How much rates vary
Facilitymedian $427 · 10th to 90th $186 to $1,905Professionalmedian $447 · 10th to 90th $302 to $661
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 $363.08 Median $363.08 Typical High $398.11 | Facility | None | $363.08 | $363.08 | $398.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $363.08 Median $371.54 Typical High $501.19 | Professional | None (both parts) | $363.08 | $371.54 | $501.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $177.83 Median $181.97 Typical High $199.53 | Professional | 26 · Professional part | $177.83 | $181.97 | $199.53 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $181.97 Typical High $229.09 | Professional | TC · Technical part | $177.83 | $181.97 | $229.09 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,348.96 Median $1,698.24 Typical High $2,238.72 | Facility | None | $1,348.96 | $1,698.24 | $2,238.72 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $389.05 Median $467.74 Typical High $602.56 | Professional | None (both parts) | $389.05 | $467.74 | $602.56 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $186.21 Median $223.87 Typical High $288.40 | Professional | 26 · Professional part | $186.21 | $223.87 | $288.40 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $245.47 Typical High $316.23 | Professional | TC · Technical part | $204.17 | $245.47 | $316.23 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $257.04 Median $416.87 Typical High $478.63 | Professional | None (both parts) | $257.04 | $416.87 | $478.63 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $199.53 Median $204.17 Typical High $218.78 | Professional | 26 · Professional part | $199.53 | $204.17 | $218.78 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $234.42 Typical High $234.42 | Professional | TC · Technical part | $234.42 | $234.42 | $234.42 |
Cigna Setting Facility Modifier None Typical Low $426.58 Median $1,096.48 Typical High $1,905.46 | Facility | None | $426.58 | $1,096.48 | $1,905.46 |
Cigna Setting Professional Modifier None (both parts) Typical Low $316.23 Median $426.58 Typical High $758.58 | Professional | None (both parts) | $316.23 | $426.58 | $758.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $165.96 Median $245.47 Typical High $380.19 | Professional | 26 · Professional part | $165.96 | $245.47 | $380.19 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $218.78 Typical High $389.05 | Professional | TC · Technical part | $158.49 | $218.78 | $389.05 |
Kaiser Permanente Setting Professional Modifier None Typical Low $416.87 Median $537.03 Typical High $616.60 | Professional | None | $416.87 | $537.03 | $616.60 |
Medcost Setting Professional Modifier None Typical Low $380.19 Median $407.38 Typical High $478.63 | Professional | None | $380.19 | $407.38 | $478.63 |
Medcost Setting Facility Modifier None Typical Low $501.19 Median $501.19 Typical High $724.44 | Facility | None | $501.19 | $501.19 | $724.44 |
Medcost Setting Professional Modifier None (both parts) Typical Low $389.05 Median $389.05 Typical High $501.19 | Professional | None (both parts) | $389.05 | $389.05 | $501.19 |
Sentara Setting Facility Modifier None Typical Low $169.82 Median $331.13 Typical High $1,047.13 | Facility | None | $169.82 | $331.13 | $1,047.13 |
Sentara Setting Professional Modifier None (both parts) Typical Low $199.53 Median $389.05 Typical High $831.76 | Professional | None (both parts) | $199.53 | $389.05 | $831.76 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $204.17 Median $281.84 Typical High $467.74 | Professional | 26 · Professional part | $204.17 | $281.84 | $467.74 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $275.42 Typical High $467.74 | Professional | TC · Technical part | $186.21 | $275.42 | $467.74 |
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 $512.86 Typical High $691.83 | Professional | None (both parts) | $302.00 | $512.86 | $691.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $162.18 Median $275.42 Typical High $354.81 | Professional | 26 · Professional part | $162.18 | $275.42 | $354.81 |
United Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $245.47 Typical High $346.74 | Professional | TC · Technical part | $125.89 | $245.47 | $346.74 |
4 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 $177.83 Median $177.83 Typical High $213.80 | Professional | 52 · Reduced service | $177.83 | $177.83 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $72.44 Median $72.44 Typical High $85.11 | Professional | 53 · Discontinued | $72.44 | $72.44 | $85.11 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $251.19 Median $251.19 Typical High $302.00 | Professional | 78 · Unplanned return to OR | $251.19 | $251.19 | $302.00 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $288.40 Median $288.40 Typical High $316.23 | Professional | FX · Film X-ray | $288.40 | $288.40 | $316.23 |
Where Virginia sits
The same service costs 5.6 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· 37th of 51
$447
AK $1,698FL $302
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.