How much rates vary
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 $87.10 Typical High $194.98 | Facility | None | $83.18 | $87.10 | $194.98 |
Aetna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $83.18 Typical High $123.03 | Professional | None (both parts) | $83.18 | $83.18 | $123.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $61.66 Typical High $77.62 | Professional | 26 · Professional part | $58.88 | $61.66 | $77.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $22.91 Typical High $45.71 | Professional | TC · Technical part | $21.88 | $22.91 | $45.71 |
Anthem BCBS Setting Facility Modifier None Typical Low $302.00 Median $380.19 Typical High $501.19 | Facility | None | $302.00 | $380.19 | $501.19 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $85.11 Median $104.71 Typical High $134.90 | Professional | None (both parts) | $85.11 | $104.71 | $134.90 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $74.13 Typical High $97.72 | Professional | 26 · Professional part | $63.10 | $74.13 | $97.72 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $30.90 Typical High $38.90 | Professional | TC · Technical part | $25.70 | $30.90 | $38.90 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $32.36 Median $93.33 Typical High $125.89 | Professional | None (both parts) | $32.36 | $93.33 | $125.89 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $64.57 Typical High $93.33 | Professional | 26 · Professional part | $64.57 | $64.57 | $93.33 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $28.84 Typical High $42.66 | Professional | TC · Technical part | $28.84 | $28.84 | $42.66 |
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 $69.18 Median $95.50 Typical High $309.03 | Professional | None (both parts) | $69.18 | $95.50 | $309.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $67.61 Typical High $123.03 | Professional | 26 · Professional part | $48.98 | $67.61 | $123.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $28.18 Typical High $229.09 | Professional | TC · Technical part | $19.95 | $28.18 | $229.09 |
Kaiser Permanente Setting Professional Modifier None Typical Low $95.50 Median $114.82 Typical High $141.25 | Professional | None | $95.50 | $114.82 | $141.25 |
Medcost Setting Professional Modifier None Typical Low $363.08 Median $446.68 Typical High $446.68 | Professional | None | $363.08 | $446.68 | $446.68 |
Medcost Setting Facility Modifier None Typical Low $83.18 Median $169.82 Typical High $208.93 | Facility | None | $83.18 | $169.82 | $208.93 |
Medcost Setting Professional Modifier None (both parts) Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | None (both parts) | $177.83 | $177.83 | $177.83 |
Sentara Setting Facility Modifier None Typical Low $31.62 Median $95.50 Typical High $363.08 | Facility | None | $31.62 | $95.50 | $363.08 |
Sentara Setting Professional Modifier None (both parts) Typical Low $35.48 Median $109.65 Typical High $269.15 | Professional | None (both parts) | $35.48 | $109.65 | $269.15 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $89.13 Typical High $154.88 | Professional | 26 · Professional part | $67.61 | $89.13 | $154.88 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $38.90 Typical High $114.82 | Professional | TC · Technical part | $26.92 | $38.90 | $114.82 |
United Setting Professional Modifier None (both parts) Typical Low $75.86 Median $125.89 Typical High $346.74 | Professional | None (both parts) | $75.86 | $125.89 | $346.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $83.18 Typical High $114.82 | Professional | 26 · Professional part | $50.12 | $83.18 | $114.82 |
United Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $35.48 Typical High $251.19 | Professional | TC · Technical part | $20.42 | $35.48 | $251.19 |
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 $41.69 Median $41.69 Typical High $42.66 | Professional | 52 · Reduced service | $41.69 | $41.69 | $42.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $16.60 Typical High $17.38 | Professional | 53 · Discontinued | $16.60 | $16.60 | $17.38 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $66.07 Median $66.07 Typical High $69.18 | Professional | FX · Film X-ray | $66.07 | $66.07 | $69.18 |
Where Virginia sits
The same service costs 5.2 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· 36th of 51
$105
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.