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 $251.19 Median $251.19 Typical High $257.04 | Facility | None | $251.19 | $251.19 | $257.04 |
Aetna Setting Professional Modifier None (both parts) Typical Low $239.88 Median $251.19 Typical High $269.15 | Professional | None (both parts) | $239.88 | $251.19 | $269.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $30.90 Typical High $32.36 | Professional | 26 · Professional part | $28.18 | $30.90 | $32.36 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $223.87 Typical High $239.88 | Professional | TC · Technical part | $204.17 | $223.87 | $239.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $812.83 Median $1,023.29 Typical High $1,318.26 | Facility | None | $812.83 | $1,023.29 | $1,318.26 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $234.42 Median $288.40 Typical High $363.08 | Professional | None (both parts) | $234.42 | $288.40 | $363.08 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $35.48 Typical High $45.71 | Professional | 26 · Professional part | $30.20 | $35.48 | $45.71 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $245.47 Typical High $309.03 | Professional | TC · Technical part | $208.93 | $245.47 | $309.03 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $33.88 Median $257.04 Typical High $316.23 | Professional | None (both parts) | $33.88 | $257.04 | $316.23 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $30.20 Typical High $44.67 | Professional | 26 · Professional part | $30.20 | $30.20 | $44.67 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $251.19 Typical High $281.84 | Professional | TC · Technical part | $223.87 | $251.19 | $281.84 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $741.31 Typical High $1,288.25 | Facility | None | $446.68 | $741.31 | $1,288.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $204.17 Median $295.12 Typical High $501.19 | Professional | None (both parts) | $204.17 | $295.12 | $501.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $46.77 Typical High $72.44 | Professional | 26 · Professional part | $26.92 | $46.77 | $72.44 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $239.88 Typical High $436.52 | Professional | TC · Technical part | $177.83 | $239.88 | $436.52 |
Kaiser Permanente Setting Professional Modifier None Typical Low $251.19 Median $323.59 Typical High $363.08 | Professional | None | $251.19 | $323.59 | $363.08 |
Medcost Setting Professional Modifier None Typical Low $251.19 Median $316.23 Typical High $389.05 | Professional | None | $251.19 | $316.23 | $389.05 |
Medcost Setting Facility Modifier None Typical Low $426.58 Median $426.58 Typical High $524.81 | Facility | None | $426.58 | $426.58 | $524.81 |
Medcost Setting Professional Modifier None (both parts) Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | None (both parts) | $239.88 | $239.88 | $239.88 |
Sentara Setting Facility Modifier None Typical Low $39.81 Median $234.42 Typical High $1,071.52 | Facility | None | $39.81 | $234.42 | $1,071.52 |
Sentara Setting Professional Modifier None (both parts) Typical Low $44.67 Median $316.23 Typical High $676.08 | Professional | None (both parts) | $44.67 | $316.23 | $676.08 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $47.86 Typical High $83.18 | Professional | 26 · Professional part | $41.69 | $47.86 | $83.18 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $354.81 Typical High $602.56 | Professional | TC · Technical part | $213.80 | $354.81 | $602.56 |
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 $229.09 Median $389.05 Typical High $588.84 | Professional | None (both parts) | $229.09 | $389.05 | $588.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $51.29 Typical High $72.44 | Professional | 26 · Professional part | $28.84 | $51.29 | $72.44 |
United Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $338.84 Typical High $512.86 | Professional | TC · Technical part | $190.55 | $338.84 | $512.86 |
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 $117.49 Median $125.89 Typical High $134.90 | Professional | 52 · Reduced service | $117.49 | $125.89 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $50.12 Typical High $53.70 | Professional | 53 · Discontinued | $47.86 | $50.12 | $53.70 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $199.53 Median $199.53 Typical High $204.17 | Professional | FX · Film X-ray | $199.53 | $199.53 | $204.17 |
Where Virginia sits
The same service costs 4.6 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· 39th of 51
$288
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.