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 $316.23 Median $457.09 Typical High $588.84 | Facility | None | $316.23 | $457.09 | $588.84 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $41.69 Median $77.62 Typical High $91.20 | Facility | 26 · Professional part | $41.69 | $77.62 | $91.20 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $269.15 Median $380.19 Typical High $707.95 | Facility | TC · Technical part | $269.15 | $380.19 | $707.95 |
Aetna Setting Professional Modifier None (both parts) Typical Low $316.23 Median $389.05 Typical High $562.34 | Professional | None (both parts) | $316.23 | $389.05 | $562.34 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $56.23 Typical High $93.33 | Professional | 26 · Professional part | $41.69 | $56.23 | $93.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $338.84 Typical High $524.81 | Professional | TC · Technical part | $269.15 | $338.84 | $524.81 |
Anthem BCBS Setting Facility Modifier None Typical Low $977.24 Median $1,230.27 Typical High $1,584.89 | Facility | None | $977.24 | $1,230.27 | $1,584.89 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $295.12 Median $363.08 Typical High $446.68 | Professional | None (both parts) | $295.12 | $363.08 | $446.68 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $52.48 Typical High $66.07 | Professional | 26 · Professional part | $43.65 | $52.48 | $66.07 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $302.00 Typical High $371.54 | Professional | TC · Technical part | $251.19 | $302.00 | $371.54 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $44.67 Median $316.23 Typical High $354.81 | Professional | None (both parts) | $44.67 | $316.23 | $354.81 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | 26 · Professional part | $50.12 | $50.12 | $50.12 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $275.42 Typical High $302.00 | Professional | TC · Technical part | $269.15 | $275.42 | $302.00 |
Cigna Setting Facility Modifier None Typical Low $549.54 Median $776.25 Typical High $1,202.26 | Facility | None | $549.54 | $776.25 | $1,202.26 |
Cigna Setting Professional Modifier None (both parts) Typical Low $257.04 Median $354.81 Typical High $575.44 | Professional | None (both parts) | $257.04 | $354.81 | $575.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $66.07 Typical High $102.33 | Professional | 26 · Professional part | $39.81 | $66.07 | $102.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $288.40 Typical High $501.19 | Professional | TC · Technical part | $218.78 | $288.40 | $501.19 |
Kaiser Permanente Setting Professional Modifier None Typical Low $302.00 Median $389.05 Typical High $436.52 | Professional | None | $302.00 | $389.05 | $436.52 |
Medcost Setting Professional Modifier None Typical Low $295.12 Median $338.84 Typical High $371.54 | Professional | None | $295.12 | $338.84 | $371.54 |
Medcost Setting Facility Modifier None Typical Low $457.09 Median $457.09 Typical High $630.96 | Facility | None | $457.09 | $457.09 | $630.96 |
Medcost Setting Professional Modifier None (both parts) Typical Low $302.00 Median $302.00 Typical High $302.00 | Professional | None (both parts) | $302.00 | $302.00 | $302.00 |
Sentara Setting Facility Modifier None Typical Low $56.23 Median $346.74 Typical High $1,348.96 | Facility | None | $56.23 | $346.74 | $1,348.96 |
Sentara Setting Professional Modifier None (both parts) Typical Low $66.07 Median $398.11 Typical High $1,318.26 | Professional | None (both parts) | $66.07 | $398.11 | $1,318.26 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $66.07 Typical High $114.82 | Professional | 26 · Professional part | $51.29 | $66.07 | $114.82 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $398.11 Typical High $707.95 | Professional | TC · Technical part | $263.03 | $398.11 | $707.95 |
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 $281.84 Median $478.63 Typical High $676.08 | Professional | None (both parts) | $281.84 | $478.63 | $676.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $74.13 Typical High $102.33 | Professional | 26 · Professional part | $42.66 | $74.13 | $102.33 |
United Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $407.38 Typical High $588.84 | Professional | TC · Technical part | $239.88 | $407.38 | $588.84 |
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 $144.54 Median $158.49 Typical High $158.49 | Professional | 52 · Reduced service | $144.54 | $158.49 | $158.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $57.54 Median $63.10 Typical High $63.10 | Professional | 53 · Discontinued | $57.54 | $63.10 | $63.10 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $251.19 Median $251.19 Typical High $251.19 | Professional | FX · Film X-ray | $251.19 | $251.19 | $251.19 |
Where Virginia sits
The same service costs 4.7 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· 36th of 51
$372
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.