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 $74.13 Median $74.13 Typical High $75.86 | Facility | None | $74.13 | $74.13 | $75.86 |
Aetna Setting Professional Modifier None (both parts) Typical Low $72.44 Median $75.86 Typical High $158.49 | Professional | None (both parts) | $72.44 | $75.86 | $158.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $25.12 Typical High $52.48 | Professional | 26 · Professional part | $22.91 | $25.12 | $52.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $51.29 Typical High $107.15 | Professional | TC · Technical part | $45.71 | $51.29 | $107.15 |
Anthem BCBS Setting Facility Modifier None Typical Low $251.19 Median $316.23 Typical High $416.87 | Facility | None | $251.19 | $316.23 | $416.87 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $70.79 Median $87.10 Typical High $109.65 | Professional | None (both parts) | $70.79 | $87.10 | $109.65 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $28.84 Typical High $36.31 | Professional | 26 · Professional part | $23.99 | $28.84 | $36.31 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $58.88 Typical High $81.28 | Professional | TC · Technical part | $48.98 | $58.88 | $81.28 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $52.48 Median $89.13 Typical High $100.00 | Professional | None (both parts) | $52.48 | $89.13 | $100.00 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $27.54 Typical High $32.36 | Professional | 26 · Professional part | $24.55 | $27.54 | $32.36 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $61.66 Typical High $69.18 | Professional | TC · Technical part | $54.95 | $61.66 | $69.18 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $776.25 Typical High $870.96 | Facility | None | $524.81 | $776.25 | $870.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $67.61 Median $109.65 Typical High $162.18 | Professional | None (both parts) | $67.61 | $109.65 | $162.18 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $37.15 Typical High $56.23 | Professional | 26 · Professional part | $21.88 | $37.15 | $56.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $72.44 Typical High $100.00 | Professional | TC · Technical part | $48.98 | $72.44 | $100.00 |
Kaiser Permanente Setting Professional Modifier None Typical Low $77.62 Median $100.00 Typical High $114.82 | Professional | None | $77.62 | $100.00 | $114.82 |
Medcost Setting Professional Modifier None Typical Low $109.65 Median $120.23 Typical High $138.04 | Professional | None | $109.65 | $120.23 | $138.04 |
Medcost Setting Facility Modifier None Typical Low $125.89 Median $125.89 Typical High $154.88 | Facility | None | $125.89 | $125.89 | $154.88 |
Medcost Setting Professional Modifier None (both parts) Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | None (both parts) | $74.13 | $74.13 | $74.13 |
Sentara Setting Facility Modifier None Typical Low $30.90 Median $72.44 Typical High $251.19 | Facility | None | $30.90 | $72.44 | $251.19 |
Sentara Setting Professional Modifier None (both parts) Typical Low $34.67 Median $91.20 Typical High $194.98 | Professional | None (both parts) | $34.67 | $91.20 | $194.98 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $37.15 Typical High $66.07 | Professional | 26 · Professional part | $30.90 | $37.15 | $66.07 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $79.43 Typical High $128.82 | Professional | TC · Technical part | $50.12 | $79.43 | $128.82 |
United Setting Professional Modifier None (both parts) Typical Low $69.18 Median $123.03 Typical High $173.78 | Professional | None (both parts) | $69.18 | $123.03 | $173.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $41.69 Typical High $57.54 | Professional | 26 · Professional part | $23.44 | $41.69 | $57.54 |
United Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $81.28 Typical High $117.49 | Professional | TC · Technical part | $46.77 | $81.28 | $117.49 |
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 $36.31 Median $37.15 Typical High $38.90 | Professional | 52 · Reduced service | $36.31 | $37.15 | $38.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.45 Median $14.79 Typical High $15.49 | Professional | 53 · Discontinued | $14.45 | $14.79 | $15.49 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $60.26 Median $60.26 Typical High $61.66 | Professional | FX · Film X-ray | $60.26 | $60.26 | $61.66 |
Where Virginia sits
The same service costs 4.6 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· 38th of 51
$89.13
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.