How much rates vary
Facilitymedian $95 · 10th to 90th $10 to $776Professionalmedian $78 · 10th to 90th $46 to $132
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 $63.10 Median $63.10 Typical High $67.61 | Facility | None | $63.10 | $63.10 | $67.61 |
Aetna Setting Professional Modifier None (both parts) Typical Low $61.66 Median $63.10 Typical High $70.79 | Professional | None (both parts) | $61.66 | $63.10 | $70.79 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $7.41 Typical High $7.76 | Professional | 26 · Professional part | $6.76 | $7.41 | $7.76 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $54.95 Typical High $63.10 | Professional | TC · Technical part | $53.70 | $54.95 | $63.10 |
Anthem BCBS Setting Facility Modifier None Typical Low $229.09 Median $288.40 Typical High $371.54 | Facility | None | $229.09 | $288.40 | $371.54 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $64.57 Median $79.43 Typical High $97.72 | Professional | None (both parts) | $64.57 | $79.43 | $97.72 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $8.51 Typical High $10.96 | Professional | 26 · Professional part | $7.24 | $8.51 | $10.96 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $69.18 Typical High $85.11 | Professional | TC · Technical part | $57.54 | $69.18 | $85.11 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $7.94 Median $72.44 Typical High $89.13 | Professional | None (both parts) | $7.94 | $72.44 | $89.13 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $7.24 Typical High $10.47 | Professional | 26 · Professional part | $7.24 | $7.24 | $10.47 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $72.44 Typical High $77.62 | Professional | TC · Technical part | $64.57 | $72.44 | $77.62 |
Cigna Setting Facility Modifier None Typical Low $123.03 Median $213.80 Typical High $1,659.59 | Facility | None | $123.03 | $213.80 | $1,659.59 |
Cigna Setting Professional Modifier None (both parts) Typical Low $53.70 Median $75.86 Typical High $138.04 | Professional | None (both parts) | $53.70 | $75.86 | $138.04 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.46 Median $11.48 Typical High $19.05 | Professional | 26 · Professional part | $6.46 | $11.48 | $19.05 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $63.10 Typical High $120.23 | Professional | TC · Technical part | $48.98 | $63.10 | $120.23 |
Kaiser Permanente Setting Professional Modifier None Typical Low $70.79 Median $91.20 Typical High $102.33 | Professional | None | $70.79 | $91.20 | $102.33 |
Medcost Setting Professional Modifier None Typical Low $58.88 Median $67.61 Typical High $89.13 | Professional | None | $58.88 | $67.61 | $89.13 |
Medcost Setting Facility Modifier None Typical Low $104.71 Median $104.71 Typical High $125.89 | Facility | None | $104.71 | $104.71 | $125.89 |
Medcost Setting Professional Modifier None (both parts) Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | None (both parts) | $63.10 | $63.10 | $63.10 |
Sentara Setting Facility Modifier None Typical Low $9.55 Median $63.10 Typical High $275.42 | Facility | None | $9.55 | $63.10 | $275.42 |
Sentara Setting Professional Modifier None (both parts) Typical Low $11.22 Median $87.10 Typical High $169.82 | Professional | None (both parts) | $11.22 | $87.10 | $169.82 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $11.48 Typical High $19.50 | Professional | 26 · Professional part | $9.77 | $11.48 | $19.50 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $100.00 Typical High $165.96 | Professional | TC · Technical part | $58.88 | $100.00 | $165.96 |
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 $57.54 Median $95.50 Typical High $147.91 | Professional | None (both parts) | $57.54 | $95.50 | $147.91 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $12.59 Typical High $16.98 | Professional | 26 · Professional part | $6.92 | $12.59 | $16.98 |
United Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $83.18 Typical High $131.83 | Professional | TC · Technical part | $50.12 | $83.18 | $131.83 |
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 $30.90 Median $31.62 Typical High $35.48 | Professional | 52 · Reduced service | $30.90 | $31.62 | $35.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.30 Median $12.59 Typical High $14.13 | Professional | 53 · Discontinued | $12.30 | $12.59 | $14.13 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $50.12 Median $50.12 Typical High $53.70 | Professional | FX · Film X-ray | $50.12 | $50.12 | $53.70 |
Where Virginia sits
The same service costs 8.1 times more in Alabama than in Indiana. 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
$79.43
AL $513IN $63.10
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.