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 $194.98 Median $194.98 Typical High $199.53 | Facility | None | $194.98 | $194.98 | $199.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $199.53 Typical High $208.93 | Professional | None (both parts) | $181.97 | $199.53 | $208.93 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $32.36 Typical High $32.36 | Professional | 26 · Professional part | $29.51 | $32.36 | $32.36 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $165.96 Typical High $173.78 | Professional | TC · Technical part | $151.36 | $165.96 | $173.78 |
Anthem BCBS Setting Facility Modifier None Typical Low $660.69 Median $831.76 Typical High $1,096.48 | Facility | None | $660.69 | $831.76 | $1,096.48 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $186.21 Median $223.87 Typical High $281.84 | Professional | None (both parts) | $186.21 | $223.87 | $281.84 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $36.31 Typical High $46.77 | Professional | 26 · Professional part | $30.90 | $36.31 | $46.77 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $186.21 Typical High $229.09 | Professional | TC · Technical part | $154.88 | $186.21 | $229.09 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $34.67 Median $199.53 Typical High $234.42 | Professional | None (both parts) | $34.67 | $199.53 | $234.42 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $31.62 Typical High $43.65 | Professional | 26 · Professional part | $31.62 | $31.62 | $43.65 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $190.55 Typical High $234.42 | Professional | TC · Technical part | $125.89 | $190.55 | $234.42 |
Cigna Setting Facility Modifier None Typical Low $338.84 Median $562.34 Typical High $1,023.29 | Facility | None | $338.84 | $562.34 | $1,023.29 |
Cigna Setting Professional Modifier None (both parts) Typical Low $165.96 Median $229.09 Typical High $371.54 | Professional | None (both parts) | $165.96 | $229.09 | $371.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $47.86 Typical High $74.13 | Professional | 26 · Professional part | $28.18 | $47.86 | $74.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $181.97 Typical High $316.23 | Professional | TC · Technical part | $131.83 | $181.97 | $316.23 |
Kaiser Permanente Setting Professional Modifier None Typical Low $204.17 Median $263.03 Typical High $302.00 | Professional | None | $204.17 | $263.03 | $302.00 |
Medcost Setting Professional Modifier None Typical Low $186.21 Median $213.80 Typical High $245.47 | Professional | None | $186.21 | $213.80 | $245.47 |
Medcost Setting Facility Modifier None Typical Low $302.00 Median $302.00 Typical High $407.38 | Facility | None | $302.00 | $302.00 | $407.38 |
Medcost Setting Professional Modifier None (both parts) Typical Low $186.21 Median $186.21 Typical High $186.21 | Professional | None (both parts) | $186.21 | $186.21 | $186.21 |
Sentara Setting Facility Modifier None Typical Low $38.02 Median $181.97 Typical High $812.83 | Facility | None | $38.02 | $181.97 | $812.83 |
Sentara Setting Professional Modifier None (both parts) Typical Low $45.71 Median $239.88 Typical High $501.19 | Professional | None (both parts) | $45.71 | $239.88 | $501.19 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $47.86 Typical High $83.18 | Professional | 26 · Professional part | $37.15 | $47.86 | $83.18 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $257.04 Typical High $426.58 | Professional | TC · Technical part | $158.49 | $257.04 | $426.58 |
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 $177.83 Median $295.12 Typical High $436.52 | Professional | None (both parts) | $177.83 | $295.12 | $436.52 |
United Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $52.48 Typical High $72.44 | Professional | 26 · Professional part | $29.51 | $52.48 | $72.44 |
United Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $245.47 Typical High $363.08 | Professional | TC · Technical part | $147.91 | $245.47 | $363.08 |
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 $91.20 Median $97.72 Typical High $102.33 | Professional | 52 · Reduced service | $91.20 | $97.72 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $38.90 Typical High $40.74 | Professional | 53 · Discontinued | $36.31 | $38.90 | $40.74 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $154.88 Median $154.88 Typical High $158.49 | Professional | FX · Film X-ray | $154.88 | $154.88 | $158.49 |
Where Virginia sits
The same service costs 4.6 times more in Alaska than in Texas. 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· 38th of 51
$224
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.