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 $616.60 Median $616.60 Typical High $676.08 | Facility | None | $616.60 | $616.60 | $676.08 |
Aetna Setting Professional Modifier None (both parts) Typical Low $616.60 Median $616.60 Typical High $776.25 | Professional | None (both parts) | $616.60 | $616.60 | $776.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $61.66 Typical High $70.79 | Professional | 26 · Professional part | $61.66 | $61.66 | $70.79 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $562.34 Median $562.34 Typical High $758.58 | Professional | TC · Technical part | $562.34 | $562.34 | $758.58 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $645.65 Median $758.58 Typical High $977.24 | Professional | None (both parts) | $645.65 | $758.58 | $977.24 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $77.62 Typical High $100.00 | Professional | 26 · Professional part | $64.57 | $77.62 | $100.00 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $575.44 Median $691.83 Typical High $870.96 | Professional | TC · Technical part | $575.44 | $691.83 | $870.96 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $74.13 Median $691.83 Typical High $870.96 | Professional | None (both parts) | $74.13 | $691.83 | $870.96 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $67.61 Typical High $87.10 | Professional | 26 · Professional part | $67.61 | $67.61 | $87.10 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $630.96 Median $691.83 Typical High $691.83 | Professional | TC · Technical part | $630.96 | $691.83 | $691.83 |
Cigna Setting Facility Modifier None Typical Low $1,258.93 Median $1,621.81 Typical High $2,454.71 | Facility | None | $1,258.93 | $1,621.81 | $2,454.71 |
Cigna Setting Professional Modifier None (both parts) Typical Low $316.23 Median $676.08 Typical High $1,412.54 | Professional | None (both parts) | $316.23 | $676.08 | $1,412.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $97.72 Typical High $158.49 | Professional | 26 · Professional part | $58.88 | $97.72 | $158.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $602.56 Typical High $1,288.25 | Professional | TC · Technical part | $239.88 | $602.56 | $1,288.25 |
Kaiser Permanente Setting Professional Modifier None Typical Low $676.08 Median $870.96 Typical High $977.24 | Professional | None | $676.08 | $870.96 | $977.24 |
Medcost Setting Professional Modifier None Typical Low $281.84 Median $630.96 Typical High $891.25 | Professional | None | $281.84 | $630.96 | $891.25 |
Medcost Setting Facility Modifier None Typical Low $870.96 Median $870.96 Typical High $1,258.93 | Facility | None | $870.96 | $870.96 | $1,258.93 |
Medcost Setting Professional Modifier None (both parts) Typical Low $645.65 Median $645.65 Typical High $870.96 | Professional | None (both parts) | $645.65 | $645.65 | $870.96 |
Sentara Setting Facility Modifier None Typical Low $79.43 Median $588.84 Typical High $2,754.23 | Facility | None | $79.43 | $588.84 | $2,754.23 |
Sentara Setting Professional Modifier None (both parts) Typical Low $93.33 Median $851.14 Typical High $1,621.81 | Professional | None (both parts) | $93.33 | $851.14 | $1,621.81 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $100.00 Typical High $169.82 | Professional | 26 · Professional part | $79.43 | $100.00 | $169.82 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $436.52 Median $977.24 Typical High $1,698.24 | Professional | TC · Technical part | $436.52 | $977.24 | $1,698.24 |
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 $302.00 Median $831.76 Typical High $1,479.11 | Professional | None (both parts) | $302.00 | $831.76 | $1,479.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $95.50 Typical High $131.83 | Professional | 26 · Professional part | $56.23 | $95.50 | $131.83 |
United Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $741.31 Typical High $1,380.38 | Professional | TC · Technical part | $186.21 | $741.31 | $1,380.38 |
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 $309.03 Median $309.03 Typical High $426.58 | Professional | 52 · Reduced service | $309.03 | $309.03 | $426.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $123.03 Median $123.03 Typical High $169.82 | Professional | 53 · Discontinued | $123.03 | $123.03 | $169.82 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $501.19 Median $501.19 Typical High $537.03 | Professional | FX · Film X-ray | $501.19 | $501.19 | $537.03 |
Where Virginia sits
The same service costs 5.1 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· 37th of 51
$741
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.