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 $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 $102.33 Median $125.89 Typical High $213.80 | Professional | 26 · Professional part | $102.33 | $125.89 | $213.80 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $870.96 Median $870.96 Typical High $1,479.11 | Professional | TC · Technical part | $870.96 | $870.96 | $1,479.11 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $1,174.90 Median $1,412.54 Typical High $1,819.70 | Professional | None (both parts) | $1,174.90 | $1,412.54 | $1,819.70 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $93.33 Typical High $117.49 | Professional | 26 · Professional part | $77.62 | $93.33 | $117.49 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $1,148.15 Median $1,380.38 Typical High $1,698.24 | Professional | TC · Technical part | $1,148.15 | $1,380.38 | $1,698.24 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $954.99 Median $1,659.59 Typical High $2,041.74 | Professional | None (both parts) | $954.99 | $1,659.59 | $2,041.74 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $87.10 Typical High $93.33 | Professional | 26 · Professional part | $79.43 | $87.10 | $93.33 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $1,548.82 Median $1,737.80 Typical High $1,737.80 | Professional | TC · Technical part | $1,548.82 | $1,737.80 | $1,737.80 |
Cigna Setting Facility Modifier None Typical Low $776.25 Median $1,148.15 Typical High $3,019.95 | Facility | None | $776.25 | $1,148.15 | $3,019.95 |
Cigna Setting Professional Modifier None (both parts) Typical Low $446.68 Median $776.25 Typical High $1,737.80 | Professional | None (both parts) | $446.68 | $776.25 | $1,737.80 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $120.23 Typical High $186.21 | Professional | 26 · Professional part | $69.18 | $120.23 | $186.21 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $501.19 Typical High $977.24 | Professional | TC · Technical part | $309.03 | $501.19 | $977.24 |
Kaiser Permanente Setting Professional Modifier None Typical Low $524.81 Median $707.95 Typical High $741.31 | Professional | None | $524.81 | $707.95 | $741.31 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $141.25 Typical High $169.82 | Professional | 26 · Professional part | $134.90 | $141.25 | $169.82 |
Medcost Setting Facility Modifier None Typical Low $467.74 Median $467.74 Typical High $1,513.56 | Facility | None | $467.74 | $467.74 | $1,513.56 |
Medcost Setting Professional Modifier None (both parts) Typical Low $1,380.38 Median $1,380.38 Typical High $1,380.38 | Professional | None (both parts) | $1,380.38 | $1,380.38 | $1,380.38 |
Sentara Setting Facility Modifier None Typical Low $97.72 Median $524.81 Typical High $6,918.31 | Facility | None | $97.72 | $524.81 | $6,918.31 |
Sentara Setting Professional Modifier None (both parts) Typical Low $114.82 Median $602.56 Typical High $2,344.23 | Professional | None (both parts) | $114.82 | $602.56 | $2,344.23 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $123.03 Typical High $208.93 | Professional | 26 · Professional part | $95.50 | $123.03 | $208.93 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $354.81 Median $616.60 Typical High $1,047.13 | Professional | TC · Technical part | $354.81 | $616.60 | $1,047.13 |
United Setting Facility Modifier None Typical Low $2,691.53 Median $3,019.95 Typical High $6,606.93 | Facility | None | $2,691.53 | $3,019.95 | $6,606.93 |
United Setting Professional Modifier None (both parts) Typical Low $1,202.26 Median $1,995.26 Typical High $2,630.27 | Professional | None (both parts) | $1,202.26 | $1,995.26 | $2,630.27 |
United Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $128.82 Typical High $177.83 | Professional | 26 · Professional part | $72.44 | $128.82 | $177.83 |
United Setting Professional Modifier TC · Technical part Typical Low $1,122.02 Median $1,862.09 Typical High $2,454.71 | Professional | TC · Technical part | $1,122.02 | $1,862.09 | $2,454.71 |
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 $1,047.13 | Professional | FX · Film X-ray | $794.33 | $794.33 | $1,047.13 |
Where Virginia sits
The same service costs 15.1 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· 38th of 51
$1,259
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.