How much rates vary
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 $85.11 Typical High $165.96 | Facility | None | $83.18 | $85.11 | $165.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $85.11 Typical High $158.49 | Professional | None (both parts) | $83.18 | $85.11 | $158.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $33.11 Typical High $57.54 | Professional | 26 · Professional part | $29.51 | $33.11 | $57.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $54.95 Typical High $102.33 | Professional | TC · Technical part | $50.12 | $54.95 | $102.33 |
Anthem BCBS Setting Facility Modifier None Typical Low $288.40 Median $363.08 Typical High $467.74 | Facility | None | $288.40 | $363.08 | $467.74 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $70.79 Median $100.00 Typical High $120.23 | Professional | None (both parts) | $70.79 | $100.00 | $120.23 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $37.15 Typical High $44.67 | Professional | 26 · Professional part | $30.90 | $37.15 | $44.67 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $61.66 Typical High $85.11 | Professional | TC · Technical part | $52.48 | $61.66 | $85.11 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $63.10 Median $89.13 Typical High $107.15 | Professional | None (both parts) | $63.10 | $89.13 | $107.15 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $35.48 Typical High $35.48 | Professional | 26 · Professional part | $31.62 | $35.48 | $35.48 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $57.54 Typical High $74.13 | Professional | TC · Technical part | $57.54 | $57.54 | $74.13 |
Cigna Setting Facility Modifier None Typical Low $131.83 Median $177.83 Typical High $776.25 | Facility | None | $131.83 | $177.83 | $776.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $63.10 Median $87.10 Typical High $158.49 | Professional | None (both parts) | $63.10 | $87.10 | $158.49 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $33.11 Typical High $57.54 | Professional | 26 · Professional part | $23.99 | $33.11 | $57.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $54.95 Typical High $100.00 | Professional | TC · Technical part | $38.90 | $54.95 | $100.00 |
Kaiser Permanente Setting Professional Modifier None Typical Low $87.10 Median $102.33 Typical High $131.83 | Professional | None | $87.10 | $102.33 | $131.83 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $36.31 Typical High $45.71 | Professional | 26 · Professional part | $30.90 | $36.31 | $45.71 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $67.61 Typical High $83.18 | Professional | TC · Technical part | $56.23 | $67.61 | $83.18 |
Medcost Setting Professional Modifier None Typical Low $128.82 Median $162.18 Typical High $162.18 | Professional | None | $128.82 | $162.18 | $162.18 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $63.10 Typical High $63.10 | Professional | 26 · Professional part | $51.29 | $63.10 | $63.10 |
Medcost Setting Facility Modifier None Typical Low $134.90 Median $134.90 Typical High $165.96 | Facility | None | $134.90 | $134.90 | $165.96 |
Medcost Setting Professional Modifier None (both parts) Typical Low $77.62 Median $83.18 Typical High $109.65 | Professional | None (both parts) | $77.62 | $83.18 | $109.65 |
Sentara Setting Facility Modifier None Typical Low $37.15 Median $77.62 Typical High $177.83 | Facility | None | $37.15 | $77.62 | $177.83 |
Sentara Setting Professional Modifier None (both parts) Typical Low $42.66 Median $97.72 Typical High $151.36 | Professional | None (both parts) | $42.66 | $97.72 | $151.36 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $42.66 Typical High $63.10 | Professional | 26 · Professional part | $35.48 | $42.66 | $63.10 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $75.86 Typical High $117.49 | Professional | TC · Technical part | $60.26 | $75.86 | $117.49 |
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 $69.18 Median $95.50 Typical High $165.96 | Professional | None (both parts) | $69.18 | $95.50 | $165.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $33.11 Typical High $60.26 | Professional | 26 · Professional part | $24.55 | $33.11 | $60.26 |
United Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $61.66 Typical High $107.15 | Professional | TC · Technical part | $44.67 | $61.66 | $107.15 |
2 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 FX · Film X-ray Typical Low $66.07 Median $66.07 Typical High $67.61 | Professional | FX · Film X-ray | $66.07 | $66.07 | $67.61 |
Medcost Setting Professional Modifier 27 · Multiple hospital visits Typical Low $79.43 Median $97.72 Typical High $97.72 | Professional | 27 · Multiple hospital visits | $79.43 | $97.72 | $97.72 |
Where Virginia sits
The same service costs 3.7 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· 41st of 51
$95.50
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.