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 $154.88 Median $154.88 Typical High $154.88 | Facility | None | $154.88 | $154.88 | $154.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $154.88 Typical High $165.96 | Professional | None (both parts) | $144.54 | $154.88 | $165.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $15.49 Typical High $15.85 | Professional | 26 · Professional part | $14.13 | $15.49 | $15.85 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $138.04 Typical High $151.36 | Professional | TC · Technical part | $128.82 | $138.04 | $151.36 |
Anthem BCBS Setting Facility Modifier None Typical Low $501.19 Median $630.96 Typical High $812.83 | Facility | None | $501.19 | $630.96 | $812.83 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $144.54 Median $173.78 Typical High $218.78 | Professional | None (both parts) | $144.54 | $173.78 | $218.78 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $17.38 Typical High $22.39 | Professional | 26 · Professional part | $14.79 | $17.38 | $22.39 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $154.88 Typical High $194.98 | Professional | TC · Technical part | $128.82 | $154.88 | $194.98 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $15.14 Median $141.25 Typical High $173.78 | Professional | None (both parts) | $15.14 | $141.25 | $173.78 |
Cigna Setting Facility Modifier None Typical Low $281.84 Median $537.03 Typical High $1,000.00 | Facility | None | $281.84 | $537.03 | $1,000.00 |
Cigna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $181.97 Typical High $331.13 | Professional | None (both parts) | $125.89 | $181.97 | $331.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $23.44 Typical High $38.02 | Professional | 26 · Professional part | $13.49 | $23.44 | $38.02 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $158.49 Typical High $288.40 | Professional | TC · Technical part | $114.82 | $158.49 | $288.40 |
Kaiser Permanente Setting Professional Modifier None Typical Low $154.88 Median $199.53 Typical High $223.87 | Professional | None | $154.88 | $199.53 | $223.87 |
Medcost Setting Professional Modifier None Typical Low $141.25 Median $158.49 Typical High $213.80 | Professional | None | $141.25 | $158.49 | $213.80 |
Medcost Setting Facility Modifier None Typical Low $257.04 Median $257.04 Typical High $309.03 | Facility | None | $257.04 | $257.04 | $309.03 |
Medcost Setting Professional Modifier None (both parts) Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | None (both parts) | $147.91 | $147.91 | $147.91 |
Sentara Setting Facility Modifier None Typical Low $20.42 Median $169.82 Typical High $776.25 | Facility | None | $20.42 | $169.82 | $776.25 |
Sentara Setting Professional Modifier None (both parts) Typical Low $23.99 Median $208.93 Typical High $457.09 | Professional | None (both parts) | $23.99 | $208.93 | $457.09 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $23.44 Typical High $40.74 | Professional | 26 · Professional part | $20.42 | $23.44 | $40.74 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $229.09 Typical High $371.54 | Professional | TC · Technical part | $134.90 | $229.09 | $371.54 |
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 $138.04 Median $234.42 Typical High $354.81 | Professional | None (both parts) | $138.04 | $234.42 | $354.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $26.30 Typical High $35.48 | Professional | 26 · Professional part | $14.45 | $26.30 | $35.48 |
United Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $208.93 Typical High $316.23 | Professional | TC · Technical part | $123.03 | $208.93 | $316.23 |
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 $72.44 Median $77.62 Typical High $83.18 | Professional | 52 · Reduced service | $72.44 | $77.62 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $30.90 Typical High $33.11 | Professional | 53 · Discontinued | $28.84 | $30.90 | $33.11 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | FX · Film X-ray | $123.03 | $123.03 | $123.03 |
Where Virginia sits
The same service costs 4.5 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· 41st of 51
$174
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.