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 $151.36 Median $186.21 Typical High $346.74 | Facility | None | $151.36 | $186.21 | $346.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $151.36 Typical High $199.53 | Professional | None (both parts) | $131.83 | $151.36 | $199.53 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $45.71 Typical High $58.88 | Professional | 26 · Professional part | $34.67 | $45.71 | $58.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $104.71 Typical High $141.25 | Professional | TC · Technical part | $93.33 | $104.71 | $141.25 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $125.89 Median $154.88 Typical High $239.88 | Professional | None (both parts) | $125.89 | $154.88 | $239.88 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $35.48 Typical High $50.12 | Professional | 26 · Professional part | $28.18 | $35.48 | $50.12 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $186.21 Median $223.87 Typical High $275.42 | Professional | 50 · Both sides | $186.21 | $223.87 | $275.42 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $57.54 Typical High $117.49 | Professional | TC · Technical part | $44.67 | $57.54 | $117.49 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $43.65 Median $69.18 Typical High $117.49 | Professional | None (both parts) | $43.65 | $69.18 | $117.49 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $48.98 Typical High $56.23 | Professional | 26 · Professional part | $48.98 | $48.98 | $56.23 |
Cigna Setting Facility Modifier None Typical Low $229.09 Median $446.68 Typical High $870.96 | Facility | None | $229.09 | $446.68 | $870.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $154.88 Typical High $281.84 | Professional | None (both parts) | $112.20 | $154.88 | $281.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $44.67 Typical High $83.18 | Professional | 26 · Professional part | $33.88 | $44.67 | $83.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $112.20 Typical High $194.98 | Professional | TC · Technical part | $79.43 | $112.20 | $194.98 |
Kaiser Permanente Setting Professional Modifier None Typical Low $154.88 Median $181.97 Typical High $229.09 | Professional | None | $154.88 | $181.97 | $229.09 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $50.12 Typical High $64.57 | Professional | 26 · Professional part | $45.71 | $50.12 | $64.57 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $128.82 Typical High $162.18 | Professional | TC · Technical part | $109.65 | $128.82 | $162.18 |
Medcost Setting Facility Modifier None Typical Low $169.82 Median $169.82 Typical High $229.09 | Facility | None | $169.82 | $169.82 | $229.09 |
Medcost Setting Professional Modifier None (both parts) Typical Low $37.15 Median $37.15 Typical High $181.97 | Professional | None (both parts) | $37.15 | $37.15 | $181.97 |
Sentara Setting Facility Modifier None Typical Low $40.74 Median $128.82 Typical High $316.23 | Facility | None | $40.74 | $128.82 | $316.23 |
Sentara Setting Professional Modifier None (both parts) Typical Low $48.98 Median $147.91 Typical High $269.15 | Professional | None (both parts) | $48.98 | $147.91 | $269.15 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $46.77 Typical High $85.11 | Professional | 26 · Professional part | $34.67 | $46.77 | $85.11 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $120.23 Typical High $213.80 | Professional | TC · Technical part | $93.33 | $120.23 | $213.80 |
United Setting Professional Modifier None (both parts) Typical Low $109.65 Median $181.97 Typical High $281.84 | Professional | None (both parts) | $109.65 | $181.97 | $281.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $51.29 Typical High $85.11 | Professional | 26 · Professional part | $30.90 | $51.29 | $85.11 |
United Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $131.83 Typical High $204.17 | Professional | TC · Technical part | $77.62 | $131.83 | $204.17 |
1 more rate 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 FX · Film X-ray Typical Low $112.20 Median $120.23 Typical High $120.23 | Professional | FX · Film X-ray | $112.20 | $120.23 | $120.23 |
Where Virginia sits
The same service costs 5.2 times more in Alaska than in New York. 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· 37th of 51
$151
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.