How much rates vary
Facilitymedian $117 · 10th to 90th $35 to $407Professionalmedian $107 · 10th to 90th $71 to $151
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 $83.18 Median $97.72 Typical High $181.97 | Facility | None | $83.18 | $97.72 | $181.97 |
Aetna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $93.33 Typical High $144.54 | Professional | None (both parts) | $83.18 | $93.33 | $144.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $28.18 Typical High $42.66 | Professional | 26 · Professional part | $26.92 | $28.18 | $42.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $64.57 Typical High $95.50 | Professional | TC · Technical part | $54.95 | $64.57 | $95.50 |
Anthem BCBS Setting Facility Modifier None Typical Low $309.03 Median $389.05 Typical High $512.86 | Facility | None | $309.03 | $389.05 | $512.86 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $85.11 Median $112.20 Typical High $134.90 | Professional | None (both parts) | $85.11 | $112.20 | $134.90 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $32.36 Typical High $38.90 | Professional | 26 · Professional part | $26.92 | $32.36 | $38.90 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $79.43 Typical High $100.00 | Professional | TC · Technical part | $64.57 | $79.43 | $100.00 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $30.90 Median $100.00 Typical High $112.20 | Professional | None (both parts) | $30.90 | $100.00 | $112.20 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $28.18 Typical High $37.15 | Professional | 26 · Professional part | $28.18 | $28.18 | $37.15 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $81.28 Typical High $81.28 | Professional | TC · Technical part | $72.44 | $81.28 | $81.28 |
Cigna Setting Facility Modifier None Typical Low $165.96 Median $229.09 Typical High $776.25 | Facility | None | $165.96 | $229.09 | $776.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $70.79 Median $100.00 Typical High $173.78 | Professional | None (both parts) | $70.79 | $100.00 | $173.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $29.51 Typical High $51.29 | Professional | 26 · Professional part | $20.89 | $29.51 | $51.29 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $69.18 Typical High $123.03 | Professional | TC · Technical part | $50.12 | $69.18 | $123.03 |
Kaiser Permanente Setting Professional Modifier None Typical Low $95.50 Median $112.20 Typical High $141.25 | Professional | None | $95.50 | $112.20 | $141.25 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $31.62 Typical High $41.69 | Professional | 26 · Professional part | $26.30 | $31.62 | $41.69 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $81.28 Typical High $100.00 | Professional | TC · Technical part | $67.61 | $81.28 | $100.00 |
Medcost Setting Professional Modifier None Typical Low $112.20 Median $138.04 Typical High $138.04 | Professional | None | $112.20 | $138.04 | $138.04 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $54.95 Typical High $54.95 | Professional | 26 · Professional part | $43.65 | $54.95 | $54.95 |
Medcost Setting Facility Modifier None Typical Low $141.25 Median $141.25 Typical High $165.96 | Facility | None | $141.25 | $141.25 | $165.96 |
Medcost Setting Professional Modifier None (both parts) Typical Low $95.50 Median $114.82 Typical High $117.49 | Professional | None (both parts) | $95.50 | $114.82 | $117.49 |
Sentara Setting Facility Modifier None Typical Low $31.62 Median $81.28 Typical High $194.98 | Facility | None | $31.62 | $81.28 | $194.98 |
Sentara Setting Professional Modifier None (both parts) Typical Low $38.02 Median $104.71 Typical High $173.78 | Professional | None (both parts) | $38.02 | $104.71 | $173.78 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $37.15 Typical High $57.54 | Professional | 26 · Professional part | $31.62 | $37.15 | $57.54 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $91.20 Typical High $141.25 | Professional | TC · Technical part | $67.61 | $91.20 | $141.25 |
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 $74.13 Median $102.33 Typical High $181.97 | Professional | None (both parts) | $74.13 | $102.33 | $181.97 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $29.51 Typical High $52.48 | Professional | 26 · Professional part | $21.88 | $29.51 | $52.48 |
United Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $74.13 Typical High $128.82 | Professional | TC · Technical part | $50.12 | $74.13 | $128.82 |
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 $41.69 Median $43.65 Typical High $48.98 | Professional | 52 · Reduced service | $41.69 | $43.65 | $48.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $17.38 Typical High $19.50 | Professional | 53 · Discontinued | $16.60 | $17.38 | $19.50 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $66.07 Median $66.07 Typical High $77.62 | Professional | FX · Film X-ray | $66.07 | $66.07 | $77.62 |
Medcost Setting Professional Modifier 27 · Multiple hospital visits Typical Low $67.61 Median $89.13 Typical High $89.13 | Professional | 27 · Multiple hospital visits | $67.61 | $89.13 | $89.13 |
Where Virginia sits
The same service costs 4.2 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· 36th of 51
$107
AK $302UT $72.44
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.