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 $60.26 Median $104.71 Typical High $144.54 | Facility | None | $60.26 | $104.71 | $144.54 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $29.51 Median $47.86 Typical High $57.54 | Facility | 26 · Professional part | $29.51 | $47.86 | $57.54 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $30.20 Median $58.88 Typical High $114.82 | Facility | TC · Technical part | $30.20 | $58.88 | $114.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $60.26 Median $74.13 Typical High $144.54 | Professional | None (both parts) | $60.26 | $74.13 | $144.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $36.31 Typical High $57.54 | Professional | 26 · Professional part | $29.51 | $36.31 | $57.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $39.81 Typical High $72.44 | Professional | TC · Technical part | $30.20 | $39.81 | $72.44 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $50.12 Median $70.79 Typical High $97.72 | Professional | None (both parts) | $50.12 | $70.79 | $97.72 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $36.31 Typical High $52.48 | Professional | 26 · Professional part | $30.20 | $36.31 | $52.48 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $38.02 Typical High $52.48 | Professional | TC · Technical part | $31.62 | $38.02 | $52.48 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $50.12 Median $75.86 Typical High $97.72 | Professional | None (both parts) | $50.12 | $75.86 | $97.72 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $35.48 Typical High $41.69 | Professional | 26 · Professional part | $31.62 | $35.48 | $41.69 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $39.81 Typical High $44.67 | Professional | TC · Technical part | $35.48 | $39.81 | $44.67 |
Cigna Setting Facility Modifier None Typical Low $69.18 Median $181.97 Typical High $436.52 | Facility | None | $69.18 | $181.97 | $436.52 |
Cigna Setting Professional Modifier None (both parts) Typical Low $57.54 Median $91.20 Typical High $141.25 | Professional | None (both parts) | $57.54 | $91.20 | $141.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $40.74 Typical High $64.57 | Professional | 26 · Professional part | $27.54 | $40.74 | $64.57 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $50.12 Typical High $75.86 | Professional | TC · Technical part | $31.62 | $50.12 | $75.86 |
Kaiser Permanente Setting Professional Modifier None Typical Low $66.07 Median $85.11 Typical High $95.50 | Professional | None | $66.07 | $85.11 | $95.50 |
Medcost Setting Professional Modifier None Typical Low $107.15 Median $120.23 Typical High $134.90 | Professional | None | $107.15 | $120.23 | $134.90 |
Medcost Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $120.23 | Facility | None | $100.00 | $100.00 | $120.23 |
Medcost Setting Professional Modifier None (both parts) Typical Low $61.66 Median $61.66 Typical High $97.72 | Professional | None (both parts) | $61.66 | $61.66 | $97.72 |
Sentara Setting Facility Modifier None Typical Low $31.62 Median $74.13 Typical High $2,041.74 | Facility | None | $31.62 | $74.13 | $2,041.74 |
Sentara Setting Professional Modifier None (both parts) Typical Low $36.31 Median $81.28 Typical High $338.84 | Professional | None (both parts) | $36.31 | $81.28 | $338.84 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $45.71 Typical High $75.86 | Professional | 26 · Professional part | $33.11 | $45.71 | $75.86 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $48.98 Typical High $81.28 | Professional | TC · Technical part | $40.74 | $48.98 | $81.28 |
United Setting Facility Modifier None Typical Low $251.19 Median $281.84 Typical High $616.60 | Facility | None | $251.19 | $281.84 | $616.60 |
United Setting Professional Modifier None (both parts) Typical Low $53.70 Median $93.33 Typical High $141.25 | Professional | None (both parts) | $53.70 | $93.33 | $141.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $43.65 Typical High $57.54 | Professional | 26 · Professional part | $26.92 | $43.65 | $57.54 |
United Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $50.12 Typical High $79.43 | Professional | TC · Technical part | $30.20 | $50.12 | $79.43 |
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 $30.20 Median $30.90 Typical High $35.48 | Professional | 52 · Reduced service | $30.20 | $30.90 | $35.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.02 Median $12.30 Typical High $14.13 | Professional | 53 · Discontinued | $12.02 | $12.30 | $14.13 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $47.86 Median $47.86 Typical High $50.12 | Professional | FX · Film X-ray | $47.86 | $47.86 | $50.12 |
Where Virginia sits
The same service costs 4.7 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· 36th of 51
$77.62
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.