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 $316.23 Median $457.09 Typical High $602.56 | Facility | None | $316.23 | $457.09 | $602.56 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $48.98 Median $83.18 Typical High $107.15 | Facility | 26 · Professional part | $48.98 | $83.18 | $107.15 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $269.15 Median $354.81 Typical High $1,071.52 | Facility | TC · Technical part | $269.15 | $354.81 | $1,071.52 |
Aetna Setting Professional Modifier None (both parts) Typical Low $316.23 Median $398.11 Typical High $630.96 | Professional | None (both parts) | $316.23 | $398.11 | $630.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $66.07 Typical High $112.20 | Professional | 26 · Professional part | $48.98 | $66.07 | $112.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $331.13 Typical High $537.03 | Professional | TC · Technical part | $269.15 | $331.13 | $537.03 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,000.00 Median $1,258.93 Typical High $1,659.59 | Facility | None | $1,000.00 | $1,258.93 | $1,659.59 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $302.00 Median $371.54 Typical High $457.09 | Professional | None (both parts) | $302.00 | $371.54 | $457.09 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $61.66 Typical High $77.62 | Professional | 26 · Professional part | $51.29 | $61.66 | $77.62 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $302.00 Typical High $371.54 | Professional | TC · Technical part | $251.19 | $302.00 | $371.54 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $52.48 Median $302.00 Typical High $363.08 | Professional | None (both parts) | $52.48 | $302.00 | $363.08 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $57.54 Typical High $64.57 | Professional | 26 · Professional part | $57.54 | $57.54 | $64.57 |
Cigna Setting Facility Modifier None Typical Low $549.54 Median $776.25 Typical High $1,202.26 | Facility | None | $549.54 | $776.25 | $1,202.26 |
Cigna Setting Professional Modifier None (both parts) Typical Low $257.04 Median $338.84 Typical High $602.56 | Professional | None (both parts) | $257.04 | $338.84 | $602.56 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $77.62 Typical High $120.23 | Professional | 26 · Professional part | $46.77 | $77.62 | $120.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $263.03 Typical High $501.19 | Professional | TC · Technical part | $213.80 | $263.03 | $501.19 |
Kaiser Permanente Setting Professional Modifier None Typical Low $309.03 Median $398.11 Typical High $457.09 | Professional | None | $309.03 | $398.11 | $457.09 |
Medcost Setting Professional Modifier None Typical Low $281.84 Median $316.23 Typical High $371.54 | Professional | None | $281.84 | $316.23 | $371.54 |
Medcost Setting Facility Modifier None Typical Low $457.09 Median $457.09 Typical High $660.69 | Facility | None | $457.09 | $457.09 | $660.69 |
Medcost Setting Professional Modifier None (both parts) Typical Low $309.03 Median $309.03 Typical High $309.03 | Professional | None (both parts) | $309.03 | $309.03 | $309.03 |
Sentara Setting Facility Modifier None Typical Low $64.57 Median $346.74 Typical High $954.99 | Facility | None | $64.57 | $346.74 | $954.99 |
Sentara Setting Professional Modifier None (both parts) Typical Low $77.62 Median $398.11 Typical High $933.25 | Professional | None (both parts) | $77.62 | $398.11 | $933.25 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $77.62 Typical High $134.90 | Professional | 26 · Professional part | $60.26 | $77.62 | $134.90 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $398.11 Typical High $707.95 | Professional | TC · Technical part | $257.04 | $398.11 | $707.95 |
United Setting Facility Modifier None Typical Low $1,023.29 Median $1,122.02 Typical High $2,511.89 | Facility | None | $1,023.29 | $1,122.02 | $2,511.89 |
United Setting Professional Modifier None (both parts) Typical Low $288.40 Median $478.63 Typical High $676.08 | Professional | None (both parts) | $288.40 | $478.63 | $676.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $87.10 Typical High $120.23 | Professional | 26 · Professional part | $48.98 | $87.10 | $120.23 |
United Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $407.38 Typical High $549.54 | Professional | TC · Technical part | $213.80 | $407.38 | $549.54 |
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 $147.91 Median $158.49 Typical High $162.18 | Professional | 52 · Reduced service | $147.91 | $158.49 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $60.26 Median $64.57 Typical High $64.57 | Professional | 53 · Discontinued | $60.26 | $64.57 | $64.57 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $257.04 Median $257.04 Typical High $263.03 | Professional | FX · Film X-ray | $257.04 | $257.04 | $263.03 |
Where Virginia sits
The same service costs 4.0 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· 37th of 51
$372
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.