How much rates vary
Facilitymedian $151 · 10th to 90th $69 to $776Professionalmedian $158 · 10th to 90th $87 to $234
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 $147.91 Median $147.91 Typical High $151.36 | Facility | None | $147.91 | $147.91 | $151.36 |
Aetna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $147.91 Typical High $151.36 | Professional | None (both parts) | $147.91 | $147.91 | $151.36 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $89.13 Typical High $93.33 | Professional | 26 · Professional part | $89.13 | $89.13 | $93.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $56.23 Typical High $60.26 | Professional | TC · Technical part | $56.23 | $56.23 | $60.26 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $131.83 Median $158.49 Typical High $239.88 | Professional | None (both parts) | $131.83 | $158.49 | $239.88 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $107.15 Typical High $128.82 | Professional | 26 · Professional part | $93.33 | $107.15 | $128.82 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $165.96 Typical High $181.97 | Professional | TC · Technical part | $138.04 | $165.96 | $181.97 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $63.10 Median $158.49 Typical High $186.21 | Professional | None (both parts) | $63.10 | $158.49 | $186.21 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $107.15 Typical High $112.20 | Professional | 26 · Professional part | $95.50 | $107.15 | $112.20 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $70.79 Typical High $87.10 | Professional | TC · Technical part | $70.79 | $70.79 | $87.10 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $776.25 Typical High $870.96 | Facility | None | $524.81 | $776.25 | $870.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $141.25 Typical High $239.88 | Professional | None (both parts) | $114.82 | $141.25 | $239.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $85.11 Typical High $147.91 | Professional | 26 · Professional part | $70.79 | $85.11 | $147.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $57.54 Typical High $91.20 | Professional | TC · Technical part | $43.65 | $57.54 | $91.20 |
Kaiser Permanente Setting Professional Modifier None Typical Low $158.49 Median $186.21 Typical High $281.84 | Professional | None | $158.49 | $186.21 | $281.84 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $112.20 Typical High $169.82 | Professional | 26 · Professional part | $100.00 | $112.20 | $169.82 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $74.13 Typical High $109.65 | Professional | TC · Technical part | $60.26 | $74.13 | $109.65 |
Medcost Setting Professional Modifier None Typical Low $239.88 Median $309.03 Typical High $309.03 | Professional | None | $239.88 | $309.03 | $309.03 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $144.54 Median $199.53 Typical High $199.53 | Professional | 26 · Professional part | $144.54 | $199.53 | $199.53 |
Medcost Setting Facility Modifier None Typical Low $151.36 Median $229.09 Typical High $245.47 | Facility | None | $151.36 | $229.09 | $245.47 |
Medcost Setting Professional Modifier None (both parts) Typical Low $162.18 Median $162.18 Typical High $281.84 | Professional | None (both parts) | $162.18 | $162.18 | $281.84 |
Sentara Setting Facility Modifier None Typical Low $64.57 Median $144.54 Typical High $512.86 | Facility | None | $64.57 | $144.54 | $512.86 |
Sentara Setting Professional Modifier None (both parts) Typical Low $75.86 Median $165.96 Typical High $239.88 | Professional | None (both parts) | $75.86 | $165.96 | $239.88 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $114.82 Typical High $158.49 | Professional | 26 · Professional part | $100.00 | $114.82 | $158.49 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $75.86 Typical High $102.33 | Professional | TC · Technical part | $60.26 | $75.86 | $102.33 |
United Setting Professional Modifier None (both parts) Typical Low $123.03 Median $158.49 Typical High $269.15 | Professional | None (both parts) | $123.03 | $158.49 | $269.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $91.20 Typical High $154.88 | Professional | 26 · Professional part | $72.44 | $91.20 | $154.88 |
United Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $70.79 Typical High $114.82 | Professional | TC · Technical part | $50.12 | $70.79 | $114.82 |
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 $74.13 Median $74.13 Typical High $74.13 | Professional | 52 · Reduced service | $74.13 | $74.13 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $29.51 Typical High $30.20 | Professional | 53 · Discontinued | $29.51 | $29.51 | $30.20 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $117.49 Median $117.49 Typical High $120.23 | Professional | FX · Film X-ray | $117.49 | $117.49 | $120.23 |
Medcost Setting Professional Modifier 27 · Multiple hospital visits Typical Low $89.13 Median $112.20 Typical High $112.20 | Professional | 27 · Multiple hospital visits | $89.13 | $112.20 | $112.20 |
Where Virginia sits
The same service costs 4.2 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· 44th of 51
$158
AK $501FL $120
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.