How much rates vary
Facilitymedian $151 · 10th to 90th $28 to $776Professionalmedian $123 · 10th to 90th $85 to $204
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 $93.33 Median $93.33 Typical High $100.00 | Facility | None | $93.33 | $93.33 | $100.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $93.33 Typical High $104.71 | Professional | None (both parts) | $93.33 | $93.33 | $104.71 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $19.95 Typical High $20.89 | Professional | 26 · Professional part | $18.20 | $19.95 | $20.89 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $74.13 Typical High $85.11 | Professional | TC · Technical part | $72.44 | $74.13 | $85.11 |
Anthem BCBS Setting Facility Modifier None Typical Low $338.84 Median $426.58 Typical High $549.54 | Facility | None | $338.84 | $426.58 | $549.54 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $97.72 Median $120.23 Typical High $147.91 | Professional | None (both parts) | $97.72 | $120.23 | $147.91 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $22.91 Typical High $28.84 | Professional | 26 · Professional part | $19.05 | $22.91 | $28.84 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $93.33 Typical High $117.49 | Professional | TC · Technical part | $77.62 | $93.33 | $117.49 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $19.50 Median $107.15 Typical High $154.88 | Professional | None (both parts) | $19.50 | $107.15 | $154.88 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $21.88 Typical High $28.18 | Professional | 26 · Professional part | $21.88 | $21.88 | $28.18 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $95.50 Typical High $123.03 | Professional | TC · Technical part | $95.50 | $95.50 | $123.03 |
Cigna Setting Facility Modifier None Typical Low $169.82 Median $288.40 Typical High $891.25 | Facility | None | $169.82 | $288.40 | $891.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $154.88 Typical High $257.04 | Professional | None (both parts) | $91.20 | $154.88 | $257.04 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $30.20 Typical High $50.12 | Professional | 26 · Professional part | $17.38 | $30.20 | $50.12 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $123.03 Typical High $208.93 | Professional | TC · Technical part | $77.62 | $123.03 | $208.93 |
Kaiser Permanente Setting Professional Modifier None Typical Low $102.33 Median $134.90 Typical High $151.36 | Professional | None | $102.33 | $134.90 | $151.36 |
Medcost Setting Professional Modifier None Typical Low $186.21 Median $213.80 Typical High $234.42 | Professional | None | $186.21 | $213.80 | $234.42 |
Medcost Setting Facility Modifier None Typical Low $186.21 Median $186.21 Typical High $190.55 | Facility | None | $186.21 | $186.21 | $190.55 |
Medcost Setting Professional Modifier None (both parts) Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | None (both parts) | $95.50 | $95.50 | $95.50 |
Sentara Setting Facility Modifier None Typical Low $26.30 Median $117.49 Typical High $489.78 | Facility | None | $26.30 | $117.49 | $489.78 |
Sentara Setting Professional Modifier None (both parts) Typical Low $30.90 Median $144.54 Typical High $302.00 | Professional | None (both parts) | $30.90 | $144.54 | $302.00 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $30.90 Typical High $53.70 | Professional | 26 · Professional part | $26.30 | $30.90 | $53.70 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $128.82 Typical High $204.17 | Professional | TC · Technical part | $107.15 | $128.82 | $204.17 |
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 $97.72 Median $169.82 Typical High $245.47 | Professional | None (both parts) | $97.72 | $169.82 | $245.47 |
United Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $33.88 Typical High $45.71 | Professional | 26 · Professional part | $18.62 | $33.88 | $45.71 |
United Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $138.04 Typical High $204.17 | Professional | TC · Technical part | $79.43 | $138.04 | $204.17 |
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 $46.77 Median $46.77 Typical High $52.48 | Professional | 52 · Reduced service | $46.77 | $46.77 | $52.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $19.05 Typical High $20.89 | Professional | 53 · Discontinued | $18.62 | $19.05 | $20.89 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $75.86 Median $75.86 Typical High $79.43 | Professional | FX · Film X-ray | $75.86 | $75.86 | $79.43 |
Where Virginia sits
The same service costs 5.1 times more in Alabama 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· 44th of 51
$123
AL $479FL $93.33
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.