How much rates vary
Facilitymedian $115 · 10th to 90th $40 to $398Professionalmedian $87 · 10th to 90th $58 to $132
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 $75.86 Median $114.82 Typical High $169.82 | Facility | None | $75.86 | $114.82 | $169.82 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $27.54 Median $41.69 Typical High $58.88 | Facility | 26 · Professional part | $27.54 | $41.69 | $58.88 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $45.71 Median $75.86 Typical High $120.23 | Facility | TC · Technical part | $45.71 | $75.86 | $120.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $75.86 Median $77.62 Typical High $151.36 | Professional | None (both parts) | $75.86 | $77.62 | $151.36 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $29.51 Typical High $57.54 | Professional | 26 · Professional part | $27.54 | $29.51 | $57.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $50.12 Typical High $93.33 | Professional | TC · Technical part | $45.71 | $50.12 | $93.33 |
Anthem BCBS Setting Facility Modifier None Typical Low $257.04 Median $331.13 Typical High $426.58 | Facility | None | $257.04 | $331.13 | $426.58 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $66.07 Median $91.20 Typical High $109.65 | Professional | None (both parts) | $66.07 | $91.20 | $109.65 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $33.88 Typical High $45.71 | Professional | 26 · Professional part | $28.18 | $33.88 | $45.71 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $57.54 Typical High $79.43 | Professional | TC · Technical part | $47.86 | $57.54 | $79.43 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $32.36 Median $81.28 Typical High $91.20 | Professional | None (both parts) | $32.36 | $81.28 | $91.20 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $29.51 Typical High $38.02 | Professional | 26 · Professional part | $29.51 | $29.51 | $38.02 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $52.48 Typical High $67.61 | Professional | TC · Technical part | $52.48 | $52.48 | $67.61 |
Cigna Setting Facility Modifier None Typical Low $120.23 Median $173.78 Typical High $776.25 | Facility | None | $120.23 | $173.78 | $776.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $57.54 Median $81.28 Typical High $147.91 | Professional | None (both parts) | $57.54 | $81.28 | $147.91 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $30.90 Typical High $54.95 | Professional | 26 · Professional part | $21.88 | $30.90 | $54.95 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $50.12 Typical High $93.33 | Professional | TC · Technical part | $35.48 | $50.12 | $93.33 |
Kaiser Permanente Setting Professional Modifier None Typical Low $79.43 Median $93.33 Typical High $120.23 | Professional | None | $79.43 | $93.33 | $120.23 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $33.88 Typical High $42.66 | Professional | 26 · Professional part | $28.18 | $33.88 | $42.66 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $60.26 Typical High $74.13 | Professional | TC · Technical part | $50.12 | $60.26 | $74.13 |
Medcost Setting Professional Modifier None Typical Low $114.82 Median $141.25 Typical High $141.25 | Professional | None | $114.82 | $141.25 | $141.25 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $57.54 Typical High $57.54 | Professional | 26 · Professional part | $46.77 | $57.54 | $57.54 |
Medcost Setting Facility Modifier None Typical Low $125.89 Median $125.89 Typical High $151.36 | Facility | None | $125.89 | $125.89 | $151.36 |
Medcost Setting Professional Modifier None (both parts) Typical Low $50.12 Median $50.12 Typical High $75.86 | Professional | None (both parts) | $50.12 | $50.12 | $75.86 |
Sentara Setting Facility Modifier None Typical Low $36.31 Median $83.18 Typical High $398.11 | Facility | None | $36.31 | $83.18 | $398.11 |
Sentara Setting Professional Modifier None (both parts) Typical Low $39.81 Median $97.72 Typical High $162.18 | Professional | None (both parts) | $39.81 | $97.72 | $162.18 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $39.81 Typical High $60.26 | Professional | 26 · Professional part | $33.11 | $39.81 | $60.26 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $69.18 Typical High $107.15 | Professional | TC · Technical part | $52.48 | $69.18 | $107.15 |
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 $63.10 Median $85.11 Typical High $147.91 | Professional | None (both parts) | $63.10 | $85.11 | $147.91 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $30.90 Typical High $56.23 | Professional | 26 · Professional part | $22.91 | $30.90 | $56.23 |
United Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $54.95 Typical High $97.72 | Professional | TC · Technical part | $40.74 | $54.95 | $97.72 |
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 $36.31 Median $38.02 Typical High $38.90 | Professional | 52 · Reduced service | $36.31 | $38.02 | $38.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.45 Median $15.14 Typical High $15.49 | Professional | 53 · Discontinued | $14.45 | $15.14 | $15.49 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $60.26 Median $60.26 Typical High $61.66 | Professional | FX · Film X-ray | $60.26 | $60.26 | $61.66 |
Medcost Setting Professional Modifier 27 · Multiple hospital visits Typical Low $67.61 Median $85.11 Typical High $85.11 | Professional | 27 · Multiple hospital visits | $67.61 | $85.11 | $85.11 |
Where Virginia sits
The same service costs 3.6 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· 39th of 51
$87.10
AK $245TX $67.61
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.