How much rates vary
Facilitymedian $76 · 10th to 90th $32 to $437Professionalmedian $83 · 10th to 90th $46 to $123
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 $67.61 Median $67.61 Typical High $75.86 | Facility | None | $67.61 | $67.61 | $75.86 |
Aetna Setting Professional Modifier None (both parts) Typical Low $67.61 Median $67.61 Typical High $79.43 | Professional | None (both parts) | $67.61 | $67.61 | $79.43 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $31.62 Typical High $31.62 | Professional | 26 · Professional part | $27.54 | $31.62 | $31.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $35.48 Typical High $48.98 | Professional | TC · Technical part | $35.48 | $35.48 | $48.98 |
Anthem BCBS Setting Facility Modifier None Typical Low $263.03 Median $331.13 Typical High $426.58 | Facility | None | $263.03 | $331.13 | $426.58 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $60.26 Median $91.20 Typical High $109.65 | Professional | None (both parts) | $60.26 | $91.20 | $109.65 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $35.48 Typical High $42.66 | Professional | 26 · Professional part | $29.51 | $35.48 | $42.66 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $54.95 Typical High $70.79 | Professional | TC · Technical part | $46.77 | $54.95 | $70.79 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $50.12 Median $79.43 Typical High $104.71 | Professional | None (both parts) | $50.12 | $79.43 | $104.71 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $33.11 Typical High $41.69 | Professional | 26 · Professional part | $30.20 | $33.11 | $41.69 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $56.23 Typical High $67.61 | Professional | TC · Technical part | $56.23 | $56.23 | $67.61 |
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 $48.98 Median $79.43 Typical High $125.89 | Professional | None (both parts) | $48.98 | $79.43 | $125.89 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $26.92 Typical High $54.95 | Professional | 26 · Professional part | $21.38 | $26.92 | $54.95 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $46.77 Typical High $79.43 | Professional | TC · Technical part | $29.51 | $46.77 | $79.43 |
Kaiser Permanente Setting Professional Modifier None Typical Low $81.28 Median $97.72 Typical High $120.23 | Professional | None | $81.28 | $97.72 | $120.23 |
Medcost Setting Professional Modifier None Typical Low $100.00 Median $125.89 Typical High $125.89 | Professional | None | $100.00 | $125.89 | $125.89 |
Medcost Setting Facility Modifier None Typical Low $63.10 Median $63.10 Typical High $134.90 | Facility | None | $63.10 | $63.10 | $134.90 |
Medcost Setting Professional Modifier None (both parts) Typical Low $56.23 Median $56.23 Typical High $56.23 | Professional | None (both parts) | $56.23 | $56.23 | $56.23 |
Sentara Setting Facility Modifier None Typical Low $28.18 Median $67.61 Typical High $204.17 | Facility | None | $28.18 | $67.61 | $204.17 |
Sentara Setting Professional Modifier None (both parts) Typical Low $23.99 Median $72.44 Typical High $141.25 | Professional | None (both parts) | $23.99 | $72.44 | $141.25 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $37.15 Typical High $74.13 | Professional | 26 · Professional part | $19.95 | $37.15 | $74.13 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $15.49 Median $57.54 Typical High $114.82 | Professional | TC · Technical part | $15.49 | $57.54 | $114.82 |
United Setting Professional Modifier None (both parts) Typical Low $47.86 Median $93.33 Typical High $128.82 | Professional | None (both parts) | $47.86 | $93.33 | $128.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $29.51 Typical High $53.70 | Professional | 26 · Professional part | $15.49 | $29.51 | $53.70 |
United Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $56.23 Typical High $81.28 | Professional | TC · Technical part | $25.70 | $56.23 | $81.28 |
3 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 $33.88 Median $33.88 Typical High $38.02 | Professional | 52 · Reduced service | $33.88 | $33.88 | $38.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $13.49 Typical High $15.14 | Professional | 53 · Discontinued | $13.49 | $13.49 | $15.14 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $53.70 Median $53.70 Typical High $61.66 | Professional | FX · Film X-ray | $53.70 | $53.70 | $61.66 |
Where Virginia sits
The same service costs 5.9 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· 28th of 51
$81.28
AK $245TX $41.69
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.