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 $257.04 Median $257.04 Typical High $263.03 | Facility | None | $257.04 | $257.04 | $263.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $245.47 Median $263.03 Typical High $331.13 | Professional | None (both parts) | $245.47 | $263.03 | $331.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $64.57 Typical High $66.07 | Professional | 26 · Professional part | $60.26 | $64.57 | $66.07 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $199.53 Typical High $251.19 | Professional | TC · Technical part | $186.21 | $199.53 | $251.19 |
Anthem BCBS Setting Facility Modifier None Typical Low $851.14 Median $1,071.52 Typical High $1,412.54 | Facility | None | $851.14 | $1,071.52 | $1,412.54 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $251.19 Median $309.03 Typical High $389.05 | Professional | None (both parts) | $251.19 | $309.03 | $389.05 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $75.86 Typical High $95.50 | Professional | 26 · Professional part | $63.10 | $75.86 | $95.50 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $223.87 Typical High $281.84 | Professional | TC · Technical part | $186.21 | $223.87 | $281.84 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $223.87 Median $295.12 Typical High $457.09 | Professional | None (both parts) | $223.87 | $295.12 | $457.09 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $72.44 Typical High $81.28 | Professional | 26 · Professional part | $64.57 | $72.44 | $81.28 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $204.17 Typical High $295.12 | Professional | TC · Technical part | $204.17 | $204.17 | $295.12 |
Cigna Setting Facility Modifier None Typical Low $407.38 Median $691.83 Typical High $1,202.26 | Facility | None | $407.38 | $691.83 | $1,202.26 |
Cigna Setting Professional Modifier None (both parts) Typical Low $234.42 Median $398.11 Typical High $645.65 | Professional | None (both parts) | $234.42 | $398.11 | $645.65 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $93.33 Typical High $147.91 | Professional | 26 · Professional part | $56.23 | $93.33 | $147.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $302.00 Typical High $489.78 | Professional | TC · Technical part | $181.97 | $302.00 | $489.78 |
Kaiser Permanente Setting Professional Modifier None Typical Low $263.03 Median $338.84 Typical High $389.05 | Professional | None | $263.03 | $338.84 | $389.05 |
Medcost Setting Professional Modifier None Typical Low $489.78 Median $562.34 Typical High $616.60 | Professional | None | $489.78 | $562.34 | $616.60 |
Medcost Setting Facility Modifier None Typical Low $489.78 Median $489.78 Typical High $537.03 | Facility | None | $489.78 | $489.78 | $537.03 |
Medcost Setting Professional Modifier None (both parts) Typical Low $251.19 Median $251.19 Typical High $251.19 | Professional | None (both parts) | $251.19 | $251.19 | $251.19 |
Sentara Setting Facility Modifier None Typical Low $75.86 Median $302.00 Typical High $1,258.93 | Facility | None | $75.86 | $302.00 | $1,258.93 |
Sentara Setting Professional Modifier None (both parts) Typical Low $91.20 Median $363.08 Typical High $776.25 | Professional | None (both parts) | $91.20 | $363.08 | $776.25 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $95.50 Typical High $169.82 | Professional | 26 · Professional part | $75.86 | $95.50 | $169.82 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $316.23 Typical High $537.03 | Professional | TC · Technical part | $257.04 | $316.23 | $537.03 |
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 $263.03 Median $436.52 Typical High $660.69 | Professional | None (both parts) | $263.03 | $436.52 | $660.69 |
United Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $104.71 Typical High $144.54 | Professional | 26 · Professional part | $60.26 | $104.71 | $144.54 |
United Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $331.13 Typical High $524.81 | Professional | TC · Technical part | $199.53 | $331.13 | $524.81 |
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 $123.03 Median $128.82 Typical High $138.04 | Professional | 52 · Reduced service | $123.03 | $128.82 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $52.48 Typical High $54.95 | Professional | 53 · Discontinued | $48.98 | $52.48 | $54.95 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | FX · Film X-ray | $208.93 | $208.93 | $208.93 |
Where Virginia sits
The same service costs 5.1 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· 42nd of 51
$316
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.