How much rates vary
Facilitymedian $339 · 10th to 90th $91 to $1,023Professionalmedian $269 · 10th to 90th $170 to $389
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 $245.47 Median $251.19 Typical High $501.19 | Facility | None | $245.47 | $251.19 | $501.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $234.42 Median $251.19 Typical High $426.58 | Professional | None (both parts) | $234.42 | $251.19 | $426.58 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $75.86 Typical High $134.90 | Professional | 26 · Professional part | $69.18 | $75.86 | $134.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $181.97 Typical High $309.03 | Professional | TC · Technical part | $158.49 | $181.97 | $309.03 |
Anthem BCBS Setting Facility Modifier None Typical Low $831.76 Median $1,047.13 Typical High $1,380.38 | Facility | None | $831.76 | $1,047.13 | $1,380.38 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $239.88 Median $295.12 Typical High $354.81 | Professional | None (both parts) | $239.88 | $295.12 | $354.81 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $87.10 Typical High $104.71 | Professional | 26 · Professional part | $72.44 | $87.10 | $104.71 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $204.17 Typical High $251.19 | Professional | TC · Technical part | $169.82 | $204.17 | $251.19 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $74.13 Median $257.04 Typical High $288.40 | Professional | None (both parts) | $74.13 | $257.04 | $288.40 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $83.18 Typical High $91.20 | Professional | 26 · Professional part | $83.18 | $83.18 | $91.20 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $204.17 Typical High $229.09 | Professional | TC · Technical part | $204.17 | $204.17 | $229.09 |
Cigna Setting Facility Modifier None Typical Low $371.54 Median $588.84 Typical High $1,000.00 | Facility | None | $371.54 | $588.84 | $1,000.00 |
Cigna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $234.42 Typical High $446.68 | Professional | None (both parts) | $181.97 | $234.42 | $446.68 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $77.62 Typical High $138.04 | Professional | 26 · Professional part | $56.23 | $77.62 | $138.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $165.96 Typical High $309.03 | Professional | TC · Technical part | $125.89 | $165.96 | $309.03 |
Kaiser Permanente Setting Professional Modifier None Typical Low $257.04 Median $302.00 Typical High $380.19 | Professional | None | $257.04 | $302.00 | $380.19 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $85.11 Typical High $107.15 | Professional | 26 · Professional part | $72.44 | $85.11 | $107.15 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $213.80 Typical High $263.03 | Professional | TC · Technical part | $177.83 | $213.80 | $263.03 |
Medcost Setting Professional Modifier None Typical Low $213.80 Median $269.15 Typical High $269.15 | Professional | None | $213.80 | $269.15 | $269.15 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $147.91 Typical High $147.91 | Professional | 26 · Professional part | $120.23 | $147.91 | $147.91 |
Medcost Setting Facility Modifier None Typical Low $295.12 Median $295.12 Typical High $501.19 | Facility | None | $295.12 | $295.12 | $501.19 |
Medcost Setting Professional Modifier None (both parts) Typical Low $100.00 Median $100.00 Typical High $245.47 | Professional | None (both parts) | $100.00 | $100.00 | $245.47 |
Sentara Setting Facility Modifier None Typical Low $75.86 Median $208.93 Typical High $549.54 | Facility | None | $75.86 | $208.93 | $549.54 |
Sentara Setting Professional Modifier None (both parts) Typical Low $95.50 Median $234.42 Typical High $436.52 | Professional | None (both parts) | $95.50 | $234.42 | $436.52 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $95.50 Typical High $151.36 | Professional | 26 · Professional part | $83.18 | $95.50 | $151.36 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $213.80 Typical High $354.81 | Professional | TC · Technical part | $144.54 | $213.80 | $354.81 |
United Setting Facility Modifier None Typical Low $1,023.29 Median $1,148.15 Typical High $2,511.89 | Facility | None | $1,023.29 | $1,148.15 | $2,511.89 |
United Setting Professional Modifier None (both parts) Typical Low $144.54 Median $245.47 Typical High $457.09 | Professional | None (both parts) | $144.54 | $245.47 | $457.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $79.43 Typical High $141.25 | Professional | 26 · Professional part | $58.88 | $79.43 | $141.25 |
United Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $169.82 Typical High $323.59 | Professional | TC · Technical part | $77.62 | $169.82 | $323.59 |
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 $117.49 Median $123.03 Typical High $125.89 | Professional | 52 · Reduced service | $117.49 | $123.03 | $125.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $48.98 Typical High $50.12 | Professional | 53 · Discontinued | $46.77 | $48.98 | $50.12 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | FX · Film X-ray | $199.53 | $199.53 | $199.53 |
Medcost Setting Professional Modifier 27 · Multiple hospital visits Typical Low $93.33 Median $144.54 Typical High $144.54 | Professional | 27 · Multiple hospital visits | $93.33 | $144.54 | $144.54 |
Where Virginia sits
The same service costs 5.0 times more in Alaska than in Utah. 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
$269
AK $794UT $158
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.