How much rates vary
Facilitymedian $151 · 10th to 90th $59 to $646Professionalmedian $126 · 10th to 90th $89 to $186
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 $109.65 Median $165.96 Typical High $275.42 | Facility | None | $109.65 | $165.96 | $275.42 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $60.26 Median $100.00 Typical High $239.88 | Facility | TC · Technical part | $60.26 | $100.00 | $239.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $109.65 Typical High $208.93 | Professional | None (both parts) | $109.65 | $109.65 | $208.93 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $48.98 Typical High $87.10 | Professional | 26 · Professional part | $44.67 | $48.98 | $87.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $66.07 Typical High $117.49 | Professional | TC · Technical part | $60.26 | $66.07 | $117.49 |
Anthem BCBS Setting Facility Modifier None Typical Low $389.05 Median $489.78 Typical High $630.96 | Facility | None | $389.05 | $489.78 | $630.96 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $107.15 Median $131.83 Typical High $158.49 | Professional | None (both parts) | $107.15 | $131.83 | $158.49 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $54.95 Typical High $72.44 | Professional | 26 · Professional part | $45.71 | $54.95 | $72.44 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $77.62 Typical High $93.33 | Professional | TC · Technical part | $64.57 | $77.62 | $93.33 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $46.77 Median $120.23 Typical High $134.90 | Professional | None (both parts) | $46.77 | $120.23 | $134.90 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $52.48 Typical High $57.54 | Professional | 26 · Professional part | $52.48 | $52.48 | $57.54 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $79.43 Typical High $81.28 | Professional | TC · Technical part | $72.44 | $79.43 | $81.28 |
Cigna Setting Facility Modifier None Typical Low $165.96 Median $208.93 Typical High $776.25 | Facility | None | $165.96 | $208.93 | $776.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $120.23 Typical High $204.17 | Professional | None (both parts) | $85.11 | $120.23 | $204.17 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $50.12 Typical High $87.10 | Professional | 26 · Professional part | $35.48 | $50.12 | $87.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $69.18 Typical High $117.49 | Professional | TC · Technical part | $48.98 | $69.18 | $117.49 |
Kaiser Permanente Setting Professional Modifier None Typical Low $117.49 Median $138.04 Typical High $173.78 | Professional | None | $117.49 | $138.04 | $173.78 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $54.95 Typical High $69.18 | Professional | 26 · Professional part | $46.77 | $54.95 | $69.18 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $85.11 Typical High $104.71 | Professional | TC · Technical part | $70.79 | $85.11 | $104.71 |
Medcost Setting Professional Modifier None Typical Low $154.88 Median $190.55 Typical High $190.55 | Professional | None | $154.88 | $190.55 | $190.55 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $95.50 Typical High $95.50 | Professional | 26 · Professional part | $75.86 | $95.50 | $95.50 |
Medcost Setting Facility Modifier None Typical Low $169.82 Median $169.82 Typical High $218.78 | Facility | None | $169.82 | $169.82 | $218.78 |
Medcost Setting Professional Modifier None (both parts) Typical Low $100.00 Median $109.65 Typical High $120.23 | Professional | None (both parts) | $100.00 | $109.65 | $120.23 |
Sentara Setting Facility Modifier None Typical Low $53.70 Median $112.20 Typical High $1,584.89 | Facility | None | $53.70 | $112.20 | $1,584.89 |
Sentara Setting Professional Modifier None (both parts) Typical Low $61.66 Median $125.89 Typical High $223.87 | Professional | None (both parts) | $61.66 | $125.89 | $223.87 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $60.26 Typical High $97.72 | Professional | 26 · Professional part | $53.70 | $60.26 | $97.72 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $89.13 Typical High $138.04 | Professional | TC · Technical part | $67.61 | $89.13 | $138.04 |
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 $89.13 Median $114.82 Typical High $204.17 | Professional | None (both parts) | $89.13 | $114.82 | $204.17 |
United Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $50.12 Typical High $91.20 | Professional | 26 · Professional part | $36.31 | $50.12 | $91.20 |
United Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $66.07 Typical High $117.49 | Professional | TC · Technical part | $50.12 | $66.07 | $117.49 |
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 $51.29 Median $54.95 Typical High $54.95 | Professional | 52 · Reduced service | $51.29 | $54.95 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $21.88 Typical High $22.39 | Professional | 53 · Discontinued | $20.42 | $21.88 | $22.39 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $87.10 Median $87.10 Typical High $89.13 | Professional | FX · Film X-ray | $87.10 | $87.10 | $89.13 |
Medcost Setting Professional Modifier 27 · Multiple hospital visits Typical Low $77.62 Median $97.72 Typical High $97.72 | Professional | 27 · Multiple hospital visits | $77.62 | $97.72 | $97.72 |
Where Virginia sits
The same service costs 3.9 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· 34th of 51
$129
AK $363TX $93.33
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.