How much rates vary
Facilitymedian $105 · 10th to 90th $39 to $355Professionalmedian $81 · 10th to 90th $51 to $126
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 $70.79 Median $70.79 Typical High $89.13 | Facility | None | $70.79 | $70.79 | $89.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $70.79 Median $89.13 Typical High $91.20 | Professional | None (both parts) | $70.79 | $89.13 | $91.20 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $32.36 Typical High $33.88 | Professional | 26 · Professional part | $28.84 | $32.36 | $33.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $56.23 Typical High $56.23 | Professional | TC · Technical part | $40.74 | $56.23 | $56.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $245.47 Median $309.03 Typical High $398.11 | Facility | None | $245.47 | $309.03 | $398.11 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $51.29 Median $79.43 Typical High $100.00 | Professional | None (both parts) | $51.29 | $79.43 | $100.00 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $35.48 Typical High $42.66 | Professional | 26 · Professional part | $29.51 | $35.48 | $42.66 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $102.33 Median $123.03 Typical High $151.36 | Professional | 50 · Both sides | $102.33 | $123.03 | $151.36 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $48.98 Typical High $58.88 | Professional | TC · Technical part | $40.74 | $48.98 | $58.88 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $34.67 Median $75.86 Typical High $89.13 | Professional | None (both parts) | $34.67 | $75.86 | $89.13 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $30.90 Typical High $40.74 | Professional | 26 · Professional part | $30.90 | $30.90 | $40.74 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $48.98 Typical High $48.98 | Professional | TC · Technical part | $43.65 | $48.98 | $48.98 |
Cigna Setting Facility Modifier None Typical Low $102.33 Median $158.49 Typical High $776.25 | Facility | None | $102.33 | $158.49 | $776.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $53.70 Median $81.28 Typical High $158.49 | Professional | None (both parts) | $53.70 | $81.28 | $158.49 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $32.36 Typical High $58.88 | Professional | 26 · Professional part | $22.91 | $32.36 | $58.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $47.86 Typical High $100.00 | Professional | TC · Technical part | $30.20 | $47.86 | $100.00 |
Kaiser Permanente Setting Professional Modifier None Typical Low $74.13 Median $87.10 Typical High $109.65 | Professional | None | $74.13 | $87.10 | $109.65 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $35.48 Typical High $44.67 | Professional | 26 · Professional part | $30.20 | $35.48 | $44.67 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $52.48 Typical High $64.57 | Professional | TC · Technical part | $43.65 | $52.48 | $64.57 |
Medcost Setting Professional Modifier None Typical Low $97.72 Median $151.36 Typical High $151.36 | Professional | None | $97.72 | $151.36 | $151.36 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $60.26 Typical High $60.26 | Professional | 26 · Professional part | $48.98 | $60.26 | $60.26 |
Medcost Setting Facility Modifier None Typical Low $117.49 Median $117.49 Typical High $177.83 | Facility | None | $117.49 | $117.49 | $177.83 |
Medcost Setting Professional Modifier None (both parts) Typical Low $70.79 Median $151.36 Typical High $151.36 | Professional | None (both parts) | $70.79 | $151.36 | $151.36 |
Sentara Setting Facility Modifier None Typical Low $35.48 Median $72.44 Typical High $186.21 | Facility | None | $35.48 | $72.44 | $186.21 |
Sentara Setting Professional Modifier None (both parts) Typical Low $42.66 Median $104.71 Typical High $151.36 | Professional | None (both parts) | $42.66 | $104.71 | $151.36 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $44.67 Typical High $67.61 | Professional | 26 · Professional part | $33.88 | $44.67 | $67.61 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $70.79 Typical High $104.71 | Professional | TC · Technical part | $50.12 | $70.79 | $104.71 |
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 $66.07 Median $95.50 Typical High $169.82 | Professional | None (both parts) | $66.07 | $95.50 | $169.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $33.11 Typical High $60.26 | Professional | 26 · Professional part | $23.99 | $33.11 | $60.26 |
United Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $63.10 Typical High $109.65 | Professional | TC · Technical part | $39.81 | $63.10 | $109.65 |
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 $33.88 Median $37.15 Typical High $43.65 | Professional | 52 · Reduced service | $33.88 | $37.15 | $43.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $14.79 Typical High $17.78 | Professional | 53 · Discontinued | $13.80 | $14.79 | $17.78 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $57.54 Median $70.79 Typical High $70.79 | Professional | FX · Film X-ray | $57.54 | $70.79 | $70.79 |
Medcost Setting Professional Modifier 27 · Multiple hospital visits Typical Low $46.77 Median $91.20 Typical High $91.20 | Professional | 27 · Multiple hospital visits | $46.77 | $91.20 | $91.20 |
Where Virginia sits
The same service costs 3.7 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· 45th of 51
$81.28
AK $229TX $61.66
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.