How much rates vary
Facilitymedian $79 · 10th to 90th $33 to $316Professionalmedian $65 · 10th to 90th $36 to $112
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 $52.48 Median $95.50 Typical High $173.78 | Facility | None | $52.48 | $95.50 | $173.78 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $24.55 Median $37.15 Typical High $52.48 | Facility | 26 · Professional part | $24.55 | $37.15 | $52.48 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $26.30 Median $53.70 Typical High $128.82 | Facility | TC · Technical part | $26.30 | $53.70 | $128.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $52.48 Median $56.23 Typical High $141.25 | Professional | None (both parts) | $52.48 | $56.23 | $141.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $26.30 Typical High $52.48 | Professional | 26 · Professional part | $24.55 | $26.30 | $52.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $31.62 Typical High $95.50 | Professional | TC · Technical part | $26.30 | $31.62 | $95.50 |
Anthem BCBS Setting Facility Modifier None Typical Low $190.55 Median $245.47 Typical High $316.23 | Facility | None | $190.55 | $245.47 | $316.23 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $36.31 Median $61.66 Typical High $79.43 | Professional | None (both parts) | $36.31 | $61.66 | $79.43 |
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 $30.20 Median $35.48 Typical High $58.88 | Professional | TC · Technical part | $30.20 | $35.48 | $58.88 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $26.30 Median $60.26 Typical High $67.61 | Professional | None (both parts) | $26.30 | $60.26 | $67.61 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $31.62 Typical High $44.67 | Professional | 26 · Professional part | $27.54 | $31.62 | $44.67 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $38.90 Typical High $43.65 | Professional | TC · Technical part | $34.67 | $38.90 | $43.65 |
Cigna Setting Facility Modifier None Typical Low $77.62 Median $154.88 Typical High $776.25 | Facility | None | $77.62 | $154.88 | $776.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $43.65 Median $60.26 Typical High $147.91 | Professional | None (both parts) | $43.65 | $60.26 | $147.91 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $27.54 Typical High $47.86 | Professional | 26 · Professional part | $19.50 | $27.54 | $47.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $33.11 Typical High $89.13 | Professional | TC · Technical part | $23.99 | $33.11 | $89.13 |
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 $25.12 Median $29.51 Typical High $38.02 | Professional | 26 · Professional part | $25.12 | $29.51 | $38.02 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $39.81 Typical High $48.98 | Professional | TC · Technical part | $33.11 | $39.81 | $48.98 |
Medcost Setting Professional Modifier None Typical Low $109.65 Median $134.90 Typical High $134.90 | Professional | None | $109.65 | $134.90 | $134.90 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $51.29 Typical High $51.29 | Professional | 26 · Professional part | $40.74 | $51.29 | $51.29 |
Medcost Setting Facility Modifier None Typical Low $104.71 Median $154.88 Typical High $154.88 | Facility | None | $104.71 | $154.88 | $154.88 |
Medcost Setting Professional Modifier None (both parts) Typical Low $54.95 Median $79.43 Typical High $100.00 | Professional | None (both parts) | $54.95 | $79.43 | $100.00 |
Sentara Setting Facility Modifier None Typical Low $28.84 Median $60.26 Typical High $302.00 | Facility | None | $28.84 | $60.26 | $302.00 |
Sentara Setting Professional Modifier None (both parts) Typical Low $33.11 Median $83.18 Typical High $151.36 | Professional | None (both parts) | $33.11 | $83.18 | $151.36 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $32.36 Typical High $53.70 | Professional | 26 · Professional part | $28.84 | $32.36 | $53.70 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $61.66 Typical High $120.23 | Professional | TC · Technical part | $34.67 | $61.66 | $120.23 |
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 $47.86 Median $79.43 Typical High $144.54 | Professional | None (both parts) | $47.86 | $79.43 | $144.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $26.30 Typical High $48.98 | Professional | 26 · Professional part | $19.95 | $26.30 | $48.98 |
United Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $44.67 Typical High $95.50 | Professional | TC · Technical part | $23.99 | $44.67 | $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 $26.30 Median $26.30 Typical High $28.18 | Professional | 52 · Reduced service | $26.30 | $26.30 | $28.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.47 Median $10.47 Typical High $11.22 | Professional | 53 · Discontinued | $10.47 | $10.47 | $11.22 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $41.69 Median $41.69 Typical High $44.67 | Professional | FX · Film X-ray | $41.69 | $41.69 | $44.67 |
Medcost Setting Professional Modifier 27 · Multiple hospital visits Typical Low $67.61 Median $87.10 Typical High $87.10 | Professional | 27 · Multiple hospital visits | $67.61 | $87.10 | $87.10 |
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· 42nd of 51
$64.57
AK $182TX $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.