How much rates vary
Facilitymedian $62 · 10th to 90th $28 to $240Professionalmedian $50 · 10th to 90th $29 to $91
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 $43.65 Median $43.65 Typical High $48.98 | Facility | None | $43.65 | $43.65 | $48.98 |
Aetna Setting Professional Modifier None (both parts) Typical Low $43.65 Median $48.98 Typical High $56.23 | Professional | None (both parts) | $43.65 | $48.98 | $56.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $20.89 Typical High $23.44 | Professional | 26 · Professional part | $19.95 | $20.89 | $23.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $27.54 Typical High $30.20 | Professional | TC · Technical part | $21.88 | $27.54 | $30.20 |
Anthem BCBS Setting Facility Modifier None Typical Low $151.36 Median $190.55 Typical High $251.19 | Facility | None | $151.36 | $190.55 | $251.19 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $27.54 Median $47.86 Typical High $61.66 | Professional | None (both parts) | $27.54 | $47.86 | $61.66 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $25.12 Typical High $33.88 | Professional | 26 · Professional part | $20.42 | $25.12 | $33.88 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $27.54 Typical High $36.31 | Professional | TC · Technical part | $22.91 | $27.54 | $36.31 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $46.77 Median $52.48 Typical High $63.10 | Professional | None (both parts) | $46.77 | $52.48 | $63.10 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $23.99 Typical High $26.92 | Professional | 26 · Professional part | $21.88 | $23.99 | $26.92 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $28.18 Typical High $33.11 | Professional | TC · Technical part | $25.12 | $28.18 | $33.11 |
Cigna Setting Facility Modifier None Typical Low $58.88 Median $109.65 Typical High $776.25 | Facility | None | $58.88 | $109.65 | $776.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $33.11 Median $50.12 Typical High $104.71 | Professional | None (both parts) | $33.11 | $50.12 | $104.71 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $22.39 Typical High $43.65 | Professional | 26 · Professional part | $16.22 | $22.39 | $43.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $25.12 Typical High $60.26 | Professional | TC · Technical part | $17.38 | $25.12 | $60.26 |
Kaiser Permanente Setting Professional Modifier None Typical Low $46.77 Median $54.95 Typical High $67.61 | Professional | None | $46.77 | $54.95 | $67.61 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $24.55 Typical High $30.90 | Professional | 26 · Professional part | $20.89 | $24.55 | $30.90 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $30.20 Typical High $37.15 | Professional | TC · Technical part | $25.12 | $30.20 | $37.15 |
Medcost Setting Professional Modifier None Typical Low $70.79 Median $123.03 Typical High $123.03 | Professional | None | $70.79 | $123.03 | $123.03 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $48.98 Typical High $48.98 | Professional | 26 · Professional part | $39.81 | $48.98 | $48.98 |
Medcost Setting Facility Modifier None Typical Low $93.33 Median $93.33 Typical High $97.72 | Facility | None | $93.33 | $93.33 | $97.72 |
Medcost Setting Professional Modifier None (both parts) Typical Low $43.65 Median $100.00 Typical High $100.00 | Professional | None (both parts) | $43.65 | $100.00 | $100.00 |
Sentara Setting Facility Modifier None Typical Low $25.70 Median $50.12 Typical High $128.82 | Facility | None | $25.70 | $50.12 | $128.82 |
Sentara Setting Professional Modifier None (both parts) Typical Low $33.88 Median $70.79 Typical High $109.65 | Professional | None (both parts) | $33.88 | $70.79 | $109.65 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $33.11 Typical High $50.12 | Professional | 26 · Professional part | $24.55 | $33.11 | $50.12 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $46.77 Typical High $72.44 | Professional | TC · Technical part | $28.18 | $46.77 | $72.44 |
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 $38.90 Median $61.66 Typical High $117.49 | Professional | None (both parts) | $38.90 | $61.66 | $117.49 |
United Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $25.70 Typical High $45.71 | Professional | 26 · Professional part | $17.78 | $25.70 | $45.71 |
United Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $33.88 Typical High $70.79 | Professional | TC · Technical part | $20.42 | $33.88 | $70.79 |
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 $20.89 Median $23.99 Typical High $23.99 | Professional | 52 · Reduced service | $20.89 | $23.99 | $23.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.32 Median $9.77 Typical High $9.77 | Professional | 53 · Discontinued | $8.32 | $9.77 | $9.77 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $35.48 Median $38.90 Typical High $38.90 | Professional | FX · Film X-ray | $35.48 | $38.90 | $38.90 |
Medcost Setting Professional Modifier 27 · Multiple hospital visits Typical Low $28.84 Median $72.44 Typical High $72.44 | Professional | 27 · Multiple hospital visits | $28.84 | $72.44 | $72.44 |
Where Virginia sits
The same service costs 4.5 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· 46th of 51
$50.12
AK $141UT $31.62
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.