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 $204.17 Median $204.17 Typical High $208.93 | Facility | None | $204.17 | $204.17 | $208.93 |
Aetna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $204.17 Typical High $208.93 | Professional | None (both parts) | $194.98 | $204.17 | $208.93 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $30.20 Typical High $30.90 | Professional | 26 · Professional part | $28.84 | $30.20 | $30.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $173.78 Typical High $181.97 | Professional | TC · Technical part | $162.18 | $173.78 | $181.97 |
Anthem BCBS Setting Facility Modifier None Typical Low $660.69 Median $831.76 Typical High $1,071.52 | Facility | None | $660.69 | $831.76 | $1,071.52 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $194.98 Median $239.88 Typical High $302.00 | Professional | None (both parts) | $194.98 | $239.88 | $302.00 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $35.48 Typical High $44.67 | Professional | 26 · Professional part | $29.51 | $35.48 | $44.67 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $204.17 Typical High $245.47 | Professional | TC · Technical part | $165.96 | $204.17 | $245.47 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $112.20 Median $213.80 Typical High $257.04 | Professional | None (both parts) | $112.20 | $213.80 | $257.04 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $33.88 Typical High $39.81 | Professional | 26 · Professional part | $30.20 | $33.88 | $39.81 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $186.21 Typical High $239.88 | Professional | TC · Technical part | $186.21 | $186.21 | $239.88 |
Cigna Setting Facility Modifier None Typical Low $371.54 Median $524.81 Typical High $1,096.48 | Facility | None | $371.54 | $524.81 | $1,096.48 |
Cigna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $208.93 Typical High $380.19 | Professional | None (both parts) | $162.18 | $208.93 | $380.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $44.67 Typical High $66.07 | Professional | 26 · Professional part | $26.30 | $44.67 | $66.07 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $177.83 Typical High $323.59 | Professional | TC · Technical part | $144.54 | $177.83 | $323.59 |
Kaiser Permanente Setting Professional Modifier None Typical Low $204.17 Median $263.03 Typical High $295.12 | Professional | None | $204.17 | $263.03 | $295.12 |
Medcost Setting Professional Modifier None Typical Low $169.82 Median $190.55 Typical High $229.09 | Professional | None | $169.82 | $190.55 | $229.09 |
Medcost Setting Facility Modifier None Typical Low $281.84 Median $281.84 Typical High $416.87 | Facility | None | $281.84 | $281.84 | $416.87 |
Medcost Setting Professional Modifier None (both parts) Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | None (both parts) | $199.53 | $199.53 | $199.53 |
Sentara Setting Facility Modifier None Typical Low $34.67 Median $213.80 Typical High $891.25 | Facility | None | $34.67 | $213.80 | $891.25 |
Sentara Setting Professional Modifier None (both parts) Typical Low $42.66 Median $251.19 Typical High $602.56 | Professional | None (both parts) | $42.66 | $251.19 | $602.56 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $44.67 Typical High $75.86 | Professional | 26 · Professional part | $33.88 | $44.67 | $75.86 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $263.03 Typical High $457.09 | Professional | TC · Technical part | $173.78 | $263.03 | $457.09 |
United Setting Facility Modifier None Typical Low $758.58 Median $831.76 Typical High $1,862.09 | Facility | None | $758.58 | $831.76 | $1,862.09 |
United Setting Professional Modifier None (both parts) Typical Low $181.97 Median $302.00 Typical High $416.87 | Professional | None (both parts) | $181.97 | $302.00 | $416.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $48.98 Typical High $67.61 | Professional | 26 · Professional part | $28.18 | $48.98 | $67.61 |
United Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $263.03 Typical High $354.81 | Professional | TC · Technical part | $134.90 | $263.03 | $354.81 |
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 $97.72 Median $102.33 Typical High $104.71 | Professional | 52 · Reduced service | $97.72 | $102.33 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $40.74 Typical High $41.69 | Professional | 53 · Discontinued | $38.90 | $40.74 | $41.69 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $162.18 Median $162.18 Typical High $169.82 | Professional | FX · Film X-ray | $162.18 | $162.18 | $169.82 |
Where Virginia sits
The same service costs 4.9 times more in Alaska than in Kentucky. 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· 35th of 51
$240
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.