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 $177.83 Median $177.83 Typical High $346.74 | Facility | None | $177.83 | $177.83 | $346.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $165.96 Median $177.83 Typical High $263.03 | Professional | None (both parts) | $165.96 | $177.83 | $263.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $21.88 Typical High $33.11 | Professional | 26 · Professional part | $20.42 | $21.88 | $33.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $158.49 Typical High $213.80 | Professional | TC · Technical part | $144.54 | $158.49 | $213.80 |
Anthem BCBS Setting Facility Modifier None Typical Low $575.44 Median $724.44 Typical High $933.25 | Facility | None | $575.44 | $724.44 | $933.25 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $169.82 Median $208.93 Typical High $257.04 | Professional | None (both parts) | $169.82 | $208.93 | $257.04 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $25.12 Typical High $31.62 | Professional | 26 · Professional part | $20.89 | $25.12 | $31.62 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $177.83 Typical High $223.87 | Professional | TC · Technical part | $147.91 | $177.83 | $223.87 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $165.96 Median $186.21 Typical High $239.88 | Professional | None (both parts) | $165.96 | $186.21 | $239.88 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $23.99 Typical High $26.30 | Professional | 26 · Professional part | $21.88 | $23.99 | $26.30 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $162.18 Typical High $190.55 | Professional | TC · Technical part | $162.18 | $162.18 | $190.55 |
Cigna Setting Facility Modifier None Typical Low $323.59 Median $478.63 Typical High $1,071.52 | Facility | None | $323.59 | $478.63 | $1,071.52 |
Cigna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $204.17 Typical High $331.13 | Professional | None (both parts) | $151.36 | $204.17 | $331.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $32.36 Typical High $48.98 | Professional | 26 · Professional part | $19.05 | $32.36 | $48.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $169.82 Typical High $288.40 | Professional | TC · Technical part | $131.83 | $169.82 | $288.40 |
Kaiser Permanente Setting Professional Modifier None Typical Low $177.83 Median $229.09 Typical High $257.04 | Professional | None | $177.83 | $229.09 | $257.04 |
Medcost Setting Professional Modifier None Typical Low $173.78 Median $194.98 Typical High $213.80 | Professional | None | $173.78 | $194.98 | $213.80 |
Medcost Setting Facility Modifier None Typical Low $251.19 Median $251.19 Typical High $354.81 | Facility | None | $251.19 | $251.19 | $354.81 |
Medcost Setting Professional Modifier None (both parts) Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | None (both parts) | $169.82 | $169.82 | $169.82 |
Sentara Setting Facility Modifier None Typical Low $25.70 Median $177.83 Typical High $794.33 | Facility | None | $25.70 | $177.83 | $794.33 |
Sentara Setting Professional Modifier None (both parts) Typical Low $30.90 Median $218.78 Typical High $501.19 | Professional | None (both parts) | $30.90 | $218.78 | $501.19 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $32.36 Typical High $54.95 | Professional | 26 · Professional part | $24.55 | $32.36 | $54.95 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $234.42 Typical High $407.38 | Professional | TC · Technical part | $154.88 | $234.42 | $407.38 |
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 $158.49 Median $269.15 Typical High $389.05 | Professional | None (both parts) | $158.49 | $269.15 | $389.05 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $34.67 Typical High $48.98 | Professional | 26 · Professional part | $20.42 | $34.67 | $48.98 |
United Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $234.42 Typical High $338.84 | Professional | TC · Technical part | $141.25 | $234.42 | $338.84 |
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 $83.18 Median $89.13 Typical High $89.13 | Professional | 52 · Reduced service | $83.18 | $89.13 | $89.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $35.48 Typical High $36.31 | Professional | 53 · Discontinued | $33.11 | $35.48 | $36.31 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $141.25 Median $141.25 Typical High $144.54 | Professional | FX · Film X-ray | $141.25 | $141.25 | $144.54 |
Where Virginia sits
The same service costs 4.6 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· 41st of 51
$204
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.