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 $954.99 Median $954.99 Typical High $1,047.13 | Facility | None | $954.99 | $954.99 | $1,047.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $954.99 Median $954.99 Typical High $1,096.48 | Professional | None (both parts) | $954.99 | $954.99 | $1,096.48 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $87.10 Typical High $95.50 | Professional | 26 · Professional part | $87.10 | $87.10 | $95.50 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $870.96 Median $870.96 Typical High $1,023.29 | Professional | TC · Technical part | $870.96 | $870.96 | $1,023.29 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $1,000.00 Median $1,202.26 Typical High $1,548.82 | Professional | None (both parts) | $1,000.00 | $1,202.26 | $1,548.82 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $107.15 Typical High $138.04 | Professional | 26 · Professional part | $91.20 | $107.15 | $138.04 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $912.01 Median $1,096.48 Typical High $1,380.38 | Professional | TC · Technical part | $912.01 | $1,096.48 | $1,380.38 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $93.33 Median $1,047.13 Typical High $1,258.93 | Professional | None (both parts) | $93.33 | $1,047.13 | $1,258.93 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $1,000.00 Median $1,071.52 Typical High $1,122.02 | Professional | TC · Technical part | $1,000.00 | $1,071.52 | $1,122.02 |
Cigna Setting Facility Modifier None Typical Low $1,819.70 Median $1,995.26 Typical High $3,890.45 | Facility | None | $1,819.70 | $1,995.26 | $3,890.45 |
Cigna Setting Professional Modifier None (both parts) Typical Low $446.68 Median $1,071.52 Typical High $1,995.26 | Professional | None (both parts) | $446.68 | $1,071.52 | $1,995.26 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $131.83 Typical High $213.80 | Professional | 26 · Professional part | $83.18 | $131.83 | $213.80 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $346.74 Median $954.99 Typical High $1,819.70 | Professional | TC · Technical part | $346.74 | $954.99 | $1,819.70 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,071.52 Median $1,380.38 Typical High $1,548.82 | Professional | None | $1,071.52 | $1,380.38 | $1,548.82 |
Medcost Setting Professional Modifier None Typical Low $371.54 Median $891.25 Typical High $1,096.48 | Professional | None | $371.54 | $891.25 | $1,096.48 |
Medcost Setting Facility Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,905.46 | Facility | None | $1,230.27 | $1,230.27 | $1,905.46 |
Medcost Setting Professional Modifier None (both parts) Typical Low $1,000.00 Median $1,000.00 Typical High $1,258.93 | Professional | None (both parts) | $1,000.00 | $1,000.00 | $1,258.93 |
Sentara Setting Facility Modifier None Typical Low $109.65 Median $912.01 Typical High $3,890.45 | Facility | None | $109.65 | $912.01 | $3,890.45 |
Sentara Setting Professional Modifier None (both parts) Typical Low $128.82 Median $1,122.02 Typical High $2,398.83 | Professional | None (both parts) | $128.82 | $1,122.02 | $2,398.83 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $138.04 Typical High $239.88 | Professional | 26 · Professional part | $104.71 | $138.04 | $239.88 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $676.08 Median $1,288.25 Typical High $2,290.87 | Professional | TC · Technical part | $676.08 | $1,288.25 | $2,290.87 |
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 $398.11 Median $1,288.25 Typical High $1,778.28 | Professional | None (both parts) | $398.11 | $1,288.25 | $1,778.28 |
United Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $131.83 Typical High $181.97 | Professional | 26 · Professional part | $79.43 | $131.83 | $181.97 |
United Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $1,174.90 Typical High $1,621.81 | Professional | TC · Technical part | $251.19 | $1,174.90 | $1,621.81 |
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 $478.63 Median $478.63 Typical High $562.34 | Professional | 52 · Reduced service | $478.63 | $478.63 | $562.34 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $190.55 Median $190.55 Typical High $229.09 | Professional | 53 · Discontinued | $190.55 | $190.55 | $229.09 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $758.58 Median $758.58 Typical High $851.14 | Professional | FX · Film X-ray | $758.58 | $758.58 | $851.14 |
Where Virginia sits
The same service costs 5.5 times more in Alaska than in Indiana. 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· 30th of 51
$1,148
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.