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 $302.00 Median $398.11 Typical High $562.34 | Facility | None | $302.00 | $398.11 | $562.34 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $33.11 Median $48.98 Typical High $69.18 | Facility | 26 · Professional part | $33.11 | $48.98 | $69.18 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $269.15 Median $338.84 Typical High $707.95 | Facility | TC · Technical part | $269.15 | $338.84 | $707.95 |
Aetna Setting Professional Modifier None (both parts) Typical Low $302.00 Median $371.54 Typical High $602.56 | Professional | None (both parts) | $302.00 | $371.54 | $602.56 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $43.65 Typical High $72.44 | Professional | 26 · Professional part | $33.11 | $43.65 | $72.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $331.13 Typical High $549.54 | Professional | TC · Technical part | $269.15 | $331.13 | $549.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $933.25 Median $1,174.90 Typical High $1,548.82 | Facility | None | $933.25 | $1,174.90 | $1,548.82 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $281.84 Median $346.74 Typical High $426.58 | Professional | None (both parts) | $281.84 | $346.74 | $426.58 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $40.74 Typical High $51.29 | Professional | 26 · Professional part | $33.88 | $40.74 | $51.29 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $295.12 Typical High $363.08 | Professional | TC · Technical part | $251.19 | $295.12 | $363.08 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $34.67 Median $302.00 Typical High $371.54 | Professional | None (both parts) | $34.67 | $302.00 | $371.54 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $38.90 Typical High $48.98 | Professional | 26 · Professional part | $38.02 | $38.90 | $48.98 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $302.00 Typical High $302.00 | Professional | TC · Technical part | $269.15 | $302.00 | $302.00 |
Cigna Setting Facility Modifier None Typical Low $537.03 Median $758.58 Typical High $1,202.26 | Facility | None | $537.03 | $758.58 | $1,202.26 |
Cigna Setting Professional Modifier None (both parts) Typical Low $239.88 Median $295.12 Typical High $562.34 | Professional | None (both parts) | $239.88 | $295.12 | $562.34 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $51.29 Typical High $79.43 | Professional | 26 · Professional part | $30.90 | $51.29 | $79.43 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $257.04 Typical High $489.78 | Professional | TC · Technical part | $213.80 | $257.04 | $489.78 |
Kaiser Permanente Setting Professional Modifier None Typical Low $288.40 Median $371.54 Typical High $416.87 | Professional | None | $288.40 | $371.54 | $416.87 |
Medcost Setting Professional Modifier None Typical Low $251.19 Median $281.84 Typical High $316.23 | Professional | None | $251.19 | $281.84 | $316.23 |
Medcost Setting Facility Modifier None Typical Low $380.19 Median $380.19 Typical High $616.60 | Facility | None | $380.19 | $380.19 | $616.60 |
Medcost Setting Professional Modifier None (both parts) Typical Low $288.40 Median $288.40 Typical High $288.40 | Professional | None (both parts) | $288.40 | $288.40 | $288.40 |
Sentara Setting Facility Modifier None Typical Low $43.65 Median $346.74 Typical High $1,778.28 | Facility | None | $43.65 | $346.74 | $1,778.28 |
Sentara Setting Professional Modifier None (both parts) Typical Low $50.12 Median $371.54 Typical High $1,737.80 | Professional | None (both parts) | $50.12 | $371.54 | $1,737.80 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $51.29 Typical High $87.10 | Professional | 26 · Professional part | $39.81 | $51.29 | $87.10 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $398.11 Typical High $691.83 | Professional | TC · Technical part | $257.04 | $398.11 | $691.83 |
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 $257.04 Median $446.68 Typical High $602.56 | Professional | None (both parts) | $257.04 | $446.68 | $602.56 |
United Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $54.95 Typical High $77.62 | Professional | 26 · Professional part | $32.36 | $54.95 | $77.62 |
United Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $398.11 Typical High $524.81 | Professional | TC · Technical part | $218.78 | $398.11 | $524.81 |
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 $138.04 Median $151.36 Typical High $151.36 | Professional | 52 · Reduced service | $138.04 | $151.36 | $151.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $60.26 Typical High $61.66 | Professional | 53 · Discontinued | $54.95 | $60.26 | $61.66 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $239.88 Median $239.88 Typical High $245.47 | Professional | FX · Film X-ray | $239.88 | $239.88 | $245.47 |
Where Virginia sits
The same service costs 3.5 times more in Alaska than in Kentucky. 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
$355
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.