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 $407.38 Median $407.38 Typical High $645.65 | Facility | None | $407.38 | $407.38 | $645.65 |
Aetna Setting Professional Modifier None (both parts) Typical Low $371.54 Median $407.38 Typical High $407.38 | Professional | None (both parts) | $371.54 | $407.38 | $407.38 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $33.11 Typical High $34.67 | Professional | 26 · Professional part | $31.62 | $33.11 | $34.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $371.54 Typical High $380.19 | Professional | TC · Technical part | $338.84 | $371.54 | $380.19 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,258.93 Median $1,584.89 Typical High $2,041.74 | Facility | None | $1,258.93 | $1,584.89 | $2,041.74 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $380.19 Median $457.09 Typical High $562.34 | Professional | None (both parts) | $380.19 | $457.09 | $562.34 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $38.90 Typical High $48.98 | Professional | 26 · Professional part | $32.36 | $38.90 | $48.98 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $346.74 Median $416.87 Typical High $524.81 | Professional | TC · Technical part | $346.74 | $416.87 | $524.81 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $245.47 Median $407.38 Typical High $512.86 | Professional | None (both parts) | $245.47 | $407.38 | $512.86 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $37.15 Typical High $41.69 | Professional | 26 · Professional part | $33.88 | $37.15 | $41.69 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $380.19 Median $416.87 Typical High $467.74 | Professional | TC · Technical part | $380.19 | $416.87 | $467.74 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $954.99 Typical High $3,630.78 | Facility | None | $758.58 | $954.99 | $3,630.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $309.03 Median $398.11 Typical High $758.58 | Professional | None (both parts) | $309.03 | $398.11 | $758.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $48.98 Typical High $70.79 | Professional | 26 · Professional part | $28.18 | $48.98 | $70.79 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $363.08 Typical High $691.83 | Professional | TC · Technical part | $295.12 | $363.08 | $691.83 |
Kaiser Permanente Setting Professional Modifier None Typical Low $389.05 Median $501.19 Typical High $562.34 | Professional | None | $389.05 | $501.19 | $562.34 |
Medcost Setting Professional Modifier None Typical Low $309.03 Median $354.81 Typical High $446.68 | Professional | None | $309.03 | $354.81 | $446.68 |
Medcost Setting Facility Modifier None Typical Low $562.34 Median $562.34 Typical High $831.76 | Facility | None | $562.34 | $562.34 | $831.76 |
Medcost Setting Professional Modifier None (both parts) Typical Low $380.19 Median $380.19 Typical High $380.19 | Professional | None (both parts) | $380.19 | $380.19 | $380.19 |
Sentara Setting Facility Modifier None Typical Low $38.90 Median $398.11 Typical High $1,584.89 | Facility | None | $38.90 | $398.11 | $1,584.89 |
Sentara Setting Professional Modifier None (both parts) Typical Low $47.86 Median $489.78 Typical High $1,047.13 | Professional | None (both parts) | $47.86 | $489.78 | $1,047.13 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $50.12 Typical High $83.18 | Professional | 26 · Professional part | $38.02 | $50.12 | $83.18 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $354.81 Median $549.54 Typical High $977.24 | Professional | TC · Technical part | $354.81 | $549.54 | $977.24 |
United Setting Facility Modifier None Typical Low $2,454.71 Median $2,691.53 Typical High $6,025.60 | Facility | None | $2,454.71 | $2,691.53 | $6,025.60 |
United Setting Professional Modifier None (both parts) Typical Low $338.84 Median $602.56 Typical High $831.76 | Professional | None (both parts) | $338.84 | $602.56 | $831.76 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $52.48 Typical High $75.86 | Professional | 26 · Professional part | $30.90 | $52.48 | $75.86 |
United Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $562.34 Typical High $758.58 | Professional | TC · Technical part | $281.84 | $562.34 | $758.58 |
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 $186.21 Median $204.17 Typical High $204.17 | Professional | 52 · Reduced service | $186.21 | $204.17 | $204.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $81.28 Typical High $83.18 | Professional | 53 · Discontinued | $74.13 | $81.28 | $83.18 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $323.59 Median $331.13 Typical High $331.13 | Professional | FX · Film X-ray | $323.59 | $331.13 | $331.13 |
Where Virginia sits
The same service costs 4.6 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· 41st of 51
$457
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.