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 $181.97 Median $181.97 Typical High $186.21 | Facility | None | $181.97 | $181.97 | $186.21 |
Aetna Setting Professional Modifier None (both parts) Typical Low $173.78 Median $181.97 Typical High $199.53 | Professional | None (both parts) | $173.78 | $181.97 | $199.53 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $26.30 Typical High $27.54 | Professional | 26 · Professional part | $23.44 | $26.30 | $27.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $158.49 Typical High $169.82 | Professional | TC · Technical part | $144.54 | $158.49 | $169.82 |
Anthem BCBS Setting Facility Modifier None Typical Low $588.84 Median $741.31 Typical High $977.24 | Facility | None | $588.84 | $741.31 | $977.24 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $173.78 Median $208.93 Typical High $263.03 | Professional | None (both parts) | $173.78 | $208.93 | $263.03 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $30.20 Typical High $38.02 | Professional | 26 · Professional part | $25.12 | $30.20 | $38.02 |
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 $25.12 Median $177.83 Typical High $234.42 | Professional | None (both parts) | $25.12 | $177.83 | $234.42 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $28.18 Typical High $36.31 | Professional | 26 · Professional part | $28.18 | $28.18 | $36.31 |
Cigna Setting Facility Modifier None Typical Low $323.59 Median $616.60 Typical High $1,071.52 | Facility | None | $323.59 | $616.60 | $1,071.52 |
Cigna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $269.15 Typical High $398.11 | Professional | None (both parts) | $162.18 | $269.15 | $398.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $40.74 Typical High $66.07 | Professional | 26 · Professional part | $22.39 | $40.74 | $66.07 |
Cigna 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 |
Kaiser Permanente Setting Professional Modifier None Typical Low $181.97 Median $234.42 Typical High $269.15 | Professional | None | $181.97 | $234.42 | $269.15 |
Medcost Setting Professional Modifier None Typical Low $245.47 Median $275.42 Typical High $302.00 | Professional | None | $245.47 | $275.42 | $302.00 |
Medcost Setting Facility Modifier None Typical Low $331.13 Median $331.13 Typical High $371.54 | Facility | None | $331.13 | $331.13 | $371.54 |
Medcost Setting Professional Modifier None (both parts) Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | None (both parts) | $173.78 | $173.78 | $173.78 |
Sentara Setting Facility Modifier None Typical Low $33.88 Median $186.21 Typical High $758.58 | Facility | None | $33.88 | $186.21 | $758.58 |
Sentara Setting Professional Modifier None (both parts) Typical Low $40.74 Median $245.47 Typical High $489.78 | Professional | None (both parts) | $40.74 | $245.47 | $489.78 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $41.69 Typical High $70.79 | Professional | 26 · Professional part | $34.67 | $41.69 | $70.79 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $257.04 Typical High $426.58 | Professional | TC · Technical part | $151.36 | $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 $181.97 Median $302.00 Typical High $426.58 | Professional | None (both parts) | $181.97 | $302.00 | $426.58 |
United Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $44.67 Typical High $60.26 | Professional | 26 · Professional part | $24.55 | $44.67 | $60.26 |
United Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $263.03 Typical High $371.54 | Professional | TC · Technical part | $154.88 | $263.03 | $371.54 |
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 $87.10 Median $91.20 Typical High $97.72 | Professional | 52 · Reduced service | $87.10 | $91.20 | $97.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $36.31 Typical High $39.81 | Professional | 53 · Discontinued | $34.67 | $36.31 | $39.81 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $144.54 Median $144.54 Typical High $147.91 | Professional | FX · Film X-ray | $144.54 | $144.54 | $147.91 |
Where Virginia sits
The same service costs 4.4 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· 41st of 51
$219
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.