How much rates vary
Facilitymedian $93 · 10th to 90th $34 to $288Professionalmedian $65 · 10th to 90th $35 to $115
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 $97.72 Typical High $158.49 | Facility | None | $53.70 | $97.72 | $158.49 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $24.55 Median $41.69 Typical High $48.98 | Facility | 26 · Professional part | $24.55 | $41.69 | $48.98 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $28.84 Median $85.11 Typical High $141.25 | Facility | TC · Technical part | $28.84 | $85.11 | $141.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $53.70 Median $79.43 Typical High $138.04 | Professional | None (both parts) | $53.70 | $79.43 | $138.04 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $24.55 Typical High $47.86 | Professional | 26 · Professional part | $24.55 | $24.55 | $47.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $54.95 Typical High $93.33 | Professional | TC · Technical part | $28.84 | $54.95 | $93.33 |
Anthem BCBS Setting Facility Modifier None Typical Low $194.98 Median $245.47 Typical High $316.23 | Facility | None | $194.98 | $245.47 | $316.23 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $36.31 Median $61.66 Typical High $77.62 | Professional | None (both parts) | $36.31 | $61.66 | $77.62 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $30.20 Typical High $36.31 | Professional | 26 · Professional part | $25.12 | $30.20 | $36.31 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $33.88 Typical High $57.54 | Professional | TC · Technical part | $28.18 | $33.88 | $57.54 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $25.70 Median $57.54 Typical High $64.57 | Professional | None (both parts) | $25.70 | $57.54 | $64.57 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $28.84 Typical High $34.67 | Professional | 26 · Professional part | $28.84 | $28.84 | $34.67 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $32.36 Typical High $38.90 | Professional | TC · Technical part | $32.36 | $32.36 | $38.90 |
Cigna Setting Facility Modifier None Typical Low $72.44 Median $151.36 Typical High $776.25 | Facility | None | $72.44 | $151.36 | $776.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $41.69 Median $69.18 Typical High $128.82 | Professional | None (both parts) | $41.69 | $69.18 | $128.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $26.92 Typical High $47.86 | Professional | 26 · Professional part | $19.50 | $26.92 | $47.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $38.02 Typical High $83.18 | Professional | TC · Technical part | $22.39 | $38.02 | $83.18 |
Kaiser Permanente Setting Professional Modifier None Typical Low $58.88 Median $69.18 Typical High $87.10 | Professional | None | $58.88 | $69.18 | $87.10 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $30.20 Typical High $38.02 | Professional | 26 · Professional part | $25.70 | $30.20 | $38.02 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $38.90 Typical High $48.98 | Professional | TC · Technical part | $33.11 | $38.90 | $48.98 |
Medcost Setting Professional Modifier None Typical Low $100.00 Median $125.89 Typical High $125.89 | Professional | None | $100.00 | $125.89 | $125.89 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $47.86 Typical High $47.86 | Professional | 26 · Professional part | $38.02 | $47.86 | $47.86 |
Medcost Setting Facility Modifier None Typical Low $120.23 Median $120.23 Typical High $162.18 | Facility | None | $120.23 | $120.23 | $162.18 |
Medcost Setting Professional Modifier None (both parts) Typical Low $53.70 Median $102.33 Typical High $158.49 | Professional | None (both parts) | $53.70 | $102.33 | $158.49 |
Sentara Setting Facility Modifier None Typical Low $27.54 Median $72.44 Typical High $223.87 | Facility | None | $27.54 | $72.44 | $223.87 |
Sentara Setting Professional Modifier None (both parts) Typical Low $33.88 Median $81.28 Typical High $138.04 | Professional | None (both parts) | $33.88 | $81.28 | $138.04 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $33.11 Typical High $52.48 | Professional | 26 · Professional part | $27.54 | $33.11 | $52.48 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $67.61 Typical High $97.72 | Professional | TC · Technical part | $36.31 | $67.61 | $97.72 |
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 $60.26 Median $75.86 Typical High $141.25 | Professional | None (both parts) | $60.26 | $75.86 | $141.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $26.30 Typical High $47.86 | Professional | 26 · Professional part | $19.50 | $26.30 | $47.86 |
United Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $51.29 Typical High $95.50 | Professional | TC · Technical part | $37.15 | $51.29 | $95.50 |
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 $26.92 Median $33.88 Typical High $39.81 | Professional | 52 · Reduced service | $26.92 | $33.88 | $39.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.72 Median $13.80 Typical High $15.85 | Professional | 53 · Discontinued | $10.72 | $13.80 | $15.85 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $42.66 Median $63.10 Typical High $63.10 | Professional | FX · Film X-ray | $42.66 | $63.10 | $63.10 |
Medcost Setting Professional Modifier 27 · Multiple hospital visits Typical Low $61.66 Median $77.62 Typical High $77.62 | Professional | 27 · Multiple hospital visits | $61.66 | $77.62 | $77.62 |
Where Virginia sits
The same service costs 4.1 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· 47th of 51
$64.57
AK $195TX $47.86
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.