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 $218.78 Median $218.78 Typical High $223.87 | Facility | None | $218.78 | $218.78 | $223.87 |
Aetna Setting Professional Modifier None (both parts) Typical Low $208.93 Median $218.78 Typical High $223.87 | Professional | None (both parts) | $208.93 | $218.78 | $223.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $30.20 Typical High $31.62 | Professional | 26 · Professional part | $28.84 | $30.20 | $31.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $190.55 Typical High $194.98 | Professional | TC · Technical part | $177.83 | $190.55 | $194.98 |
Anthem BCBS Setting Facility Modifier None Typical Low $691.83 Median $891.25 Typical High $1,148.15 | Facility | None | $691.83 | $891.25 | $1,148.15 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $213.80 Median $257.04 Typical High $323.59 | Professional | None (both parts) | $213.80 | $257.04 | $323.59 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $35.48 Typical High $44.67 | Professional | 26 · Professional part | $29.51 | $35.48 | $44.67 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $218.78 Typical High $269.15 | Professional | TC · Technical part | $181.97 | $218.78 | $269.15 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $186.21 Median $239.88 Typical High $302.00 | Professional | None (both parts) | $186.21 | $239.88 | $302.00 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $33.88 Typical High $34.67 | Professional | 26 · Professional part | $30.90 | $33.88 | $34.67 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $218.78 Typical High $245.47 | Professional | TC · Technical part | $199.53 | $218.78 | $245.47 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $616.60 Typical High $1,122.02 | Facility | None | $398.11 | $616.60 | $1,122.02 |
Cigna Setting Professional Modifier None (both parts) Typical Low $199.53 Median $281.84 Typical High $426.58 | Professional | None (both parts) | $199.53 | $281.84 | $426.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $43.65 Typical High $67.61 | Professional | 26 · Professional part | $25.70 | $43.65 | $67.61 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $239.88 Typical High $354.81 | Professional | TC · Technical part | $173.78 | $239.88 | $354.81 |
Kaiser Permanente Setting Professional Modifier None Typical Low $213.80 Median $281.84 Typical High $316.23 | Professional | None | $213.80 | $281.84 | $316.23 |
Medcost Setting Professional Modifier None Typical Low $251.19 Median $281.84 Typical High $309.03 | Professional | None | $251.19 | $281.84 | $309.03 |
Medcost Setting Facility Modifier None Typical Low $323.59 Median $323.59 Typical High $446.68 | Facility | None | $323.59 | $323.59 | $446.68 |
Medcost Setting Professional Modifier None (both parts) Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | None (both parts) | $213.80 | $213.80 | $213.80 |
Sentara Setting Facility Modifier None Typical Low $34.67 Median $229.09 Typical High $933.25 | Facility | None | $34.67 | $229.09 | $933.25 |
Sentara Setting Professional Modifier None (both parts) Typical Low $42.66 Median $269.15 Typical High $575.44 | Professional | None (both parts) | $42.66 | $269.15 | $575.44 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $44.67 Typical High $77.62 | Professional | 26 · Professional part | $34.67 | $44.67 | $77.62 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $302.00 Typical High $489.78 | Professional | TC · Technical part | $186.21 | $302.00 | $489.78 |
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 $194.98 Median $331.13 Typical High $489.78 | Professional | None (both parts) | $194.98 | $331.13 | $489.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $48.98 Typical High $67.61 | Professional | 26 · Professional part | $28.18 | $48.98 | $67.61 |
United Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $281.84 Typical High $426.58 | Professional | TC · Technical part | $169.82 | $281.84 | $426.58 |
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 $102.33 Median $109.65 Typical High $112.20 | Professional | 52 · Reduced service | $102.33 | $109.65 | $112.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $43.65 Typical High $44.67 | Professional | 53 · Discontinued | $41.69 | $43.65 | $44.67 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | FX · Film X-ray | $177.83 | $177.83 | $177.83 |
Where Virginia sits
The same service costs 4.2 times more in Alaska 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· 37th of 51
$263
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.