How much rates vary
Facilitymedian $166 · 10th to 90th $45 to $479Professionalmedian $129 · 10th to 90th $87 to $182
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 $162.18 Typical High $218.78 | Facility | None | $109.65 | $162.18 | $218.78 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $29.51 Median $43.65 Typical High $63.10 | Facility | 26 · Professional part | $29.51 | $43.65 | $63.10 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $77.62 Median $123.03 Typical High $199.53 | Facility | TC · Technical part | $77.62 | $123.03 | $199.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $114.82 Typical High $204.17 | Professional | None (both parts) | $109.65 | $114.82 | $204.17 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $31.62 Typical High $61.66 | Professional | 26 · Professional part | $29.51 | $31.62 | $61.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $87.10 Typical High $147.91 | Professional | TC · Technical part | $77.62 | $87.10 | $147.91 |
Anthem BCBS Setting Facility Modifier None Typical Low $371.54 Median $478.63 Typical High $616.60 | Facility | None | $371.54 | $478.63 | $616.60 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $112.20 Median $134.90 Typical High $162.18 | Professional | None (both parts) | $112.20 | $134.90 | $162.18 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $36.31 Typical High $43.65 | Professional | 26 · Professional part | $30.20 | $36.31 | $43.65 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $97.72 Typical High $117.49 | Professional | TC · Technical part | $81.28 | $97.72 | $117.49 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $31.62 Median $97.72 Typical High $131.83 | Professional | None (both parts) | $31.62 | $97.72 | $131.83 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $40.74 Typical High $45.71 | Professional | 26 · Professional part | $33.11 | $40.74 | $45.71 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $89.13 Typical High $109.65 | Professional | TC · Technical part | $89.13 | $89.13 | $109.65 |
Cigna Setting Facility Modifier None Typical Low $204.17 Median $275.42 Typical High $776.25 | Facility | None | $204.17 | $275.42 | $776.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $117.49 Typical High $194.98 | Professional | None (both parts) | $85.11 | $117.49 | $194.98 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $33.11 Typical High $57.54 | Professional | 26 · Professional part | $23.44 | $33.11 | $57.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $81.28 Typical High $144.54 | Professional | TC · Technical part | $60.26 | $81.28 | $144.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $114.82 Median $134.90 Typical High $169.82 | Professional | None | $114.82 | $134.90 | $169.82 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $35.48 Typical High $45.71 | Professional | 26 · Professional part | $30.20 | $35.48 | $45.71 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $100.00 Typical High $123.03 | Professional | TC · Technical part | $83.18 | $100.00 | $123.03 |
Medcost Setting Professional Modifier None Typical Low $123.03 Median $151.36 Typical High $151.36 | Professional | None | $123.03 | $151.36 | $151.36 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $60.26 Typical High $60.26 | Professional | 26 · Professional part | $48.98 | $60.26 | $60.26 |
Medcost Setting Facility Modifier None Typical Low $165.96 Median $165.96 Typical High $218.78 | Facility | None | $165.96 | $165.96 | $218.78 |
Medcost Setting Professional Modifier None (both parts) Typical Low $100.00 Median $100.00 Typical High $112.20 | Professional | None (both parts) | $100.00 | $100.00 | $112.20 |
Sentara Setting Facility Modifier None Typical Low $38.90 Median $109.65 Typical High $371.54 | Facility | None | $38.90 | $109.65 | $371.54 |
Sentara Setting Professional Modifier None (both parts) Typical Low $42.66 Median $123.03 Typical High $234.42 | Professional | None (both parts) | $42.66 | $123.03 | $234.42 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $41.69 Typical High $64.57 | Professional | 26 · Professional part | $34.67 | $41.69 | $64.57 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $114.82 Typical High $186.21 | Professional | TC · Technical part | $83.18 | $114.82 | $186.21 |
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 $85.11 Median $120.23 Typical High $208.93 | Professional | None (both parts) | $85.11 | $120.23 | $208.93 |
United Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $31.62 Typical High $58.88 | Professional | 26 · Professional part | $24.55 | $31.62 | $58.88 |
United Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $83.18 Typical High $151.36 | Professional | TC · Technical part | $57.54 | $83.18 | $151.36 |
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 $53.70 Median $54.95 Typical High $57.54 | Professional | 52 · Reduced service | $53.70 | $54.95 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $21.88 Typical High $23.44 | Professional | 53 · Discontinued | $21.38 | $21.88 | $23.44 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $87.10 Median $87.10 Typical High $93.33 | Professional | FX · Film X-ray | $87.10 | $87.10 | $93.33 |
Medcost Setting Professional Modifier 27 · Multiple hospital visits Typical Low $74.13 Median $95.50 Typical High $95.50 | Professional | 27 · Multiple hospital visits | $74.13 | $95.50 | $95.50 |
Where Virginia sits
The same service costs 3.6 times more in Alaska than in Florida. 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 $355FL $97.72
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.