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 $158.49 Median $158.49 Typical High $158.49 | Facility | None | $158.49 | $158.49 | $158.49 |
Aetna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $158.49 Typical High $331.13 | Professional | None (both parts) | $154.88 | $158.49 | $331.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $43.65 Typical High $69.18 | Professional | 26 · Professional part | $40.74 | $43.65 | $69.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $120.23 Typical High $245.47 | Professional | TC · Technical part | $109.65 | $120.23 | $245.47 |
Anthem BCBS Setting Facility Modifier None Typical Low $524.81 Median $660.69 Typical High $851.14 | Facility | None | $524.81 | $660.69 | $851.14 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $154.88 Median $190.55 Typical High $239.88 | Professional | None (both parts) | $154.88 | $190.55 | $239.88 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $50.12 Typical High $64.57 | Professional | 26 · Professional part | $41.69 | $50.12 | $64.57 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $134.90 Typical High $173.78 | Professional | TC · Technical part | $112.20 | $134.90 | $173.78 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $120.23 Median $162.18 Typical High $281.84 | Professional | None (both parts) | $120.23 | $162.18 | $281.84 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $47.86 Typical High $53.70 | Professional | 26 · Professional part | $42.66 | $47.86 | $53.70 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $134.90 Typical High $169.82 | Professional | TC · Technical part | $134.90 | $134.90 | $169.82 |
Cigna Setting Facility Modifier None Typical Low $245.47 Median $426.58 Typical High $1,096.48 | Facility | None | $245.47 | $426.58 | $1,096.48 |
Cigna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $245.47 Typical High $398.11 | Professional | None (both parts) | $144.54 | $245.47 | $398.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $63.10 Typical High $97.72 | Professional | 26 · Professional part | $38.02 | $63.10 | $97.72 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $181.97 Typical High $295.12 | Professional | TC · Technical part | $107.15 | $181.97 | $295.12 |
Kaiser Permanente Setting Professional Modifier None Typical Low $158.49 Median $204.17 Typical High $234.42 | Professional | None | $158.49 | $204.17 | $234.42 |
Medcost Setting Professional Modifier None Typical Low $316.23 Median $363.08 Typical High $398.11 | Professional | None | $316.23 | $363.08 | $398.11 |
Medcost Setting Facility Modifier None Typical Low $316.23 Median $316.23 Typical High $323.59 | Facility | None | $316.23 | $316.23 | $323.59 |
Medcost Setting Professional Modifier None (both parts) Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | None (both parts) | $154.88 | $154.88 | $154.88 |
Sentara Setting Facility Modifier None Typical Low $51.29 Median $194.98 Typical High $794.33 | Facility | None | $51.29 | $194.98 | $794.33 |
Sentara Setting Professional Modifier None (both parts) Typical Low $61.66 Median $229.09 Typical High $478.63 | Professional | None (both parts) | $61.66 | $229.09 | $478.63 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $66.07 Typical High $114.82 | Professional | 26 · Professional part | $50.12 | $66.07 | $114.82 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $194.98 Typical High $309.03 | Professional | TC · Technical part | $151.36 | $194.98 | $309.03 |
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 $162.18 Median $263.03 Typical High $407.38 | Professional | None (both parts) | $162.18 | $263.03 | $407.38 |
United Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $70.79 Typical High $100.00 | Professional | 26 · Professional part | $40.74 | $70.79 | $100.00 |
United Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $194.98 Typical High $309.03 | Professional | TC · Technical part | $120.23 | $194.98 | $309.03 |
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 $75.86 Median $79.43 Typical High $85.11 | Professional | 52 · Reduced service | $75.86 | $79.43 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $32.36 Typical High $33.88 | Professional | 53 · Discontinued | $30.90 | $32.36 | $33.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | FX · Film X-ray | $128.82 | $128.82 | $128.82 |
Where Virginia sits
The same service costs 4.8 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· 44th of 51
$195
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.