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 $199.53 Median $199.53 Typical High $204.17 | Facility | None | $199.53 | $199.53 | $204.17 |
Aetna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $199.53 Typical High $213.80 | Professional | None (both parts) | $190.55 | $199.53 | $213.80 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $40.74 Typical High $41.69 | Professional | 26 · Professional part | $38.02 | $40.74 | $41.69 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $162.18 Typical High $169.82 | Professional | TC · Technical part | $147.91 | $162.18 | $169.82 |
Anthem BCBS Setting Facility Modifier None Typical Low $645.65 Median $831.76 Typical High $1,071.52 | Facility | None | $645.65 | $831.76 | $1,071.52 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $190.55 Median $234.42 Typical High $295.12 | Professional | None (both parts) | $190.55 | $234.42 | $295.12 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $46.77 Typical High $60.26 | Professional | 26 · Professional part | $38.90 | $46.77 | $60.26 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $181.97 Typical High $229.09 | Professional | TC · Technical part | $151.36 | $181.97 | $229.09 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $56.23 Median $208.93 Typical High $302.00 | Professional | None (both parts) | $56.23 | $208.93 | $302.00 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $45.71 Typical High $45.71 | Professional | 26 · Professional part | $40.74 | $45.71 | $45.71 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $186.21 Typical High $208.93 | Professional | TC · Technical part | $186.21 | $186.21 | $208.93 |
Cigna Setting Facility Modifier None Typical Low $331.13 Median $562.34 Typical High $1,096.48 | Facility | None | $331.13 | $562.34 | $1,096.48 |
Cigna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $302.00 Typical High $436.52 | Professional | None (both parts) | $181.97 | $302.00 | $436.52 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $60.26 Typical High $93.33 | Professional | 26 · Professional part | $36.31 | $60.26 | $93.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $239.88 Typical High $346.74 | Professional | TC · Technical part | $147.91 | $239.88 | $346.74 |
Kaiser Permanente Setting Professional Modifier None Typical Low $199.53 Median $257.04 Typical High $295.12 | Professional | None | $199.53 | $257.04 | $295.12 |
Medcost Setting Professional Modifier None Typical Low $309.03 Median $354.81 Typical High $389.05 | Professional | None | $309.03 | $354.81 | $389.05 |
Medcost Setting Facility Modifier None Typical Low $354.81 Median $354.81 Typical High $416.87 | Facility | None | $354.81 | $354.81 | $416.87 |
Medcost Setting Professional Modifier None (both parts) Typical Low $194.98 Median $194.98 Typical High $194.98 | Professional | None (both parts) | $194.98 | $194.98 | $194.98 |
Sentara Setting Facility Modifier None Typical Low $47.86 Median $229.09 Typical High $1,096.48 | Facility | None | $47.86 | $229.09 | $1,096.48 |
Sentara Setting Professional Modifier None (both parts) Typical Low $58.88 Median $269.15 Typical High $676.08 | Professional | None (both parts) | $58.88 | $269.15 | $676.08 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $60.26 Typical High $107.15 | Professional | 26 · Professional part | $46.77 | $60.26 | $107.15 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $257.04 Typical High $436.52 | Professional | TC · Technical part | $194.98 | $257.04 | $436.52 |
United Setting Facility Modifier None Typical Low $1,023.29 Median $1,122.02 Typical High $2,511.89 | Facility | None | $1,023.29 | $1,122.02 | $2,511.89 |
United Setting Professional Modifier None (both parts) Typical Low $194.98 Median $338.84 Typical High $478.63 | Professional | None (both parts) | $194.98 | $338.84 | $478.63 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $66.07 Typical High $93.33 | Professional | 26 · Professional part | $38.02 | $66.07 | $93.33 |
United Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $275.42 Typical High $380.19 | Professional | TC · Technical part | $158.49 | $275.42 | $380.19 |
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 $93.33 Median $100.00 Typical High $107.15 | Professional | 52 · Reduced service | $93.33 | $100.00 | $107.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $39.81 Typical High $42.66 | Professional | 53 · Discontinued | $38.02 | $39.81 | $42.66 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $162.18 Median $162.18 Typical High $165.96 | Professional | FX · Film X-ray | $162.18 | $162.18 | $165.96 |
Where Virginia sits
The same service costs 4.6 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· 40th of 51
$240
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.