How much rates vary
Facilitymedian $145 · 10th to 90th $43 to $537Professionalmedian $141 · 10th to 90th $89 to $200
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 $89.13 Median $151.36 Typical High $213.80 | Facility | None | $89.13 | $151.36 | $213.80 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $31.62 Median $44.67 Typical High $66.07 | Facility | 26 · Professional part | $31.62 | $44.67 | $66.07 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $54.95 Median $95.50 Typical High $213.80 | Facility | TC · Technical part | $54.95 | $95.50 | $213.80 |
Aetna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $112.20 Typical High $173.78 | Professional | None (both parts) | $89.13 | $112.20 | $173.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $33.88 Typical High $57.54 | Professional | 26 · Professional part | $31.62 | $33.88 | $57.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $77.62 Typical High $120.23 | Professional | TC · Technical part | $54.95 | $77.62 | $120.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $416.87 Median $537.03 Typical High $691.83 | Facility | None | $416.87 | $537.03 | $691.83 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $123.03 Median $151.36 Typical High $181.97 | Professional | None (both parts) | $123.03 | $151.36 | $181.97 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $38.90 Typical High $46.77 | Professional | 26 · Professional part | $32.36 | $38.90 | $46.77 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $112.20 Typical High $138.04 | Professional | TC · Technical part | $93.33 | $112.20 | $138.04 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $37.15 Median $138.04 Typical High $151.36 | Professional | None (both parts) | $37.15 | $138.04 | $151.36 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $33.88 Typical High $43.65 | Professional | 26 · Professional part | $33.88 | $33.88 | $43.65 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $114.82 Typical High $134.90 | Professional | TC · Technical part | $114.82 | $114.82 | $134.90 |
Cigna Setting Facility Modifier None Typical Low $229.09 Median $323.59 Typical High $776.25 | Facility | None | $229.09 | $323.59 | $776.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $134.90 Typical High $234.42 | Professional | None (both parts) | $95.50 | $134.90 | $234.42 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $35.48 Typical High $61.66 | Professional | 26 · Professional part | $25.12 | $35.48 | $61.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $97.72 Typical High $173.78 | Professional | TC · Technical part | $70.79 | $97.72 | $173.78 |
Kaiser Permanente Setting Professional Modifier None Typical Low $128.82 Median $151.36 Typical High $190.55 | Professional | None | $128.82 | $151.36 | $190.55 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $37.15 Typical High $48.98 | Professional | 26 · Professional part | $31.62 | $37.15 | $48.98 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $114.82 Typical High $141.25 | Professional | TC · Technical part | $95.50 | $114.82 | $141.25 |
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 $64.57 Typical High $64.57 | Professional | 26 · Professional part | $51.29 | $64.57 | $64.57 |
Medcost Setting Facility Modifier None Typical Low $177.83 Median $190.55 Typical High $190.55 | Facility | None | $177.83 | $190.55 | $190.55 |
Medcost Setting Professional Modifier None (both parts) Typical Low $89.13 Median $112.20 Typical High $128.82 | Professional | None (both parts) | $89.13 | $112.20 | $128.82 |
Sentara Setting Facility Modifier None Typical Low $38.02 Median $89.13 Typical High $213.80 | Facility | None | $38.02 | $89.13 | $213.80 |
Sentara Setting Professional Modifier None (both parts) Typical Low $44.67 Median $117.49 Typical High $199.53 | Professional | None (both parts) | $44.67 | $117.49 | $199.53 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $44.67 Typical High $69.18 | Professional | 26 · Professional part | $37.15 | $44.67 | $69.18 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $107.15 Typical High $162.18 | Professional | TC · Technical part | $72.44 | $107.15 | $162.18 |
United Setting Facility Modifier None Typical Low $165.96 Median $181.97 Typical High $407.38 | Facility | None | $165.96 | $181.97 | $407.38 |
United Setting Professional Modifier None (both parts) Typical Low $93.33 Median $134.90 Typical High $239.88 | Professional | None (both parts) | $93.33 | $134.90 | $239.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $35.48 Typical High $63.10 | Professional | 26 · Professional part | $26.30 | $35.48 | $63.10 |
United Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $100.00 Typical High $181.97 | Professional | TC · Technical part | $60.26 | $100.00 | $181.97 |
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 $44.67 Median $48.98 Typical High $57.54 | Professional | 52 · Reduced service | $44.67 | $48.98 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $19.50 Typical High $23.44 | Professional | 53 · Discontinued | $17.78 | $19.50 | $23.44 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $70.79 Median $79.43 Typical High $93.33 | Professional | FX · Film X-ray | $70.79 | $79.43 | $93.33 |
Medcost Setting Professional Modifier 27 · Multiple hospital visits Typical Low $74.13 Median $114.82 Typical High $114.82 | Professional | 27 · Multiple hospital visits | $74.13 | $114.82 | $114.82 |
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· 32nd of 51
$141
AK $363TX $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.