How much rates vary
Facilitymedian $240 · 10th to 90th $28 to $832Professionalmedian $204 · 10th to 90th $105 to $324
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 $169.82 Median $190.55 Typical High $218.78 | Facility | None | $169.82 | $190.55 | $218.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $173.78 Typical High $190.55 | Professional | None (both parts) | $169.82 | $173.78 | $190.55 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $21.88 Typical High $23.99 | Professional | 26 · Professional part | $21.38 | $21.88 | $23.99 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $151.36 Typical High $169.82 | Professional | TC · Technical part | $147.91 | $151.36 | $169.82 |
Anthem BCBS Setting Facility Modifier None Typical Low $537.03 Median $676.08 Typical High $891.25 | Facility | None | $537.03 | $676.08 | $891.25 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $173.78 Median $213.80 Typical High $269.15 | Professional | None (both parts) | $173.78 | $213.80 | $269.15 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $26.92 Typical High $33.11 | Professional | 26 · Professional part | $22.39 | $26.92 | $33.11 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $186.21 Typical High $223.87 | Professional | TC · Technical part | $147.91 | $186.21 | $223.87 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $24.55 Median $177.83 Typical High $218.78 | Professional | None (both parts) | $24.55 | $177.83 | $218.78 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $22.39 Typical High $29.51 | Professional | 26 · Professional part | $22.39 | $22.39 | $29.51 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $169.82 Typical High $169.82 | Professional | TC · Technical part | $151.36 | $169.82 | $169.82 |
Cigna Setting Facility Modifier None Typical Low $331.13 Median $501.19 Typical High $870.96 | Facility | None | $331.13 | $501.19 | $870.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $169.82 Typical High $331.13 | Professional | None (both parts) | $134.90 | $169.82 | $331.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $32.36 Typical High $46.77 | Professional | 26 · Professional part | $19.95 | $32.36 | $46.77 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $147.91 Typical High $288.40 | Professional | TC · Technical part | $120.23 | $147.91 | $288.40 |
Kaiser Permanente Setting Professional Modifier None Typical Low $165.96 Median $213.80 Typical High $245.47 | Professional | None | $165.96 | $213.80 | $245.47 |
Medcost Setting Professional Modifier None Typical Low $123.03 Median $138.04 Typical High $181.97 | Professional | None | $123.03 | $138.04 | $181.97 |
Medcost Setting Facility Modifier None Typical Low $223.87 Median $223.87 Typical High $346.74 | Facility | None | $223.87 | $223.87 | $346.74 |
Medcost Setting Professional Modifier None (both parts) Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | None (both parts) | $181.97 | $181.97 | $181.97 |
Sentara Setting Facility Modifier None Typical Low $25.70 Median $165.96 Typical High $630.96 | Facility | None | $25.70 | $165.96 | $630.96 |
Sentara Setting Professional Modifier None (both parts) Typical Low $31.62 Median $204.17 Typical High $467.74 | Professional | None (both parts) | $31.62 | $204.17 | $467.74 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $33.11 Typical High $57.54 | Professional | 26 · Professional part | $25.12 | $33.11 | $57.54 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $218.78 Typical High $407.38 | Professional | TC · Technical part | $154.88 | $218.78 | $407.38 |
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 $134.90 Median $263.03 Typical High $346.74 | Professional | None (both parts) | $134.90 | $263.03 | $346.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $34.67 Typical High $48.98 | Professional | 26 · Professional part | $20.42 | $34.67 | $48.98 |
United Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $229.09 Typical High $302.00 | Professional | TC · Technical part | $102.33 | $229.09 | $302.00 |
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 $85.11 Median $87.10 Typical High $95.50 | Professional | 52 · Reduced service | $85.11 | $87.10 | $95.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $35.48 Typical High $38.02 | Professional | 53 · Discontinued | $33.88 | $35.48 | $38.02 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $134.90 Median $141.25 Typical High $154.88 | Professional | FX · Film X-ray | $134.90 | $141.25 | $154.88 |
Where Virginia sits
The same service costs 5.5 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
$204
AK $759KY $138
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.