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 $186.21 Median $186.21 Typical High $190.55 | Facility | None | $186.21 | $186.21 | $190.55 |
Aetna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $186.21 Typical High $190.55 | Professional | None (both parts) | $177.83 | $186.21 | $190.55 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $38.90 Typical High $41.69 | Professional | 26 · Professional part | $38.02 | $38.90 | $41.69 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $147.91 Typical High $151.36 | Professional | TC · Technical part | $134.90 | $147.91 | $151.36 |
Anthem BCBS Setting Facility Modifier None Typical Low $588.84 Median $758.58 Typical High $977.24 | Facility | None | $588.84 | $758.58 | $977.24 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $181.97 Median $218.78 Typical High $275.42 | Professional | None (both parts) | $181.97 | $218.78 | $275.42 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $47.86 Typical High $60.26 | Professional | 26 · Professional part | $39.81 | $47.86 | $60.26 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $169.82 Typical High $208.93 | Professional | TC · Technical part | $141.25 | $169.82 | $208.93 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $173.78 Median $213.80 Typical High $245.47 | Professional | None (both parts) | $173.78 | $213.80 | $245.47 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $44.67 Typical High $48.98 | Professional | 26 · Professional part | $40.74 | $44.67 | $48.98 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $169.82 Typical High $169.82 | Professional | TC · Technical part | $154.88 | $169.82 | $169.82 |
Cigna Setting Facility Modifier None Typical Low $309.03 Median $446.68 Typical High $870.96 | Facility | None | $309.03 | $446.68 | $870.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $269.15 Typical High $389.05 | Professional | None (both parts) | $154.88 | $269.15 | $389.05 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $58.88 Typical High $85.11 | Professional | 26 · Professional part | $34.67 | $58.88 | $85.11 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $208.93 Typical High $295.12 | Professional | TC · Technical part | $125.89 | $208.93 | $295.12 |
Kaiser Permanente Setting Professional Modifier None Typical Low $181.97 Median $239.88 Typical High $269.15 | Professional | None | $181.97 | $239.88 | $269.15 |
Medcost Setting Professional Modifier None Typical Low $257.04 Median $288.40 Typical High $316.23 | Professional | None | $257.04 | $288.40 | $316.23 |
Medcost Setting Facility Modifier None Typical Low $288.40 Median $288.40 Typical High $380.19 | Facility | None | $288.40 | $288.40 | $380.19 |
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 $46.77 Median $194.98 Typical High $776.25 | Facility | None | $46.77 | $194.98 | $776.25 |
Sentara Setting Professional Modifier None (both parts) Typical Low $58.88 Median $229.09 Typical High $512.86 | Professional | None (both parts) | $58.88 | $229.09 | $512.86 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $60.26 Typical High $102.33 | Professional | 26 · Professional part | $45.71 | $60.26 | $102.33 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $213.80 Typical High $380.19 | Professional | TC · Technical part | $147.91 | $213.80 | $380.19 |
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 $169.82 Median $275.42 Typical High $426.58 | Professional | None (both parts) | $169.82 | $275.42 | $426.58 |
United Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $60.26 Typical High $91.20 | Professional | 26 · Professional part | $37.15 | $60.26 | $91.20 |
United Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $213.80 Typical High $331.13 | Professional | TC · Technical part | $131.83 | $213.80 | $331.13 |
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 $87.10 Median $93.33 Typical High $93.33 | Professional | 52 · Reduced service | $87.10 | $93.33 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $37.15 Typical High $38.02 | Professional | 53 · Discontinued | $35.48 | $37.15 | $38.02 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | FX · Film X-ray | $151.36 | $151.36 | $151.36 |
Where Virginia sits
The same service costs 5.0 times more in Alaska than in Texas. 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
$224
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.