How much rates vary
Facilitymedian $120 · 10th to 90th $43 to $447Professionalmedian $145 · 10th to 90th $71 to $209
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 $97.72 Median $131.83 Typical High $213.80 | Facility | None | $97.72 | $131.83 | $213.80 |
Aetna Setting Professional Modifier None (both parts) Typical Low $67.61 Median $128.82 Typical High $204.17 | Professional | None (both parts) | $67.61 | $128.82 | $204.17 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $35.48 Typical High $66.07 | Professional | 26 · Professional part | $35.48 | $35.48 | $66.07 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $85.11 Typical High $128.82 | Professional | TC · Technical part | $20.42 | $85.11 | $128.82 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $125.89 Median $154.88 Typical High $199.53 | Professional | None (both parts) | $125.89 | $154.88 | $199.53 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $43.65 Typical High $56.23 | Professional | 26 · Professional part | $36.31 | $43.65 | $56.23 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $109.65 Typical High $141.25 | Professional | TC · Technical part | $91.20 | $109.65 | $141.25 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $42.66 Median $112.20 Typical High $154.88 | Professional | None (both parts) | $42.66 | $112.20 | $154.88 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $38.90 Typical High $53.70 | Professional | 26 · Professional part | $38.90 | $38.90 | $53.70 |
Cigna Setting Facility Modifier None Typical Low $31.62 Median $436.52 Typical High $724.44 | Facility | None | $31.62 | $436.52 | $724.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $69.18 Median $134.90 Typical High $223.87 | Professional | None (both parts) | $69.18 | $134.90 | $223.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $52.48 Typical High $85.11 | Professional | 26 · Professional part | $34.67 | $52.48 | $85.11 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $89.13 Typical High $154.88 | Professional | TC · Technical part | $19.95 | $89.13 | $154.88 |
Kaiser Permanente Setting Professional Modifier None Typical Low $138.04 Median $177.83 Typical High $199.53 | Professional | None | $138.04 | $177.83 | $199.53 |
Medcost Setting Professional Modifier None Typical Low $147.91 Median $165.96 Typical High $186.21 | Professional | None | $147.91 | $165.96 | $186.21 |
Medcost Setting Facility Modifier None Typical Low $97.72 Median $97.72 Typical High $199.53 | Facility | None | $97.72 | $97.72 | $199.53 |
Medcost Setting Professional Modifier None (both parts) Typical Low $89.13 Median $89.13 Typical High $128.82 | Professional | None (both parts) | $89.13 | $89.13 | $128.82 |
Sentara Setting Facility Modifier None Typical Low $42.66 Median $112.20 Typical High $407.38 | Facility | None | $42.66 | $112.20 | $407.38 |
Sentara Setting Professional Modifier None (both parts) Typical Low $46.77 Median $120.23 Typical High $281.84 | Professional | None (both parts) | $46.77 | $120.23 | $281.84 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $54.95 Typical High $95.50 | Professional | 26 · Professional part | $42.66 | $54.95 | $95.50 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $10.72 Median $91.20 Typical High $194.98 | Professional | TC · Technical part | $10.72 | $91.20 | $194.98 |
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 $61.66 Median $147.91 Typical High $204.17 | Professional | None (both parts) | $61.66 | $147.91 | $204.17 |
United Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $53.70 Typical High $74.13 | Professional | 26 · Professional part | $32.36 | $53.70 | $74.13 |
United Setting Professional Modifier TC · Technical part Typical Low $14.45 Median $97.72 Typical High $134.90 | Professional | TC · Technical part | $14.45 | $97.72 | $134.90 |
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 $48.98 Median $51.29 Typical High $66.07 | Professional | 52 · Reduced service | $48.98 | $51.29 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $20.89 Typical High $26.30 | Professional | 53 · Discontinued | $19.50 | $20.89 | $26.30 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $79.43 Median $79.43 Typical High $104.71 | Professional | FX · Film X-ray | $79.43 | $79.43 | $104.71 |
Where Virginia sits
The same service costs 6.9 times more in Alaska than in Michigan. 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· 31st of 51
$145
AK $525MI $75.86
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.