How much rates vary
Facilitymedian $79 · 10th to 90th $34 to $692Professionalmedian $65 · 10th to 90th $35 to $174
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 $51.29 Median $93.33 Typical High $309.03 | Facility | None | $51.29 | $93.33 | $309.03 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $26.92 Median $45.71 Typical High $60.26 | Facility | 26 · Professional part | $26.92 | $45.71 | $60.26 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $21.88 Median $48.98 Typical High $251.19 | Facility | TC · Technical part | $21.88 | $48.98 | $251.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $51.29 Median $54.95 Typical High $199.53 | Professional | None (both parts) | $51.29 | $54.95 | $199.53 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $28.84 Typical High $60.26 | Professional | 26 · Professional part | $26.92 | $28.84 | $60.26 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $27.54 Typical High $169.82 | Professional | TC · Technical part | $21.88 | $27.54 | $169.82 |
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 $64.57 Typical High $77.62 | Professional | None (both parts) | $33.88 | $64.57 | $77.62 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $33.11 Typical High $39.81 | Professional | 26 · Professional part | $27.54 | $33.11 | $39.81 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $33.11 Typical High $54.95 | Professional | TC · Technical part | $26.30 | $33.11 | $54.95 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $30.20 Median $58.88 Typical High $64.57 | Professional | None (both parts) | $30.20 | $58.88 | $64.57 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $31.62 Typical High $31.62 | Professional | 26 · Professional part | $28.84 | $31.62 | $31.62 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $39.81 Typical High $46.77 | Professional | TC · Technical part | $30.20 | $39.81 | $46.77 |
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 $42.66 Median $58.88 Typical High $208.93 | Professional | None (both parts) | $42.66 | $58.88 | $208.93 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $30.20 Typical High $53.70 | Professional | 26 · Professional part | $21.38 | $30.20 | $53.70 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $28.84 Typical High $169.82 | Professional | TC · Technical part | $20.89 | $28.84 | $169.82 |
Kaiser Permanente Setting Professional Modifier None Typical Low $61.66 Median $72.44 Typical High $91.20 | Professional | None | $61.66 | $72.44 | $91.20 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $33.88 Typical High $42.66 | Professional | 26 · Professional part | $28.84 | $33.88 | $42.66 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $38.90 Typical High $47.86 | Professional | TC · Technical part | $32.36 | $38.90 | $47.86 |
Medcost Setting Professional Modifier None Typical Low $177.83 Median $218.78 Typical High $218.78 | Professional | None | $177.83 | $218.78 | $218.78 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $58.88 Typical High $58.88 | Professional | 26 · Professional part | $46.77 | $58.88 | $58.88 |
Medcost Setting Facility Modifier None Typical Low $102.33 Median $257.04 Typical High $257.04 | Facility | None | $102.33 | $257.04 | $257.04 |
Medcost Setting Professional Modifier None (both parts) Typical Low $54.95 Median $120.23 Typical High $120.23 | Professional | None (both parts) | $54.95 | $120.23 | $120.23 |
Sentara Setting Facility Modifier None Typical Low $28.84 Median $63.10 Typical High $691.83 | Facility | None | $28.84 | $63.10 | $691.83 |
Sentara Setting Professional Modifier None (both parts) Typical Low $36.31 Median $128.82 Typical High $263.03 | Professional | None (both parts) | $36.31 | $128.82 | $263.03 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $44.67 Typical High $60.26 | Professional | 26 · Professional part | $33.11 | $44.67 | $60.26 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $56.23 Typical High $234.42 | Professional | TC · Technical part | $32.36 | $56.23 | $234.42 |
United Setting Professional Modifier None (both parts) Typical Low $46.77 Median $91.20 Typical High $218.78 | Professional | None (both parts) | $46.77 | $91.20 | $218.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $30.90 Typical High $54.95 | Professional | 26 · Professional part | $22.91 | $30.90 | $54.95 |
United Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $40.74 Typical High $169.82 | Professional | TC · Technical part | $20.42 | $40.74 | $169.82 |
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 $25.70 Median $25.70 Typical High $26.92 | Professional | 52 · Reduced service | $25.70 | $25.70 | $26.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.23 Median $10.23 Typical High $10.96 | Professional | 53 · Discontinued | $10.23 | $10.23 | $10.96 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $40.74 Median $40.74 Typical High $43.65 | Professional | FX · Film X-ray | $40.74 | $40.74 | $43.65 |
Medcost Setting Professional Modifier 27 · Multiple hospital visits Typical Low $128.82 Median $173.78 Typical High $173.78 | Professional | 27 · Multiple hospital visits | $128.82 | $173.78 | $173.78 |
Where Virginia sits
The same service costs 4.6 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· 43rd of 51
$64.57
AK $209TX $45.71
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.