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 $436.52 Median $707.95 Typical High $812.83 | Facility | None | $436.52 | $707.95 | $812.83 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $74.13 Median $120.23 Typical High $147.91 | Facility | 26 · Professional part | $74.13 | $120.23 | $147.91 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $363.08 Median $575.44 Typical High $1,000.00 | Facility | TC · Technical part | $363.08 | $575.44 | $1,000.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $436.52 Median $537.03 Typical High $954.99 | Professional | None (both parts) | $436.52 | $537.03 | $954.99 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $79.43 Typical High $147.91 | Professional | 26 · Professional part | $74.13 | $79.43 | $147.91 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $363.08 Median $446.68 Typical High $776.25 | Professional | TC · Technical part | $363.08 | $446.68 | $776.25 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $416.87 Median $512.86 Typical High $676.08 | Professional | None (both parts) | $416.87 | $512.86 | $676.08 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $91.20 Typical High $120.23 | Professional | 26 · Professional part | $75.86 | $91.20 | $120.23 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $416.87 Typical High $524.81 | Professional | TC · Technical part | $338.84 | $416.87 | $524.81 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $131.83 Median $457.09 Typical High $588.84 | Professional | None (both parts) | $131.83 | $457.09 | $588.84 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $89.13 Typical High $100.00 | Professional | 26 · Professional part | $79.43 | $89.13 | $100.00 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $371.54 Median $416.87 Typical High $489.78 | Professional | TC · Technical part | $371.54 | $416.87 | $489.78 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $1,202.26 Typical High $2,041.74 | Facility | None | $741.31 | $1,202.26 | $2,041.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $354.81 Median $524.81 Typical High $933.25 | Professional | None (both parts) | $354.81 | $524.81 | $933.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $102.33 Typical High $162.18 | Professional | 26 · Professional part | $69.18 | $102.33 | $162.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $426.58 Typical High $776.25 | Professional | TC · Technical part | $295.12 | $426.58 | $776.25 |
Kaiser Permanente Setting Professional Modifier None Typical Low $436.52 Median $616.60 Typical High $3,630.78 | Professional | None | $436.52 | $616.60 | $3,630.78 |
Medcost Setting Professional Modifier None Typical Low $416.87 Median $467.74 Typical High $562.34 | Professional | None | $416.87 | $467.74 | $562.34 |
Medcost Setting Facility Modifier None Typical Low $691.83 Median $691.83 Typical High $912.01 | Facility | None | $691.83 | $691.83 | $912.01 |
Medcost Setting Professional Modifier None (both parts) Typical Low $416.87 Median $416.87 Typical High $691.83 | Professional | None (both parts) | $416.87 | $416.87 | $691.83 |
Sentara Setting Facility Modifier None Typical Low $93.33 Median $501.19 Typical High $2,041.74 | Facility | None | $93.33 | $501.19 | $2,041.74 |
Sentara Setting Professional Modifier None (both parts) Typical Low $107.15 Median $575.44 Typical High $1,949.84 | Professional | None (both parts) | $107.15 | $575.44 | $1,949.84 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $114.82 Typical High $190.55 | Professional | 26 · Professional part | $83.18 | $114.82 | $190.55 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $354.81 Median $575.44 Typical High $1,000.00 | Professional | TC · Technical part | $354.81 | $575.44 | $1,000.00 |
United Setting Facility Modifier None Typical Low $707.95 Median $776.25 Typical High $1,737.80 | Facility | None | $707.95 | $776.25 | $1,737.80 |
United Setting Professional Modifier None (both parts) Typical Low $380.19 Median $645.65 Typical High $870.96 | Professional | None (both parts) | $380.19 | $645.65 | $870.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $112.20 Typical High $144.54 | Professional | 26 · Professional part | $67.61 | $112.20 | $144.54 |
United Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $549.54 Typical High $741.31 | Professional | TC · Technical part | $309.03 | $549.54 | $741.31 |
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 $218.78 Median $229.09 Typical High $269.15 | Professional | 52 · Reduced service | $218.78 | $229.09 | $269.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $87.10 Median $91.20 Typical High $107.15 | Professional | 53 · Discontinued | $87.10 | $91.20 | $107.15 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $354.81 Median $363.08 Typical High $363.08 | Professional | FX · Film X-ray | $354.81 | $363.08 | $363.08 |
Where Virginia sits
The same service costs 4.6 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· 35th of 51
$525
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.