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 $112.20 Median $112.20 Typical High $120.23 | Facility | None | $112.20 | $112.20 | $120.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $112.20 Typical High $125.89 | Professional | None (both parts) | $112.20 | $112.20 | $125.89 |
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 $87.10 Median $89.13 Typical High $102.33 | Professional | TC · Technical part | $87.10 | $89.13 | $102.33 |
Anthem BCBS Setting Facility Modifier None Typical Low $407.38 Median $512.86 Typical High $660.69 | Facility | None | $407.38 | $512.86 | $660.69 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $114.82 Median $141.25 Typical High $181.97 | Professional | None (both parts) | $114.82 | $141.25 | $181.97 |
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 $93.33 Median $114.82 Typical High $151.36 | Professional | TC · Technical part | $93.33 | $114.82 | $151.36 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $104.71 Median $141.25 Typical High $316.23 | Professional | None (both parts) | $104.71 | $141.25 | $316.23 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $25.12 Typical High $32.36 | Professional | 26 · Professional part | $22.39 | $25.12 | $32.36 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $114.82 Typical High $144.54 | Professional | TC · Technical part | $114.82 | $114.82 | $144.54 |
Cigna Setting Facility Modifier None Typical Low $204.17 Median $380.19 Typical High $776.25 | Facility | None | $204.17 | $380.19 | $776.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $186.21 Typical High $371.54 | Professional | None (both parts) | $109.65 | $186.21 | $371.54 |
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 $93.33 Median $151.36 Typical High $331.13 | Professional | TC · Technical part | $93.33 | $151.36 | $331.13 |
Kaiser Permanente Setting Professional Modifier None Typical Low $125.89 Median $162.18 Typical High $181.97 | Professional | None | $125.89 | $162.18 | $181.97 |
Medcost Setting Professional Modifier None Typical Low $389.05 Median $446.68 Typical High $489.78 | Professional | None | $389.05 | $446.68 | $489.78 |
Medcost Setting Facility Modifier None Typical Low $229.09 Median $275.42 Typical High $275.42 | Facility | None | $229.09 | $275.42 | $275.42 |
Medcost Setting Professional Modifier None (both parts) Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | None (both parts) | $114.82 | $114.82 | $114.82 |
Sentara Setting Facility Modifier None Typical Low $30.20 Median $154.88 Typical High $446.68 | Facility | None | $30.20 | $154.88 | $446.68 |
Sentara Setting Professional Modifier None (both parts) Typical Low $36.31 Median $181.97 Typical High $371.54 | Professional | None (both parts) | $36.31 | $181.97 | $371.54 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $37.15 Typical High $63.10 | Professional | 26 · Professional part | $30.90 | $37.15 | $63.10 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $169.82 Typical High $281.84 | Professional | TC · Technical part | $131.83 | $169.82 | $281.84 |
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 $123.03 Median $213.80 Typical High $436.52 | Professional | None (both parts) | $123.03 | $213.80 | $436.52 |
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 $100.00 Median $169.82 Typical High $398.11 | Professional | TC · Technical part | $100.00 | $169.82 | $398.11 |
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 $56.23 Median $56.23 Typical High $63.10 | Professional | 52 · Reduced service | $56.23 | $56.23 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $22.39 Typical High $25.12 | Professional | 53 · Discontinued | $22.39 | $22.39 | $25.12 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $91.20 Median $91.20 Typical High $95.50 | Professional | FX · Film X-ray | $91.20 | $91.20 | $95.50 |
Where Virginia sits
The same service costs 5.2 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· 47th of 51
$148
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.