How much rates vary
Facilitymedian $155 · 10th to 90th $44 to $537Professionalmedian $126 · 10th to 90th $91 to $178
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 $107.15 Median $112.20 Typical High $269.15 | Facility | None | $107.15 | $112.20 | $269.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $112.20 Typical High $194.98 | Professional | None (both parts) | $107.15 | $112.20 | $194.98 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $33.11 Typical High $58.88 | Professional | 26 · Professional part | $30.20 | $33.11 | $58.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $81.28 Typical High $138.04 | Professional | TC · Technical part | $72.44 | $81.28 | $138.04 |
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 $104.71 Median $128.82 Typical High $158.49 | Professional | None (both parts) | $104.71 | $128.82 | $158.49 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $38.02 Typical High $45.71 | Professional | 26 · Professional part | $31.62 | $38.02 | $45.71 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $91.20 Typical High $112.20 | Professional | TC · Technical part | $77.62 | $91.20 | $112.20 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $32.36 Median $114.82 Typical High $128.82 | Professional | None (both parts) | $32.36 | $114.82 | $128.82 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $36.31 Typical High $42.66 | Professional | 26 · Professional part | $36.31 | $36.31 | $42.66 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $83.18 Typical High $109.65 | Professional | TC · Technical part | $83.18 | $83.18 | $109.65 |
Cigna Setting Facility Modifier None Typical Low $194.98 Median $263.03 Typical High $776.25 | Facility | None | $194.98 | $263.03 | $776.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $81.28 Median $114.82 Typical High $199.53 | Professional | None (both parts) | $81.28 | $114.82 | $199.53 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $33.88 Typical High $60.26 | Professional | 26 · Professional part | $24.55 | $33.88 | $60.26 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $79.43 Typical High $141.25 | Professional | TC · Technical part | $57.54 | $79.43 | $141.25 |
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 $32.36 Median $38.02 Typical High $47.86 | Professional | 26 · Professional part | $32.36 | $38.02 | $47.86 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $97.72 Typical High $120.23 | Professional | TC · Technical part | $81.28 | $97.72 | $120.23 |
Medcost Setting Professional Modifier None Typical Low $125.89 Median $154.88 Typical High $154.88 | Professional | None | $125.89 | $154.88 | $154.88 |
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 $165.96 Median $165.96 Typical High $213.80 | Facility | None | $165.96 | $165.96 | $213.80 |
Medcost Setting Professional Modifier None (both parts) Typical Low $89.13 Median $109.65 Typical High $128.82 | Professional | None (both parts) | $89.13 | $109.65 | $128.82 |
Sentara Setting Facility Modifier None Typical Low $39.81 Median $104.71 Typical High $316.23 | Facility | None | $39.81 | $104.71 | $316.23 |
Sentara Setting Professional Modifier None (both parts) Typical Low $44.67 Median $120.23 Typical High $208.93 | Professional | None (both parts) | $44.67 | $120.23 | $208.93 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $43.65 Typical High $66.07 | Professional | 26 · Professional part | $36.31 | $43.65 | $66.07 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $107.15 Typical High $177.83 | Professional | TC · Technical part | $79.43 | $107.15 | $177.83 |
United Setting Facility Modifier None Typical Low $446.68 Median $501.19 Typical High $1,096.48 | Facility | None | $446.68 | $501.19 | $1,096.48 |
United Setting Professional Modifier None (both parts) Typical Low $83.18 Median $114.82 Typical High $204.17 | Professional | None (both parts) | $83.18 | $114.82 | $204.17 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $34.67 Typical High $61.66 | Professional | 26 · Professional part | $25.12 | $34.67 | $61.66 |
United Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $83.18 Typical High $144.54 | Professional | TC · Technical part | $56.23 | $83.18 | $144.54 |
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 $52.48 Typical High $56.23 | Professional | 52 · Reduced service | $51.29 | $52.48 | $56.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $21.38 Typical High $22.39 | Professional | 53 · Discontinued | $20.89 | $21.38 | $22.39 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $85.11 Median $85.11 Typical High $89.13 | Professional | FX · Film X-ray | $85.11 | $85.11 | $89.13 |
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 3.9 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· 35th of 51
$126
AK $347TX $89.13
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.