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 $467.74 Median $467.74 Typical High $630.96 | Facility | None | $467.74 | $467.74 | $630.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $467.74 Median $489.78 Typical High $630.96 | Professional | None (both parts) | $467.74 | $489.78 | $630.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $77.62 Typical High $83.18 | Professional | 26 · Professional part | $74.13 | $77.62 | $83.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $389.05 Median $416.87 Typical High $562.34 | Professional | TC · Technical part | $389.05 | $416.87 | $562.34 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $588.84 Median $707.95 Typical High $912.01 | Professional | None (both parts) | $588.84 | $707.95 | $912.01 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $91.20 Typical High $117.49 | Professional | 26 · Professional part | $77.62 | $91.20 | $117.49 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $512.86 Median $616.60 Typical High $794.33 | Professional | TC · Technical part | $512.86 | $616.60 | $794.33 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $79.43 Median $645.65 Typical High $812.83 | Professional | None (both parts) | $79.43 | $645.65 | $812.83 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $89.13 Typical High $100.00 | Professional | 26 · Professional part | $75.86 | $89.13 | $100.00 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $575.44 Median $575.44 Typical High $630.96 | Professional | TC · Technical part | $575.44 | $575.44 | $630.96 |
Cigna Setting Facility Modifier None Typical Low $1,122.02 Median $1,548.82 Typical High $2,137.96 | Facility | None | $1,122.02 | $1,548.82 | $2,137.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $316.23 Median $575.44 Typical High $1,148.15 | Professional | None (both parts) | $316.23 | $575.44 | $1,148.15 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $104.71 Typical High $162.18 | Professional | 26 · Professional part | $69.18 | $104.71 | $162.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $501.19 Typical High $977.24 | Professional | TC · Technical part | $223.87 | $501.19 | $977.24 |
Kaiser Permanente Setting Professional Modifier None Typical Low $724.44 Median $933.25 Typical High $1,071.52 | Professional | None | $724.44 | $933.25 | $1,071.52 |
Medcost Setting Professional Modifier None Typical Low $281.84 Median $407.38 Typical High $512.86 | Professional | None | $281.84 | $407.38 | $512.86 |
Medcost Setting Facility Modifier None Typical Low $537.03 Median $537.03 Typical High $933.25 | Facility | None | $537.03 | $537.03 | $933.25 |
Medcost Setting Professional Modifier None (both parts) Typical Low $575.44 Median $575.44 Typical High $588.84 | Professional | None (both parts) | $575.44 | $575.44 | $588.84 |
Sentara Setting Facility Modifier None Typical Low $95.50 Median $446.68 Typical High $1,737.80 | Facility | None | $95.50 | $446.68 | $1,737.80 |
Sentara Setting Professional Modifier None (both parts) Typical Low $107.15 Median $524.81 Typical High $1,348.96 | Professional | None (both parts) | $107.15 | $524.81 | $1,348.96 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $114.82 Typical High $194.98 | Professional | 26 · Professional part | $81.28 | $114.82 | $194.98 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $588.84 Typical High $1,230.27 | Professional | TC · Technical part | $302.00 | $588.84 | $1,230.27 |
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 $275.42 Median $588.84 Typical High $1,023.29 | Professional | None (both parts) | $275.42 | $588.84 | $1,023.29 |
United Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $114.82 Typical High $151.36 | Professional | 26 · Professional part | $67.61 | $114.82 | $151.36 |
United Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $501.19 Typical High $891.25 | Professional | TC · Technical part | $173.78 | $501.19 | $891.25 |
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 $234.42 Median $245.47 Typical High $323.59 | Professional | 52 · Reduced service | $234.42 | $245.47 | $323.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $93.33 Median $97.72 Typical High $128.82 | Professional | 53 · Discontinued | $93.33 | $97.72 | $128.82 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $371.54 Median $389.05 Typical High $501.19 | Professional | FX · Film X-ray | $371.54 | $389.05 | $501.19 |
Where Virginia sits
The same service costs 6.0 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· 31st of 51
$676
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.