How much rates vary
Facilitymedian $11 · 10th to 90th $3 to $93Professionalmedian $7 · 10th to 90th $4 to $19
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 $6.61 Median $6.61 Typical High $6.76 | Facility | None | $6.61 | $6.61 | $6.76 |
Aetna Setting Professional Modifier None (both parts) Typical Low $6.03 Median $6.61 Typical High $6.76 | Professional | None (both parts) | $6.03 | $6.61 | $6.76 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $2.34 Median $2.40 Typical High $2.51 | Professional | 26 · Professional part | $2.34 | $2.40 | $2.51 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $3.72 Median $4.07 Typical High $4.27 | Professional | TC · Technical part | $3.72 | $4.07 | $4.27 |
Anthem BCBS Setting Facility Modifier None Typical Low $23.99 Median $30.20 Typical High $39.81 | Facility | None | $23.99 | $30.20 | $39.81 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $4.37 Median $7.24 Typical High $10.00 | Professional | None (both parts) | $4.37 | $7.24 | $10.00 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $2.51 Median $2.95 Typical High $3.63 | Professional | 26 · Professional part | $2.51 | $2.95 | $3.63 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $4.47 Median $5.62 Typical High $8.51 | Professional | TC · Technical part | $4.47 | $5.62 | $8.51 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $4.79 Median $7.41 Typical High $9.33 | Professional | None (both parts) | $4.79 | $7.41 | $9.33 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $2.57 Median $2.88 Typical High $3.39 | Professional | 26 · Professional part | $2.57 | $2.88 | $3.39 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $5.13 Median $6.17 Typical High $8.51 | Professional | TC · Technical part | $5.13 | $6.17 | $8.51 |
Cigna Setting Facility Modifier None Typical Low $10.96 Median $16.60 Typical High $776.25 | Facility | None | $10.96 | $16.60 | $776.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $5.13 Median $8.13 Typical High $37.15 | Professional | None (both parts) | $5.13 | $8.13 | $37.15 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $1.95 Median $2.75 Typical High $5.25 | Professional | 26 · Professional part | $1.95 | $2.75 | $5.25 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $3.31 Median $4.68 Typical High $33.88 | Professional | TC · Technical part | $3.31 | $4.68 | $33.88 |
Kaiser Permanente Setting Professional Modifier None Typical Low $7.41 Median $8.71 Typical High $10.96 | Professional | None | $7.41 | $8.71 | $10.96 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $2.57 Median $2.95 Typical High $3.80 | Professional | 26 · Professional part | $2.57 | $2.95 | $3.80 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $4.79 Median $5.89 Typical High $7.41 | Professional | TC · Technical part | $4.79 | $5.89 | $7.41 |
Medcost Setting Professional Modifier None Typical Low $43.65 Median $53.70 Typical High $54.95 | Professional | None | $43.65 | $53.70 | $54.95 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $4.17 Median $5.37 Typical High $5.37 | Professional | 26 · Professional part | $4.17 | $5.37 | $5.37 |
Medcost Setting Facility Modifier None Typical Low $13.49 Median $19.50 Typical High $19.50 | Facility | None | $13.49 | $19.50 | $19.50 |
Medcost Setting Professional Modifier None (both parts) Typical Low $6.46 Median $48.98 Typical High $95.50 | Professional | None (both parts) | $6.46 | $48.98 | $95.50 |
Sentara Setting Facility Modifier None Typical Low $2.82 Median $7.76 Typical High $33.11 | Facility | None | $2.82 | $7.76 | $33.11 |
Sentara Setting Professional Modifier None (both parts) Typical Low $3.39 Median $9.77 Typical High $38.90 | Professional | None (both parts) | $3.39 | $9.77 | $38.90 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $2.82 Median $3.39 Typical High $6.03 | Professional | 26 · Professional part | $2.82 | $3.39 | $6.03 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $4.47 Median $6.76 Typical High $30.20 | Professional | TC · Technical part | $4.47 | $6.76 | $30.20 |
United Setting Facility Modifier None Typical Low $199.53 Median $218.78 Typical High $489.78 | Facility | None | $199.53 | $218.78 | $489.78 |
United Setting Professional Modifier None (both parts) Typical Low $5.75 Median $10.23 Typical High $39.81 | Professional | None (both parts) | $5.75 | $10.23 | $39.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $2.04 Median $3.39 Typical High $4.90 | Professional | 26 · Professional part | $2.04 | $3.39 | $4.90 |
United Setting Professional Modifier TC · Technical part Typical Low $3.39 Median $6.31 Typical High $37.15 | Professional | TC · Technical part | $3.39 | $6.31 | $37.15 |
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 $3.02 Median $3.31 Typical High $3.39 | Professional | 52 · Reduced service | $3.02 | $3.31 | $3.39 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.23 Median $1.32 Typical High $1.35 | Professional | 53 · Discontinued | $1.23 | $1.32 | $1.35 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $5.25 Median $5.25 Typical High $5.37 | Professional | FX · Film X-ray | $5.25 | $5.25 | $5.37 |
Medcost Setting Professional Modifier 27 · Multiple hospital visits Typical Low $38.90 Median $48.98 Typical High $48.98 | Professional | 27 · Multiple hospital visits | $38.90 | $48.98 | $48.98 |
Where Virginia sits
The same service costs 4.2 times more in Kansas 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· 45th of 51
$7.59
KS $23.99FL $5.75
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.