How much rates vary
Facilitymedian $162 · 10th to 90th $36 to $437Professionalmedian $120 · 10th to 90th $89 to $174
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 $102.33 Median $151.36 Typical High $199.53 | Facility | None | $102.33 | $151.36 | $199.53 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $24.55 Median $34.67 Typical High $51.29 | Facility | 26 · Professional part | $24.55 | $34.67 | $51.29 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $77.62 Median $117.49 Typical High $204.17 | Facility | TC · Technical part | $77.62 | $117.49 | $204.17 |
Aetna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $107.15 Typical High $194.98 | Professional | None (both parts) | $102.33 | $107.15 | $194.98 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $25.70 Typical High $48.98 | Professional | 26 · Professional part | $24.55 | $25.70 | $48.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $83.18 Typical High $151.36 | Professional | TC · Technical part | $77.62 | $83.18 | $151.36 |
Anthem BCBS Setting Facility Modifier None Typical Low $346.74 Median $436.52 Typical High $575.44 | Facility | None | $346.74 | $436.52 | $575.44 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $102.33 Median $123.03 Typical High $147.91 | Professional | None (both parts) | $102.33 | $123.03 | $147.91 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $29.51 Typical High $35.48 | Professional | 26 · Professional part | $24.55 | $29.51 | $35.48 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $93.33 Typical High $112.20 | Professional | TC · Technical part | $79.43 | $93.33 | $112.20 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $95.50 Median $112.20 Typical High $125.89 | Professional | None (both parts) | $95.50 | $112.20 | $125.89 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $28.18 Typical High $28.18 | Professional | 26 · Professional part | $25.70 | $28.18 | $28.18 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $85.11 Typical High $112.20 | Professional | TC · Technical part | $85.11 | $85.11 | $112.20 |
Cigna Setting Facility Modifier None Typical Low $199.53 Median $269.15 Typical High $776.25 | Facility | None | $199.53 | $269.15 | $776.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $77.62 Median $109.65 Typical High $190.55 | Professional | None (both parts) | $77.62 | $109.65 | $190.55 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $26.92 Typical High $46.77 | Professional | 26 · Professional part | $19.05 | $26.92 | $46.77 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $83.18 Typical High $144.54 | Professional | TC · Technical part | $58.88 | $83.18 | $144.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $107.15 Median $125.89 Typical High $158.49 | Professional | None | $107.15 | $125.89 | $158.49 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $28.84 Typical High $38.02 | Professional | 26 · Professional part | $24.55 | $28.84 | $38.02 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $97.72 Typical High $120.23 | Professional | TC · Technical part | $81.28 | $97.72 | $120.23 |
Medcost Setting Professional Modifier None Typical Low $107.15 Median $131.83 Typical High $131.83 | Professional | None | $107.15 | $131.83 | $131.83 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $48.98 Typical High $48.98 | Professional | 26 · Professional part | $38.90 | $48.98 | $48.98 |
Medcost Setting Facility Modifier None Typical Low $154.88 Median $154.88 Typical High $208.93 | Facility | None | $154.88 | $154.88 | $208.93 |
Medcost Setting Professional Modifier None (both parts) Typical Low $83.18 Median $104.71 Typical High $120.23 | Professional | None (both parts) | $83.18 | $104.71 | $120.23 |
Sentara Setting Facility Modifier None Typical Low $31.62 Median $104.71 Typical High $354.81 | Facility | None | $31.62 | $104.71 | $354.81 |
Sentara Setting Professional Modifier None (both parts) Typical Low $34.67 Median $117.49 Typical High $223.87 | Professional | None (both parts) | $34.67 | $117.49 | $223.87 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $31.62 Typical High $52.48 | Professional | 26 · Professional part | $28.18 | $31.62 | $52.48 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $112.20 Typical High $181.97 | Professional | TC · Technical part | $81.28 | $112.20 | $181.97 |
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 $75.86 Median $112.20 Typical High $194.98 | Professional | None (both parts) | $75.86 | $112.20 | $194.98 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $25.70 Typical High $47.86 | Professional | 26 · Professional part | $19.50 | $25.70 | $47.86 |
United Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $81.28 Typical High $151.36 | Professional | TC · Technical part | $54.95 | $81.28 | $151.36 |
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 $50.12 Median $51.29 Typical High $53.70 | Professional | 52 · Reduced service | $50.12 | $51.29 | $53.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $20.42 Typical High $21.38 | Professional | 53 · Discontinued | $19.95 | $20.42 | $21.38 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $83.18 Median $83.18 Typical High $87.10 | Professional | FX · Film X-ray | $83.18 | $83.18 | $87.10 |
Medcost Setting Professional Modifier 27 · Multiple hospital visits Typical Low $67.61 Median $95.50 Typical High $95.50 | Professional | 27 · Multiple hospital visits | $67.61 | $95.50 | $95.50 |
Where Virginia sits
The same service costs 4.1 times more in Minnesota than in Florida. 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· 36th of 51
$120
MN $363FL $89.13
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.