How much rates vary
Facilitymedian $74 · 10th to 90th $35 to $257Professionalmedian $62 · 10th to 90th $35 to $120
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 $53.70 Median $53.70 Typical High $61.66 | Facility | None | $53.70 | $53.70 | $61.66 |
Aetna Setting Professional Modifier None (both parts) Typical Low $53.70 Median $61.66 Typical High $74.13 | Professional | None (both parts) | $53.70 | $61.66 | $74.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $33.11 Typical High $40.74 | Professional | 26 · Professional part | $31.62 | $33.11 | $40.74 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $28.18 Typical High $29.51 | Professional | TC · Technical part | $19.95 | $28.18 | $29.51 |
Anthem BCBS Setting Facility Modifier None Typical Low $181.97 Median $229.09 Typical High $302.00 | Facility | None | $181.97 | $229.09 | $302.00 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $35.48 Median $61.66 Typical High $75.86 | Professional | None (both parts) | $35.48 | $61.66 | $75.86 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $38.90 Typical High $56.23 | Professional | 26 · Professional part | $32.36 | $38.90 | $56.23 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $75.86 Median $93.33 Typical High $114.82 | Professional | 50 · Both sides | $75.86 | $93.33 | $114.82 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $24.55 Typical High $30.90 | Professional | TC · Technical part | $20.42 | $24.55 | $30.90 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $24.55 Median $56.23 Typical High $61.66 | Professional | None (both parts) | $24.55 | $56.23 | $61.66 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $38.02 Typical High $47.86 | Professional | 26 · Professional part | $38.02 | $38.02 | $47.86 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $22.39 Typical High $29.51 | Professional | TC · Technical part | $22.39 | $22.39 | $29.51 |
Cigna Setting Facility Modifier None Typical Low $52.48 Median $120.23 Typical High $776.25 | Facility | None | $52.48 | $120.23 | $776.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $40.74 Median $63.10 Typical High $154.88 | Professional | None (both parts) | $40.74 | $63.10 | $154.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $35.48 Typical High $75.86 | Professional | 26 · Professional part | $25.12 | $35.48 | $75.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $15.14 Median $24.55 Typical High $79.43 | Professional | TC · Technical part | $15.14 | $24.55 | $79.43 |
Kaiser Permanente Setting Professional Modifier None Typical Low $54.95 Median $64.57 Typical High $83.18 | Professional | None | $54.95 | $64.57 | $83.18 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $38.90 Typical High $48.98 | Professional | 26 · Professional part | $33.11 | $38.90 | $48.98 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $26.30 Typical High $32.36 | Professional | TC · Technical part | $21.88 | $26.30 | $32.36 |
Medcost Setting Professional Modifier None Typical Low $109.65 Median $204.17 Typical High $204.17 | Professional | None | $109.65 | $204.17 | $204.17 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $87.10 Typical High $87.10 | Professional | 26 · Professional part | $69.18 | $87.10 | $87.10 |
Medcost Setting Facility Modifier None Typical Low $123.03 Median $134.90 Typical High $134.90 | Facility | None | $123.03 | $134.90 | $134.90 |
Medcost Setting Professional Modifier None (both parts) Typical Low $53.70 Median $151.36 Typical High $151.36 | Professional | None (both parts) | $53.70 | $151.36 | $151.36 |
Sentara Setting Facility Modifier None Typical Low $31.62 Median $67.61 Typical High $144.54 | Facility | None | $31.62 | $67.61 | $144.54 |
Sentara Setting Professional Modifier None (both parts) Typical Low $47.86 Median $91.20 Typical High $147.91 | Professional | None (both parts) | $47.86 | $91.20 | $147.91 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $53.70 Typical High $83.18 | Professional | 26 · Professional part | $38.90 | $53.70 | $83.18 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $50.12 Typical High $77.62 | Professional | TC · Technical part | $25.70 | $50.12 | $77.62 |
United Setting Facility Modifier None Typical Low $199.53 Median $218.78 Typical High $489.78 | Facility | None | $199.53 | $218.78 | $489.78 |
United Setting Professional Modifier None (both parts) Typical Low $50.12 Median $83.18 Typical High $165.96 | Professional | None (both parts) | $50.12 | $83.18 | $165.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $42.66 Typical High $77.62 | Professional | 26 · Professional part | $28.84 | $42.66 | $77.62 |
United Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $37.15 Typical High $97.72 | Professional | TC · Technical part | $20.89 | $37.15 | $97.72 |
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 $30.90 Typical High $30.90 | Professional | 52 · Reduced service | $25.70 | $30.90 | $30.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.47 Median $12.30 Typical High $12.30 | Professional | 53 · Discontinued | $10.47 | $12.30 | $12.30 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $42.66 Median $48.98 Typical High $48.98 | Professional | FX · Film X-ray | $42.66 | $48.98 | $48.98 |
Medcost Setting Professional Modifier 27 · Multiple hospital visits Typical Low $39.81 Median $117.49 Typical High $117.49 | Professional | 27 · Multiple hospital visits | $39.81 | $117.49 | $117.49 |
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· 46th of 51
$61.66
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.