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 $22.91 Median $1,445.44 Typical High $2,884.03 | Facility | None | $22.91 | $1,445.44 | $2,884.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $22.91 Median $22.91 Typical High $295.12 | Professional | None (both parts) | $22.91 | $22.91 | $295.12 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $10.00 Typical High $20.42 | Professional | 26 · Professional part | $8.32 | $10.00 | $20.42 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $13.18 Median $14.45 Typical High $77.62 | Professional | TC · Technical part | $13.18 | $14.45 | $77.62 |
Anthem BCBS Setting Facility Modifier None Typical Low $81.28 Median $102.33 Typical High $131.83 | Facility | None | $81.28 | $102.33 | $131.83 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $13.80 Median $22.39 Typical High $77.62 | Professional | None (both parts) | $13.80 | $22.39 | $77.62 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $6.46 Median $9.33 Typical High $15.85 | Professional | 26 · Professional part | $6.46 | $9.33 | $15.85 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $11.75 Median $18.62 Typical High $109.65 | Professional | TC · Technical part | $11.75 | $18.62 | $109.65 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $16.98 Median $25.70 Typical High $38.02 | Professional | None (both parts) | $16.98 | $25.70 | $38.02 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $10.00 Typical High $10.47 | Professional | 26 · Professional part | $8.91 | $10.00 | $10.47 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $19.05 Typical High $24.55 | Professional | TC · Technical part | $19.05 | $19.05 | $24.55 |
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 $18.20 Median $29.51 Typical High $158.49 | Professional | None (both parts) | $18.20 | $29.51 | $158.49 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $10.00 Typical High $18.20 | Professional | 26 · Professional part | $6.76 | $10.00 | $18.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $11.75 Median $18.20 Typical High $144.54 | Professional | TC · Technical part | $11.75 | $18.20 | $144.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $25.12 Median $28.84 Typical High $36.31 | Professional | None | $25.12 | $28.84 | $36.31 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $10.23 Typical High $12.88 | Professional | 26 · Professional part | $9.12 | $10.23 | $12.88 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $19.05 Typical High $23.44 | Professional | TC · Technical part | $15.85 | $19.05 | $23.44 |
Medcost Setting Professional Modifier None Typical Low $169.82 Median $213.80 Typical High $213.80 | Professional | None | $169.82 | $213.80 | $213.80 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $19.05 Typical High $19.05 | Professional | 26 · Professional part | $15.14 | $19.05 | $19.05 |
Medcost Setting Facility Modifier None Typical Low $30.20 Median $112.20 Typical High $851.14 | Facility | None | $30.20 | $112.20 | $851.14 |
Medcost Setting Professional Modifier None (both parts) Typical Low $22.39 Median $123.03 Typical High $123.03 | Professional | None (both parts) | $22.39 | $123.03 | $123.03 |
Sentara Setting Facility Modifier None Typical Low $10.47 Median $25.70 Typical High $123.03 | Facility | None | $10.47 | $25.70 | $123.03 |
Sentara Setting Professional Modifier None (both parts) Typical Low $12.02 Median $38.02 Typical High $128.82 | Professional | None (both parts) | $12.02 | $38.02 | $128.82 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $12.30 Typical High $19.50 | Professional | 26 · Professional part | $10.00 | $12.30 | $19.50 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $15.14 Median $31.62 Typical High $123.03 | Professional | TC · Technical part | $15.14 | $31.62 | $123.03 |
United Setting Professional Modifier None (both parts) Typical Low $18.62 Median $34.67 Typical High $181.97 | Professional | None (both parts) | $18.62 | $34.67 | $181.97 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $12.02 Typical High $19.05 | Professional | 26 · Professional part | $7.24 | $12.02 | $19.05 |
United Setting Professional Modifier TC · Technical part Typical Low $10.47 Median $19.50 Typical High $162.18 | Professional | TC · Technical part | $10.47 | $19.50 | $162.18 |
2 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 FX · Film X-ray Typical Low $18.20 Median $18.62 Typical High $18.62 | Professional | FX · Film X-ray | $18.20 | $18.62 | $18.62 |
Medcost Setting Professional Modifier 27 · Multiple hospital visits Typical Low $154.88 Median $190.55 Typical High $190.55 | Professional | 27 · Multiple hospital visits | $154.88 | $190.55 | $190.55 |
Where Virginia sits
The same service costs 4.8 times more in Kansas than in New York. 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· 44th of 51
$28.84
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.