How much rates vary
Facilitymedian $65 · 10th to 90th $13 to $282Professionalmedian $44 · 10th to 90th $32 to $105
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 $35.48 Median $54.95 Typical High $147.91 | Facility | None | $35.48 | $54.95 | $147.91 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $8.32 Median $12.02 Typical High $19.50 | Facility | 26 · Professional part | $8.32 | $12.02 | $19.50 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $26.92 Median $52.48 Typical High $131.83 | Facility | TC · Technical part | $26.92 | $52.48 | $131.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $33.88 Median $36.31 Typical High $104.71 | Professional | None (both parts) | $33.88 | $36.31 | $104.71 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $8.91 Typical High $16.98 | Professional | 26 · Professional part | $8.32 | $8.91 | $16.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $28.18 Typical High $87.10 | Professional | TC · Technical part | $25.70 | $28.18 | $87.10 |
Anthem BCBS Setting Facility Modifier None Typical Low $125.89 Median $158.49 Typical High $208.93 | Facility | None | $125.89 | $158.49 | $208.93 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $35.48 Median $42.66 Typical High $60.26 | Professional | None (both parts) | $35.48 | $42.66 | $60.26 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $10.47 Typical High $13.18 | Professional | 26 · Professional part | $8.71 | $10.47 | $13.18 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $34.67 Typical High $48.98 | Professional | TC · Technical part | $27.54 | $34.67 | $48.98 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $30.90 Median $39.81 Typical High $52.48 | Professional | None (both parts) | $30.90 | $39.81 | $52.48 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $10.00 Typical High $10.47 | Professional | 26 · Professional part | $8.91 | $10.00 | $10.47 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $43.65 Typical High $57.54 | Professional | TC · Technical part | $33.88 | $43.65 | $57.54 |
Cigna Setting Facility Modifier None Typical Low $70.79 Median $158.49 Typical High $776.25 | Facility | None | $70.79 | $158.49 | $776.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $28.18 Median $48.98 Typical High $144.54 | Professional | None (both parts) | $28.18 | $48.98 | $144.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $10.23 Typical High $18.62 | Professional | 26 · Professional part | $6.76 | $10.23 | $18.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $37.15 Typical High $125.89 | Professional | TC · Technical part | $21.38 | $37.15 | $125.89 |
Kaiser Permanente Setting Professional Modifier None Typical Low $38.90 Median $45.71 Typical High $57.54 | Professional | None | $38.90 | $45.71 | $57.54 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $10.23 Typical High $12.88 | Professional | 26 · Professional part | $9.12 | $10.23 | $12.88 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $35.48 Typical High $44.67 | Professional | TC · Technical part | $29.51 | $35.48 | $44.67 |
Medcost Setting Professional Modifier None Typical Low $61.66 Median $104.71 Typical High $104.71 | Professional | None | $61.66 | $104.71 | $104.71 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $25.70 Typical High $29.51 | Professional | 26 · Professional part | $14.13 | $25.70 | $29.51 |
Medcost Setting Facility Modifier None Typical Low $72.44 Median $97.72 Typical High $97.72 | Facility | None | $72.44 | $97.72 | $97.72 |
Medcost Setting Professional Modifier None (both parts) Typical Low $35.48 Median $114.82 Typical High $114.82 | Professional | None (both parts) | $35.48 | $114.82 | $114.82 |
Sentara Setting Facility Modifier None Typical Low $10.72 Median $45.71 Typical High $194.98 | Facility | None | $10.72 | $45.71 | $194.98 |
Sentara Setting Professional Modifier None (both parts) Typical Low $12.59 Median $66.07 Typical High $128.82 | Professional | None (both parts) | $12.59 | $66.07 | $128.82 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $12.59 Typical High $21.88 | Professional | 26 · Professional part | $10.00 | $12.59 | $21.88 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $69.18 Typical High $123.03 | Professional | TC · Technical part | $31.62 | $69.18 | $123.03 |
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 $31.62 Median $54.95 Typical High $147.91 | Professional | None (both parts) | $31.62 | $54.95 | $147.91 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $11.75 Typical High $18.20 | Professional | 26 · Professional part | $7.24 | $11.75 | $18.20 |
United Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $44.67 Typical High $131.83 | Professional | TC · Technical part | $23.99 | $44.67 | $131.83 |
2 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 FX · Film X-ray Typical Low $26.92 Median $28.84 Typical High $29.51 | Professional | FX · Film X-ray | $26.92 | $28.84 | $29.51 |
Medcost Setting Professional Modifier 27 · Multiple hospital visits Typical Low $46.77 Median $81.28 Typical High $93.33 | Professional | 27 · Multiple hospital visits | $46.77 | $81.28 | $93.33 |
Where Virginia sits
The same service costs 4.2 times more in Vermont 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· 44th of 51
$43.65
VT $135FL $32.36
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.