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 $120.23 Median $218.78 Typical High $812.83 | Facility | None | $120.23 | $218.78 | $812.83 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $95.50 Median $162.18 Typical High $194.98 | Facility | 26 · Professional part | $95.50 | $162.18 | $194.98 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $22.91 Median $63.10 Typical High $616.60 | Facility | TC · Technical part | $22.91 | $63.10 | $616.60 |
Aetna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $177.83 Typical High $380.19 | Professional | None (both parts) | $120.23 | $177.83 | $380.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $120.23 Typical High $194.98 | Professional | 26 · Professional part | $95.50 | $120.23 | $194.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $36.31 Typical High $151.36 | Professional | TC · Technical part | $22.91 | $36.31 | $151.36 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $131.83 Median $158.49 Typical High $213.80 | Professional | None (both parts) | $131.83 | $158.49 | $213.80 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $117.49 Typical High $154.88 | Professional | 26 · Professional part | $100.00 | $117.49 | $154.88 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $40.74 Typical High $53.70 | Professional | TC · Technical part | $33.88 | $40.74 | $53.70 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $144.54 Median $162.18 Typical High $588.84 | Professional | None (both parts) | $144.54 | $162.18 | $588.84 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $114.82 Typical High $144.54 | Professional | 26 · Professional part | $104.71 | $114.82 | $144.54 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $44.67 Typical High $53.70 | Professional | TC · Technical part | $40.74 | $44.67 | $53.70 |
Cigna Setting Facility Modifier None Typical Low $72.44 Median $194.98 Typical High $1,905.46 | Facility | None | $72.44 | $194.98 | $1,905.46 |
Cigna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $213.80 Typical High $602.56 | Professional | None (both parts) | $128.82 | $213.80 | $602.56 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $134.90 Typical High $213.80 | Professional | 26 · Professional part | $91.20 | $134.90 | $213.80 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $52.48 Typical High $457.09 | Professional | TC · Technical part | $33.11 | $52.48 | $457.09 |
Kaiser Permanente Setting Professional Modifier None Typical Low $144.54 Median $181.97 Typical High $204.17 | Professional | None | $144.54 | $181.97 | $204.17 |
Medcost Setting Professional Modifier None Typical Low $676.08 Median $758.58 Typical High $851.14 | Professional | None | $676.08 | $758.58 | $851.14 |
Medcost Setting Facility Modifier None Typical Low $239.88 Median $363.08 Typical High $363.08 | Facility | None | $239.88 | $363.08 | $363.08 |
Medcost Setting Professional Modifier None (both parts) Typical Low $131.83 Median $131.83 Typical High $309.03 | Professional | None (both parts) | $131.83 | $131.83 | $309.03 |
Sentara Setting Facility Modifier None Typical Low $47.86 Median $186.21 Typical High $3,548.13 | Facility | None | $47.86 | $186.21 | $3,548.13 |
Sentara Setting Professional Modifier None (both parts) Typical Low $58.88 Median $204.17 Typical High $2,238.72 | Professional | None (both parts) | $58.88 | $204.17 | $2,238.72 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $147.91 Typical High $245.47 | Professional | 26 · Professional part | $107.15 | $147.91 | $245.47 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $60.26 Typical High $223.87 | Professional | TC · Technical part | $33.11 | $60.26 | $223.87 |
United Setting Facility Modifier None Typical Low $1,047.13 Median $1,148.15 Typical High $2,570.40 | Facility | None | $1,047.13 | $1,148.15 | $2,570.40 |
United Setting Professional Modifier None (both parts) Typical Low $131.83 Median $218.78 Typical High $741.31 | Professional | None (both parts) | $131.83 | $218.78 | $741.31 |
United Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $144.54 Typical High $190.55 | Professional | 26 · Professional part | $89.13 | $144.54 | $190.55 |
United Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $54.95 Typical High $588.84 | Professional | TC · Technical part | $25.12 | $54.95 | $588.84 |
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 $60.26 Median $60.26 Typical High $83.18 | Professional | 52 · Reduced service | $60.26 | $60.26 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $23.99 Typical High $33.11 | Professional | 53 · Discontinued | $23.99 | $23.99 | $33.11 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $95.50 Median $95.50 Typical High $102.33 | Professional | FX · Film X-ray | $95.50 | $95.50 | $102.33 |
Where Virginia sits
The same service costs 5.1 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· 44th of 51
$166
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.