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 $446.68 Median $776.25 Typical High $1,995.26 | Facility | None | $446.68 | $776.25 | $1,995.26 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $204.17 Median $346.74 Typical High $407.38 | Facility | 26 · Professional part | $204.17 | $346.74 | $407.38 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $239.88 Median $467.74 Typical High $1,584.89 | Facility | TC · Technical part | $239.88 | $467.74 | $1,584.89 |
Aetna Setting Professional Modifier None (both parts) Typical Low $446.68 Median $537.03 Typical High $912.01 | Professional | None (both parts) | $446.68 | $537.03 | $912.01 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $204.17 Median $218.78 Typical High $407.38 | Professional | 26 · Professional part | $204.17 | $218.78 | $407.38 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $295.12 Typical High $501.19 | Professional | TC · Technical part | $239.88 | $295.12 | $501.19 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $446.68 Median $537.03 Typical High $707.95 | Professional | None (both parts) | $446.68 | $537.03 | $707.95 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $208.93 Median $251.19 Typical High $331.13 | Professional | 26 · Professional part | $208.93 | $251.19 | $331.13 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $288.40 Typical High $380.19 | Professional | TC · Technical part | $239.88 | $288.40 | $380.19 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $245.47 Median $489.78 Typical High $870.96 | Professional | None (both parts) | $245.47 | $489.78 | $870.96 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $218.78 Median $218.78 Typical High $302.00 | Professional | 26 · Professional part | $218.78 | $218.78 | $302.00 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $302.00 Typical High $371.54 | Professional | TC · Technical part | $251.19 | $302.00 | $371.54 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $1,412.54 Typical High $4,466.84 | Facility | None | $524.81 | $1,412.54 | $4,466.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $416.87 Median $724.44 Typical High $1,479.11 | Professional | None (both parts) | $416.87 | $724.44 | $1,479.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $186.21 Median $288.40 Typical High $467.74 | Professional | 26 · Professional part | $186.21 | $288.40 | $467.74 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $389.05 Typical High $1,174.90 | Professional | TC · Technical part | $239.88 | $389.05 | $1,174.90 |
Kaiser Permanente Setting Professional Modifier None Typical Low $478.63 Median $616.60 Typical High $691.83 | Professional | None | $478.63 | $616.60 | $691.83 |
Medcost Setting Professional Modifier None Typical Low $1,659.59 Median $1,862.09 Typical High $2,041.74 | Professional | None | $1,659.59 | $1,862.09 | $2,041.74 |
Medcost Setting Facility Modifier None Typical Low $891.25 Median $954.99 Typical High $954.99 | Facility | None | $891.25 | $954.99 | $954.99 |
Medcost Setting Professional Modifier None (both parts) Typical Low $446.68 Median $446.68 Typical High $831.76 | Professional | None (both parts) | $446.68 | $446.68 | $831.76 |
Sentara Setting Facility Modifier None Typical Low $229.09 Median $602.56 Typical High $5,128.61 | Facility | None | $229.09 | $602.56 | $5,128.61 |
Sentara Setting Professional Modifier None (both parts) Typical Low $275.42 Median $645.65 Typical High $4,365.16 | Professional | None (both parts) | $275.42 | $645.65 | $4,365.16 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $229.09 Median $316.23 Typical High $524.81 | Professional | 26 · Professional part | $229.09 | $316.23 | $524.81 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $389.05 Typical High $1,023.29 | Professional | TC · Technical part | $302.00 | $389.05 | $1,023.29 |
United Setting Facility Modifier None Typical Low $2,630.27 Median $2,884.03 Typical High $6,456.54 | Facility | None | $2,630.27 | $2,884.03 | $6,456.54 |
United Setting Professional Modifier None (both parts) Typical Low $467.74 Median $724.44 Typical High $1,778.28 | Professional | None (both parts) | $467.74 | $724.44 | $1,778.28 |
United Setting Professional Modifier 26 · Professional part Typical Low $186.21 Median $309.03 Typical High $416.87 | Professional | 26 · Professional part | $186.21 | $309.03 | $416.87 |
United Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $398.11 Typical High $1,479.11 | Professional | TC · Technical part | $251.19 | $398.11 | $1,479.11 |
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 $223.87 Typical High $281.84 | Professional | 52 · Reduced service | $218.78 | $223.87 | $281.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $89.13 Median $89.13 Typical High $112.20 | Professional | 53 · Discontinued | $89.13 | $89.13 | $112.20 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $354.81 Median $354.81 Typical High $363.08 | Professional | FX · Film X-ray | $354.81 | $354.81 | $363.08 |
Where Virginia sits
The same service costs 4.9 times more in Alaska 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· 42nd of 51
$562
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.