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 $38.90 Median $51.29 Typical High $72.44 | Facility | None | $38.90 | $51.29 | $72.44 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $22.39 Median $29.51 Typical High $50.12 | Facility | 26 · Professional part | $22.39 | $29.51 | $50.12 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $9.12 Median $20.42 Typical High $114.82 | Facility | TC · Technical part | $9.12 | $20.42 | $114.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $38.90 Median $51.29 Typical High $77.62 | Professional | None (both parts) | $38.90 | $51.29 | $77.62 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $29.51 Typical High $44.67 | Professional | 26 · Professional part | $20.89 | $29.51 | $44.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $9.12 Median $27.54 Typical High $38.90 | Professional | TC · Technical part | $9.12 | $27.54 | $38.90 |
Anthem BCBS Setting Facility Modifier None Typical Low $204.17 Median $257.04 Typical High $331.13 | Facility | None | $204.17 | $257.04 | $331.13 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $33.88 Median $67.61 Typical High $83.18 | Professional | None (both parts) | $33.88 | $67.61 | $83.18 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $36.31 Typical High $43.65 | Professional | 26 · Professional part | $29.51 | $36.31 | $43.65 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $34.67 Typical High $40.74 | Professional | TC · Technical part | $28.84 | $34.67 | $40.74 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $36.31 Median $64.57 Typical High $70.79 | Professional | None (both parts) | $36.31 | $64.57 | $70.79 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $34.67 Typical High $34.67 | Professional | 26 · Professional part | $31.62 | $34.67 | $34.67 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $33.11 Typical High $43.65 | Professional | TC · Technical part | $33.11 | $33.11 | $43.65 |
Cigna Setting Facility Modifier None Typical Low $29.51 Median $74.13 Typical High $776.25 | Facility | None | $29.51 | $74.13 | $776.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $35.48 Median $57.54 Typical High $93.33 | Professional | None (both parts) | $35.48 | $57.54 | $93.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $27.54 Typical High $47.86 | Professional | 26 · Professional part | $21.88 | $27.54 | $47.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $10.96 Median $26.92 Typical High $46.77 | Professional | TC · Technical part | $10.96 | $26.92 | $46.77 |
Kaiser Permanente Setting Professional Modifier None Typical Low $60.26 Median $72.44 Typical High $87.10 | Professional | None | $60.26 | $72.44 | $87.10 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $34.67 Typical High $43.65 | Professional | 26 · Professional part | $29.51 | $34.67 | $43.65 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $38.02 Typical High $45.71 | Professional | TC · Technical part | $30.20 | $38.02 | $45.71 |
Medcost Setting Professional Modifier None Typical Low $45.71 Median $56.23 Typical High $56.23 | Professional | None | $45.71 | $56.23 | $56.23 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $38.02 Typical High $38.02 | Professional | 26 · Professional part | $30.90 | $38.02 | $38.02 |
Medcost Setting Facility Modifier None Typical Low $43.65 Median $43.65 Typical High $104.71 | Facility | None | $43.65 | $43.65 | $104.71 |
Medcost Setting Professional Modifier None (both parts) Typical Low $22.91 Median $22.91 Typical High $39.81 | Professional | None (both parts) | $22.91 | $22.91 | $39.81 |
Sentara Setting Facility Modifier None Typical Low $14.13 Median $43.65 Typical High $257.04 | Facility | None | $14.13 | $43.65 | $257.04 |
Sentara Setting Professional Modifier None (both parts) Typical Low $13.80 Median $38.02 Typical High $95.50 | Professional | None (both parts) | $13.80 | $38.02 | $95.50 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $27.54 Typical High $45.71 | Professional | 26 · Professional part | $19.50 | $27.54 | $45.71 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $9.77 Median $14.45 Typical High $54.95 | Professional | TC · Technical part | $9.77 | $14.45 | $54.95 |
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 $25.70 Median $50.12 Typical High $95.50 | Professional | None (both parts) | $25.70 | $50.12 | $95.50 |
United Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $23.99 Typical High $41.69 | Professional | 26 · Professional part | $15.85 | $23.99 | $41.69 |
United Setting Professional Modifier TC · Technical part Typical Low $9.12 Median $25.70 Typical High $54.95 | Professional | TC · Technical part | $9.12 | $25.70 | $54.95 |
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 $30.90 Median $40.74 Typical High $40.74 | Professional | FX · Film X-ray | $30.90 | $40.74 | $40.74 |
Medcost Setting Professional Modifier 27 · Multiple hospital visits Typical Low $14.45 Median $18.20 Typical High $18.20 | Professional | 27 · Multiple hospital visits | $14.45 | $18.20 | $18.20 |
Where Virginia sits
The same service costs 5.1 times more in Alaska than in Kentucky. 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· 29th of 51
$60.26
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.