How much rates vary
Facilitymedian $102 · 10th to 90th $44 to $437Professionalmedian $95 · 10th to 90th $62 to $141
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 $83.18 Median $83.18 Typical High $204.17 | Facility | None | $83.18 | $83.18 | $204.17 |
Aetna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $83.18 Typical High $158.49 | Professional | None (both parts) | $83.18 | $83.18 | $158.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $45.71 Typical High $77.62 | Professional | 26 · Professional part | $41.69 | $45.71 | $77.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $40.74 Typical High $77.62 | Professional | TC · Technical part | $38.02 | $40.74 | $77.62 |
Anthem BCBS Setting Facility Modifier None Typical Low $281.84 Median $354.81 Typical High $457.09 | Facility | None | $281.84 | $354.81 | $457.09 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $60.26 Median $95.50 Typical High $117.49 | Professional | None (both parts) | $60.26 | $95.50 | $117.49 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $50.12 Typical High $61.66 | Professional | 26 · Professional part | $42.66 | $50.12 | $61.66 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $46.77 Typical High $56.23 | Professional | TC · Technical part | $38.90 | $46.77 | $56.23 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $56.23 Median $95.50 Typical High $112.20 | Professional | None (both parts) | $56.23 | $95.50 | $112.20 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $48.98 Typical High $54.95 | Professional | 26 · Professional part | $43.65 | $48.98 | $54.95 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $46.77 Typical High $48.98 | Professional | TC · Technical part | $41.69 | $46.77 | $48.98 |
Cigna Setting Facility Modifier None Typical Low $123.03 Median $380.19 Typical High $870.96 | Facility | None | $123.03 | $380.19 | $870.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $61.66 Median $87.10 Typical High $169.82 | Professional | None (both parts) | $61.66 | $87.10 | $169.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $46.77 Typical High $85.11 | Professional | 26 · Professional part | $33.11 | $46.77 | $85.11 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $39.81 Typical High $79.43 | Professional | TC · Technical part | $28.84 | $39.81 | $79.43 |
Kaiser Permanente Setting Professional Modifier None Typical Low $85.11 Median $100.00 Typical High $128.82 | Professional | None | $85.11 | $100.00 | $128.82 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $51.29 Typical High $64.57 | Professional | 26 · Professional part | $43.65 | $51.29 | $64.57 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $48.98 Typical High $60.26 | Professional | TC · Technical part | $40.74 | $48.98 | $60.26 |
Medcost Setting Professional Modifier None Typical Low $131.83 Median $165.96 Typical High $165.96 | Professional | None | $131.83 | $165.96 | $165.96 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $87.10 Typical High $87.10 | Professional | 26 · Professional part | $69.18 | $87.10 | $87.10 |
Medcost Setting Facility Modifier None Typical Low $141.25 Median $141.25 Typical High $169.82 | Facility | None | $141.25 | $141.25 | $169.82 |
Medcost Setting Professional Modifier None (both parts) Typical Low $79.43 Median $83.18 Typical High $120.23 | Professional | None (both parts) | $79.43 | $83.18 | $120.23 |
Sentara Setting Facility Modifier None Typical Low $41.69 Median $79.43 Typical High $251.19 | Facility | None | $41.69 | $79.43 | $251.19 |
Sentara Setting Professional Modifier None (both parts) Typical Low $52.48 Median $107.15 Typical High $181.97 | Professional | None (both parts) | $52.48 | $107.15 | $181.97 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $56.23 Typical High $93.33 | Professional | 26 · Professional part | $43.65 | $56.23 | $93.33 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $57.54 Typical High $97.72 | Professional | TC · Technical part | $42.66 | $57.54 | $97.72 |
United Setting Professional Modifier None (both parts) Typical Low $69.18 Median $91.20 Typical High $158.49 | Professional | None (both parts) | $69.18 | $91.20 | $158.49 |
United Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $46.77 Typical High $85.11 | Professional | 26 · Professional part | $34.67 | $46.77 | $85.11 |
United Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $45.71 Typical High $79.43 | Professional | TC · Technical part | $33.88 | $45.71 | $79.43 |
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 $39.81 Median $41.69 Typical High $41.69 | Professional | 52 · Reduced service | $39.81 | $41.69 | $41.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $16.60 Typical High $16.60 | Professional | 53 · Discontinued | $15.85 | $16.60 | $16.60 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | FX · Film X-ray | $66.07 | $66.07 | $66.07 |
Medcost Setting Professional Modifier 27 · Multiple hospital visits Typical Low $63.10 Median $79.43 Typical High $79.43 | Professional | 27 · Multiple hospital visits | $63.10 | $79.43 | $79.43 |
Where Virginia sits
The same service costs 4.2 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· 36th of 51
$95.50
AK $275TX $66.07
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.