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 $158.49 Median $158.49 Typical High $162.18 | Facility | None | $158.49 | $158.49 | $162.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $158.49 Typical High $162.18 | Professional | None (both parts) | $147.91 | $158.49 | $162.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $20.42 Typical High $20.89 | Professional | 26 · Professional part | $18.62 | $20.42 | $20.89 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $138.04 Typical High $144.54 | Professional | TC · Technical part | $128.82 | $138.04 | $144.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $512.86 Median $645.65 Typical High $831.76 | Facility | None | $512.86 | $645.65 | $831.76 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $151.36 Median $186.21 Typical High $234.42 | Professional | None (both parts) | $151.36 | $186.21 | $234.42 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $23.44 Typical High $29.51 | Professional | 26 · Professional part | $19.50 | $23.44 | $29.51 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $158.49 Typical High $194.98 | Professional | TC · Technical part | $134.90 | $158.49 | $194.98 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $19.95 Median $151.36 Typical High $186.21 | Professional | None (both parts) | $19.95 | $151.36 | $186.21 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $162.18 Typical High $190.55 | Professional | TC · Technical part | $147.91 | $162.18 | $190.55 |
Cigna Setting Facility Modifier None Typical Low $288.40 Median $426.58 Typical High $954.99 | Facility | None | $288.40 | $426.58 | $954.99 |
Cigna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $162.18 Typical High $295.12 | Professional | None (both parts) | $123.03 | $162.18 | $295.12 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $29.51 Typical High $45.71 | Professional | 26 · Professional part | $17.38 | $29.51 | $45.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $141.25 Typical High $257.04 | Professional | TC · Technical part | $104.71 | $141.25 | $257.04 |
Kaiser Permanente Setting Professional Modifier None Typical Low $158.49 Median $204.17 Typical High $229.09 | Professional | None | $158.49 | $204.17 | $229.09 |
Medcost Setting Professional Modifier None Typical Low $134.90 Median $154.88 Typical High $177.83 | Professional | None | $134.90 | $154.88 | $177.83 |
Medcost Setting Facility Modifier None Typical Low $213.80 Median $213.80 Typical High $323.59 | Facility | None | $213.80 | $213.80 | $323.59 |
Medcost Setting Professional Modifier None (both parts) Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | None (both parts) | $154.88 | $154.88 | $154.88 |
Sentara Setting Facility Modifier None Typical Low $23.44 Median $158.49 Typical High $575.44 | Facility | None | $23.44 | $158.49 | $575.44 |
Sentara Setting Professional Modifier None (both parts) Typical Low $29.51 Median $177.83 Typical High $407.38 | Professional | None (both parts) | $29.51 | $177.83 | $407.38 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $30.20 Typical High $50.12 | Professional | 26 · Professional part | $22.91 | $30.20 | $50.12 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $204.17 Typical High $363.08 | Professional | TC · Technical part | $125.89 | $204.17 | $363.08 |
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 $141.25 Median $218.78 Typical High $323.59 | Professional | None (both parts) | $141.25 | $218.78 | $323.59 |
United Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $30.20 Typical High $44.67 | Professional | 26 · Professional part | $18.62 | $30.20 | $44.67 |
United Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $190.55 Typical High $281.84 | Professional | TC · Technical part | $114.82 | $190.55 | $281.84 |
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 $74.13 Median $79.43 Typical High $81.28 | Professional | 52 · Reduced service | $74.13 | $79.43 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $31.62 Typical High $32.36 | Professional | 53 · Discontinued | $29.51 | $31.62 | $32.36 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $125.89 Median $125.89 Typical High $128.82 | Professional | FX · Film X-ray | $125.89 | $125.89 | $128.82 |
Where Virginia sits
The same service costs 4.7 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· 36th of 51
$182
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.