How much rates vary
Facilitymedian $646 · 10th to 90th $89 to $6,918Professionalmedian $1,202 · 10th to 90th $324 to $2,089
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 $1,000.00 Median $5,888.44 Typical High $8,317.64 | Facility | None | $1,000.00 | $5,888.44 | $8,317.64 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,000.00 Median $1,000.00 Typical High $3,890.45 | Professional | None (both parts) | $1,000.00 | $1,000.00 | $3,890.45 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $125.89 Typical High $263.03 | Professional | 26 · Professional part | $125.89 | $125.89 | $263.03 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $870.96 Median $870.96 Typical High $1,819.70 | Professional | TC · Technical part | $870.96 | $870.96 | $1,819.70 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $1,071.52 Median $1,258.93 Typical High $1,621.81 | Professional | None (both parts) | $1,071.52 | $1,258.93 | $1,621.81 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $79.43 Typical High $102.33 | Professional | 26 · Professional part | $67.61 | $79.43 | $102.33 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $1,047.13 Median $1,258.93 Typical High $1,548.82 | Professional | TC · Technical part | $1,047.13 | $1,258.93 | $1,548.82 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $77.62 Median $1,479.11 Typical High $1,698.24 | Professional | None (both parts) | $77.62 | $1,479.11 | $1,698.24 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $70.79 Typical High $97.72 | Professional | 26 · Professional part | $70.79 | $70.79 | $97.72 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $1,380.38 Median $1,621.81 Typical High $1,905.46 | Professional | TC · Technical part | $1,380.38 | $1,621.81 | $1,905.46 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $870.96 Typical High $2,454.71 | Facility | None | $707.95 | $870.96 | $2,454.71 |
Cigna Setting Professional Modifier None (both parts) Typical Low $346.74 Median $630.96 Typical High $1,905.46 | Professional | None (both parts) | $346.74 | $630.96 | $1,905.46 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $93.33 Typical High $147.91 | Professional | 26 · Professional part | $61.66 | $93.33 | $147.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $407.38 Typical High $707.95 | Professional | TC · Technical part | $245.47 | $407.38 | $707.95 |
Kaiser Permanente Setting Professional Modifier None Typical Low $416.87 Median $575.44 Typical High $602.56 | Professional | None | $416.87 | $575.44 | $602.56 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $109.65 Typical High $134.90 | Professional | 26 · Professional part | $107.15 | $109.65 | $134.90 |
Medcost Setting Facility Modifier None Typical Low $371.54 Median $371.54 Typical High $1,513.56 | Facility | None | $371.54 | $371.54 | $1,513.56 |
Medcost Setting Professional Modifier None (both parts) Typical Low $1,230.27 Median $1,230.27 Typical High $1,230.27 | Professional | None (both parts) | $1,230.27 | $1,230.27 | $1,230.27 |
Sentara Setting Facility Modifier None Typical Low $77.62 Median $416.87 Typical High $6,918.31 | Facility | None | $77.62 | $416.87 | $6,918.31 |
Sentara Setting Professional Modifier None (both parts) Typical Low $95.50 Median $489.78 Typical High $2,137.96 | Professional | None (both parts) | $95.50 | $489.78 | $2,137.96 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $100.00 Typical High $169.82 | Professional | 26 · Professional part | $75.86 | $100.00 | $169.82 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $467.74 Typical High $794.33 | Professional | TC · Technical part | $275.42 | $467.74 | $794.33 |
United Setting Facility Modifier None Typical Low $2,454.71 Median $2,691.53 Typical High $6,025.60 | Facility | None | $2,454.71 | $2,691.53 | $6,025.60 |
United Setting Professional Modifier None (both parts) Typical Low $1,071.52 Median $1,905.46 Typical High $2,951.21 | Professional | None (both parts) | $1,071.52 | $1,905.46 | $2,951.21 |
United Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $104.71 Typical High $144.54 | Professional | 26 · Professional part | $63.10 | $104.71 | $144.54 |
United Setting Professional Modifier TC · Technical part Typical Low $1,000.00 Median $1,819.70 Typical High $2,818.38 | Professional | TC · Technical part | $1,000.00 | $1,819.70 | $2,818.38 |
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 $501.19 Median $501.19 Typical High $758.58 | Professional | 52 · Reduced service | $501.19 | $501.19 | $758.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $199.53 Median $199.53 Typical High $302.00 | Professional | 53 · Discontinued | $199.53 | $199.53 | $302.00 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $794.33 Median $794.33 Typical High $933.25 | Professional | FX · Film X-ray | $794.33 | $794.33 | $933.25 |
Where Virginia sits
The same service costs 4.4 times more in Nebraska than in Washington. 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· 40th of 51
$1,148
NE $2,512WA $575
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.