional part | $21.88 | $23.44 | $42.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $33.88 Typical High $57.54 | Professional | TC · Technical part | $27.54 | $33.88 | $57.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $186.21 Median $234.42 Typical High $309.03 | Facility | None | $186.21 | $234.42 | $309.03 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $41.69 Median $64.57 Typical High $81.28 | Professional | None (both parts) | $41.69 | $64.57 | $81.28 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $27.54 Typical High $35.48 | Professional | 26 · Professional part | $22.91 | $27.54 | $35.48 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $39.81 Typical High $57.54 | Professional | TC · Technical part | $32.36 | $39.81 | $57.54 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $23.44 Median $60.26 Typical High $70.79 | Professional | None (both parts) | $23.44 | $60.26 | $70.79 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $30.90 Typical High $36.31 | Professional | 26 · Professional part | $23.44 | $30.90 | $36.31 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $40.74 Typical High $46.77 | Professional | TC · Technical part | $37.15 | $40.74 | $46.77 |
Cigna Setting Facility Modifier None Typical Low $83.18 Median $112.20 Typical High $870.96 | Facility | None | $83.18 | $112.20 | $870.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $43.65 Median $61.66 Typical High $112.20 | Professional | None (both parts) | $43.65 | $61.66 | $112.20 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $26.30 Typical High $48.98 | Professional | 26 · Professional part | $17.78 | $26.30 | $48.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $35.48 Typical High $64.57 | Professional | TC · Technical part | $25.12 | $35.48 | $64.57 |
Kaiser Permanente Setting Professional Modifier None Typical Low $57.54 Median $67.61 Typical High $85.11 | Professional | None | $57.54 | $67.61 | $85.11 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $26.30 Typical High $33.88 | Professional | 26 · Professional part | $23.44 | $26.30 | $33.88 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $40.74 Typical High $51.29 | Professional | TC · Technical part | $33.88 | $40.74 | $51.29 |
Medcost Setting Professional Modifier None Typical Low $87.10 Median $109.65 Typical High $109.65 | Professional | None | $87.10 | $109.65 | $109.65 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $46.77 Typical High $46.77 | Professional | 26 · Professional part | $38.02 | $46.77 | $46.77 |
Medcost Setting Facility Modifier None Typical Low $89.13 Median $89.13 Typical High $102.33 | Facility | None | $89.13 | $89.13 | $102.33 |
Medcost Setting Professional Modifier None (both parts) Typical Low $56.23 Median $60.26 Typical High $85.11 | Professional | None (both parts) | $56.23 | $60.26 | $85.11 |
Sentara Setting Facility Modifier None Typical Low $26.30 Median $51.29 Typical High $151.36 | Facility | None | $26.30 | $51.29 | $151.36 |
Sentara Setting Professional Modifier None (both parts) Typical Low $30.90 Median $63.10 Typical High $112.20 | Professional | None (both parts) | $30.90 | $63.10 | $112.20 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $33.88 Typical High $58.88 | Professional | 26 · Professional part | $26.30 | $33.88 | $58.88 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $48.98 Typical High $79.43 | Professional | TC · Technical part | $35.48 | $48.98 | $79.43 |
United Setting Facility Modifier None Typical Low $1,023.29 Median $1,148.15 Typical High $2,511.89 | Facility | None | $1,023.29 | $1,148.15 | $2,511.89 |
United Setting Professional Modifier None (both parts) Typical Low $46.77 Median $72.44 Typical High $114.82 | Professional | None (both parts) | $46.77 | $72.44 | $114.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $31.62 Typical High $47.86 | Professional | 26 · Professional part | $19.95 | $31.62 | $47.86 |
United Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $40.74 Typical High $67.61 | Professional | TC · Technical part | $26.30 | $40.74 | $67.61 |
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 $25.70 Median $25.70 Typical High $28.18 | Professional | 52 · Reduced service | $25.70 | $25.70 | $28.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.23 Median $10.47 Typical High $11.48 | Professional | 53 · Discontinued | $10.23 | $10.47 | $11.48 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $40.74 Median $40.74 Typical High $45.71 | Professional | FX · Film X-ray | $40.74 | $40.74 | $45.71 |
Medcost Setting Professional Modifier 27 · Multiple hospital visits Typical Low $50.12 Median $63.10 Typical High $63.10 | Professional | 27 · Multiple hospital visits | $50.12 | $63.10 | $63.10 |
Where Virginia sits
The same service costs 3.8 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· 36th of 51
$64.57
AK $178TX $46.77
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.