How much rates vary
Facilitymedian $200 · 10th to 90th $60 to $1,445Professionalmedian $155 · 10th to 90th $110 to $263
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 $138.04 Median $933.25 Typical High $2,884.03 | Facility | None | $138.04 | $933.25 | $2,884.03 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $39.81 Median $75.86 Typical High $91.20 | Facility | 26 · Professional part | $39.81 | $75.86 | $91.20 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $75.86 Median $144.54 Typical High $245.47 | Facility | TC · Technical part | $75.86 | $144.54 | $245.47 |
Aetna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $125.89 Typical High $363.08 | Professional | None (both parts) | $109.65 | $125.89 | $363.08 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $48.98 Typical High $75.86 | Professional | 26 · Professional part | $39.81 | $48.98 | $75.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $85.11 Typical High $173.78 | Professional | TC · Technical part | $61.66 | $85.11 | $173.78 |
Anthem BCBS Setting Facility Modifier None Typical Low $416.87 Median $537.03 Typical High $691.83 | Facility | None | $416.87 | $537.03 | $691.83 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $120.23 Median $151.36 Typical High $194.98 | Professional | None (both parts) | $120.23 | $151.36 | $194.98 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $50.12 Typical High $64.57 | Professional | 26 · Professional part | $41.69 | $50.12 | $64.57 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $100.00 Typical High $131.83 | Professional | TC · Technical part | $83.18 | $100.00 | $131.83 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $58.88 Median $128.82 Typical High $186.21 | Professional | None (both parts) | $58.88 | $128.82 | $186.21 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $52.48 Typical High $75.86 | Professional | 26 · Professional part | $52.48 | $52.48 | $75.86 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $151.36 Typical High $181.97 | Professional | TC · Technical part | $107.15 | $151.36 | $181.97 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $645.65 Typical High $870.96 | Facility | None | $398.11 | $645.65 | $870.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $213.80 Typical High $354.81 | Professional | None (both parts) | $114.82 | $213.80 | $354.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $46.77 Typical High $91.20 | Professional | 26 · Professional part | $33.11 | $46.77 | $91.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $151.36 Typical High $234.42 | Professional | TC · Technical part | $75.86 | $151.36 | $234.42 |
Kaiser Permanente Setting Professional Modifier None Typical Low $128.82 Median $151.36 Typical High $190.55 | Professional | None | $128.82 | $151.36 | $190.55 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $48.98 Typical High $63.10 | Professional | 26 · Professional part | $43.65 | $48.98 | $63.10 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $102.33 Typical High $128.82 | Professional | TC · Technical part | $87.10 | $102.33 | $128.82 |
Medcost Setting Professional Modifier None Typical Low $234.42 Median $295.12 Typical High $295.12 | Professional | None | $234.42 | $295.12 | $295.12 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $85.11 Typical High $85.11 | Professional | 26 · Professional part | $69.18 | $85.11 | $85.11 |
Medcost Setting Facility Modifier None Typical Low $144.54 Median $288.40 Typical High $851.14 | Facility | None | $144.54 | $288.40 | $851.14 |
Medcost Setting Professional Modifier None (both parts) Typical Low $100.00 Median $100.00 Typical High $223.87 | Professional | None (both parts) | $100.00 | $100.00 | $223.87 |
Sentara Setting Facility Modifier None Typical Low $52.48 Median $134.90 Typical High $537.03 | Facility | None | $52.48 | $134.90 | $537.03 |
Sentara Setting Professional Modifier None (both parts) Typical Low $58.88 Median $169.82 Typical High $295.12 | Professional | None (both parts) | $58.88 | $169.82 | $295.12 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $61.66 Typical High $100.00 | Professional | 26 · Professional part | $48.98 | $61.66 | $100.00 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $134.90 Typical High $218.78 | Professional | TC · Technical part | $85.11 | $134.90 | $218.78 |
United Setting Facility Modifier None Typical Low $165.96 Median $181.97 Typical High $407.38 | Facility | None | $165.96 | $181.97 | $407.38 |
United Setting Professional Modifier None (both parts) Typical Low $114.82 Median $186.21 Typical High $316.23 | Professional | None (both parts) | $114.82 | $186.21 | $316.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $58.88 Typical High $89.13 | Professional | 26 · Professional part | $33.88 | $58.88 | $89.13 |
United Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $128.82 Typical High $234.42 | Professional | TC · Technical part | $77.62 | $128.82 | $234.42 |
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 $54.95 Median $61.66 Typical High $81.28 | Professional | 52 · Reduced service | $54.95 | $61.66 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $24.55 Typical High $32.36 | Professional | 53 · Discontinued | $22.39 | $24.55 | $32.36 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $89.13 Median $91.20 Typical High $100.00 | Professional | FX · Film X-ray | $89.13 | $91.20 | $100.00 |
Medcost Setting Professional Modifier 27 · Multiple hospital visits Typical Low $165.96 Median $208.93 Typical High $208.93 | Professional | 27 · Multiple hospital visits | $165.96 | $208.93 | $208.93 |
Where Virginia sits
The same service costs 4.3 times more in Alaska than in Utah. 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
$158
AK $447UT $105
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.