How much rates vary
Facilitymedian $155 · 10th to 90th $24 to $776Professionalmedian $120 · 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 $97.72 | Facility | None | $93.33 | $93.33 | $97.72 |
Aetna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $93.33 Typical High $104.71 | Professional | None (both parts) | $91.20 | $93.33 | $104.71 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $17.78 Typical High $18.62 | Professional | 26 · Professional part | $16.60 | $17.78 | $18.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $74.13 Typical High $85.11 | Professional | TC · Technical part | $74.13 | $74.13 | $85.11 |
Anthem BCBS Setting Facility Modifier None Typical Low $331.13 Median $416.87 Typical High $549.54 | Facility | None | $331.13 | $416.87 | $549.54 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $95.50 Median $114.82 Typical High $147.91 | Professional | None (both parts) | $95.50 | $114.82 | $147.91 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $20.42 Typical High $26.30 | Professional | 26 · Professional part | $16.98 | $20.42 | $26.30 |
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 $93.33 Median $104.71 Typical High $177.83 | Professional | None (both parts) | $93.33 | $104.71 | $177.83 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $19.50 Typical High $22.91 | Professional | 26 · Professional part | $17.38 | $19.50 | $22.91 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $87.10 Typical High $138.04 | Professional | TC · Technical part | $83.18 | $87.10 | $138.04 |
Cigna Setting Facility Modifier None Typical Low $169.82 Median $239.88 Typical High $891.25 | Facility | None | $169.82 | $239.88 | $891.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $151.36 Typical High $213.80 | Professional | None (both parts) | $85.11 | $151.36 | $213.80 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $27.54 Typical High $40.74 | Professional | 26 · Professional part | $15.49 | $27.54 | $40.74 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $123.03 Typical High $181.97 | Professional | TC · Technical part | $72.44 | $123.03 | $181.97 |
Kaiser Permanente Setting Professional Modifier None Typical Low $102.33 Median $131.83 Typical High $147.91 | Professional | None | $102.33 | $131.83 | $147.91 |
Medcost Setting Professional Modifier None Typical Low $199.53 Median $229.09 Typical High $251.19 | Professional | None | $199.53 | $229.09 | $251.19 |
Medcost Setting Facility Modifier None Typical Low $186.21 Median $186.21 Typical High $186.21 | Facility | None | $186.21 | $186.21 | $186.21 |
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 $22.91 Median $114.82 Typical High $467.74 | Facility | None | $22.91 | $114.82 | $467.74 |
Sentara Setting Professional Modifier None (both parts) Typical Low $25.70 Median $134.90 Typical High $281.84 | Professional | None (both parts) | $25.70 | $134.90 | $281.84 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $27.54 Typical High $47.86 | Professional | 26 · Professional part | $23.44 | $27.54 | $47.86 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $125.89 Typical High $204.17 | Professional | TC · Technical part | $93.33 | $125.89 | $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 $95.50 Median $151.36 Typical High $251.19 | Professional | None (both parts) | $95.50 | $151.36 | $251.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $29.51 Typical High $41.69 | Professional | 26 · Professional part | $16.98 | $29.51 | $41.69 |
United Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $123.03 Typical High $208.93 | Professional | TC · Technical part | $79.43 | $123.03 | $208.93 |
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 $45.71 Median $45.71 Typical High $52.48 | Professional | 52 · Reduced service | $45.71 | $45.71 | $52.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $18.62 Typical High $20.89 | Professional | 53 · Discontinued | $18.62 | $18.62 | $20.89 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $74.13 Median $74.13 Typical High $79.43 | Professional | FX · Film X-ray | $74.13 | $74.13 | $79.43 |
Where Virginia sits
The same service costs 5.0 times more in Alabama than in New York. 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· 43rd of 51
$120
AL $479NY $95.50
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.