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 $100.00 Median $100.00 Typical High $104.71 | Facility | None | $100.00 | $100.00 | $104.71 |
Aetna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $100.00 Typical High $112.20 | Professional | None (both parts) | $100.00 | $100.00 | $112.20 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $22.91 Typical High $24.55 | Professional | 26 · Professional part | $20.89 | $22.91 | $24.55 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $75.86 Typical High $87.10 | Professional | TC · Technical part | $74.13 | $75.86 | $87.10 |
Anthem BCBS Setting Facility Modifier None Typical Low $354.81 Median $446.68 Typical High $575.44 | Facility | None | $354.81 | $446.68 | $575.44 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $102.33 Median $125.89 Typical High $158.49 | Professional | None (both parts) | $102.33 | $125.89 | $158.49 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $26.92 Typical High $33.88 | Professional | 26 · Professional part | $22.39 | $26.92 | $33.88 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $95.50 Typical High $120.23 | Professional | TC · Technical part | $79.43 | $95.50 | $120.23 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $22.39 Median $112.20 Typical High $194.98 | Professional | None (both parts) | $22.39 | $112.20 | $194.98 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $25.12 Typical High $31.62 | Professional | 26 · Professional part | $25.12 | $25.12 | $31.62 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $97.72 Typical High $112.20 | Professional | TC · Technical part | $89.13 | $97.72 | $112.20 |
Cigna Setting Facility Modifier None Typical Low $173.78 Median $295.12 Typical High $1,659.59 | Facility | None | $173.78 | $295.12 | $1,659.59 |
Cigna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $165.96 Typical High $288.40 | Professional | None (both parts) | $95.50 | $165.96 | $288.40 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $35.48 Typical High $57.54 | Professional | 26 · Professional part | $19.95 | $35.48 | $57.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $128.82 Typical High $223.87 | Professional | TC · Technical part | $79.43 | $128.82 | $223.87 |
Kaiser Permanente Setting Professional Modifier None Typical Low $107.15 Median $141.25 Typical High $158.49 | Professional | None | $107.15 | $141.25 | $158.49 |
Medcost Setting Professional Modifier None Typical Low $229.09 Median $263.03 Typical High $288.40 | Professional | None | $229.09 | $263.03 | $288.40 |
Medcost Setting Facility Modifier None Typical Low $199.53 Median $204.17 Typical High $204.17 | Facility | None | $199.53 | $204.17 | $204.17 |
Medcost Setting Professional Modifier None (both parts) Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | None (both parts) | $102.33 | $102.33 | $102.33 |
Sentara Setting Facility Modifier None Typical Low $30.20 Median $125.89 Typical High $537.03 | Facility | None | $30.20 | $125.89 | $537.03 |
Sentara Setting Professional Modifier None (both parts) Typical Low $36.31 Median $162.18 Typical High $331.13 | Professional | None (both parts) | $36.31 | $162.18 | $331.13 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $37.15 Typical High $63.10 | Professional | 26 · Professional part | $30.20 | $37.15 | $63.10 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $144.54 Typical High $208.93 | Professional | TC · Technical part | $109.65 | $144.54 | $208.93 |
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 $104.71 Median $181.97 Typical High $288.40 | Professional | None (both parts) | $104.71 | $181.97 | $288.40 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $39.81 Typical High $53.70 | Professional | 26 · Professional part | $21.88 | $39.81 | $53.70 |
United Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $144.54 Typical High $234.42 | Professional | TC · Technical part | $83.18 | $144.54 | $234.42 |
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 $50.12 Median $50.12 Typical High $56.23 | Professional | 52 · Reduced service | $50.12 | $50.12 | $56.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $19.95 Typical High $22.39 | Professional | 53 · Discontinued | $19.95 | $19.95 | $22.39 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $79.43 Median $79.43 Typical High $83.18 | Professional | FX · Film X-ray | $79.43 | $79.43 | $83.18 |
Where Virginia sits
The same service costs 4.6 times more in Alabama 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· 45th of 51
$129
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.