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 $251.19 Median $251.19 Typical High $257.04 | Facility | None | $251.19 | $251.19 | $257.04 |
Aetna Setting Professional Modifier None (both parts) Typical Low $234.42 Median $251.19 Typical High $323.59 | Professional | None (both parts) | $234.42 | $251.19 | $323.59 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $37.15 Typical High $38.02 | Professional | 26 · Professional part | $34.67 | $37.15 | $38.02 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $213.80 Typical High $245.47 | Professional | TC · Technical part | $194.98 | $213.80 | $245.47 |
Anthem BCBS Setting Facility Modifier None Typical Low $776.25 Median $977.24 Typical High $1,288.25 | Facility | None | $776.25 | $977.24 | $1,288.25 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $234.42 Median $281.84 Typical High $354.81 | Professional | None (both parts) | $234.42 | $281.84 | $354.81 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $42.66 Typical High $53.70 | Professional | 26 · Professional part | $35.48 | $42.66 | $53.70 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $234.42 Typical High $295.12 | Professional | TC · Technical part | $199.53 | $234.42 | $295.12 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $158.49 Median $251.19 Typical High $316.23 | Professional | None (both parts) | $158.49 | $251.19 | $316.23 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $40.74 Typical High $45.71 | Professional | 26 · Professional part | $37.15 | $40.74 | $45.71 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $218.78 Typical High $239.88 | Professional | TC · Technical part | $218.78 | $218.78 | $239.88 |
Cigna Setting Facility Modifier None Typical Low $426.58 Median $616.60 Typical High $1,122.02 | Facility | None | $426.58 | $616.60 | $1,122.02 |
Cigna Setting Professional Modifier None (both parts) Typical Low $199.53 Median $263.03 Typical High $467.74 | Professional | None (both parts) | $199.53 | $263.03 | $467.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $54.95 Typical High $83.18 | Professional | 26 · Professional part | $32.36 | $54.95 | $83.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $208.93 Typical High $398.11 | Professional | TC · Technical part | $169.82 | $208.93 | $398.11 |
Kaiser Permanente Setting Professional Modifier None Typical Low $239.88 Median $309.03 Typical High $354.81 | Professional | None | $239.88 | $309.03 | $354.81 |
Medcost Setting Professional Modifier None Typical Low $234.42 Median $263.03 Typical High $288.40 | Professional | None | $234.42 | $263.03 | $288.40 |
Medcost Setting Facility Modifier None Typical Low $309.03 Median $309.03 Typical High $512.86 | Facility | None | $309.03 | $309.03 | $512.86 |
Medcost Setting Professional Modifier None (both parts) Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | None (both parts) | $239.88 | $239.88 | $239.88 |
Sentara Setting Facility Modifier None Typical Low $42.66 Median $239.88 Typical High $1,071.52 | Facility | None | $42.66 | $239.88 | $1,071.52 |
Sentara Setting Professional Modifier None (both parts) Typical Low $53.70 Median $275.42 Typical High $676.08 | Professional | None (both parts) | $53.70 | $275.42 | $676.08 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $54.95 Typical High $93.33 | Professional | 26 · Professional part | $42.66 | $54.95 | $93.33 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $302.00 Typical High $562.34 | Professional | TC · Technical part | $194.98 | $302.00 | $562.34 |
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 $208.93 Median $354.81 Typical High $501.19 | Professional | None (both parts) | $208.93 | $354.81 | $501.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $60.26 Typical High $83.18 | Professional | 26 · Professional part | $34.67 | $60.26 | $83.18 |
United Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $288.40 Typical High $416.87 | Professional | TC · Technical part | $169.82 | $288.40 | $416.87 |
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 $114.82 Median $125.89 Typical High $128.82 | Professional | 52 · Reduced service | $114.82 | $125.89 | $128.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $50.12 Typical High $51.29 | Professional | 53 · Discontinued | $46.77 | $50.12 | $51.29 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $190.55 Median $199.53 Typical High $204.17 | Professional | FX · Film X-ray | $190.55 | $199.53 | $204.17 |
Where Virginia sits
The same service costs 5.0 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· 39th of 51
$282
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.