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 $204.17 Median $204.17 Typical High $204.17 | Facility | None | $204.17 | $204.17 | $204.17 |
Aetna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $204.17 Typical High $245.47 | Professional | None (both parts) | $194.98 | $204.17 | $245.47 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $52.48 Typical High $53.70 | Professional | 26 · Professional part | $48.98 | $52.48 | $53.70 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $154.88 Typical High $190.55 | Professional | TC · Technical part | $144.54 | $154.88 | $190.55 |
Anthem BCBS Setting Facility Modifier None Typical Low $676.08 Median $851.14 Typical High $1,122.02 | Facility | None | $676.08 | $851.14 | $1,122.02 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $199.53 Median $245.47 Typical High $309.03 | Professional | None (both parts) | $199.53 | $245.47 | $309.03 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $60.26 Typical High $75.86 | Professional | 26 · Professional part | $51.29 | $60.26 | $75.86 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $177.83 Typical High $223.87 | Professional | TC · Technical part | $147.91 | $177.83 | $223.87 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $52.48 Median $190.55 Typical High $309.03 | Professional | None (both parts) | $52.48 | $190.55 | $309.03 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $57.54 Typical High $69.18 | Professional | 26 · Professional part | $57.54 | $57.54 | $69.18 |
Cigna Setting Facility Modifier None Typical Low $323.59 Median $537.03 Typical High $1,096.48 | Facility | None | $323.59 | $537.03 | $1,096.48 |
Cigna Setting Professional Modifier None (both parts) Typical Low $186.21 Median $316.23 Typical High $501.19 | Professional | None (both parts) | $186.21 | $316.23 | $501.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $77.62 Typical High $120.23 | Professional | 26 · Professional part | $45.71 | $77.62 | $120.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $239.88 Typical High $380.19 | Professional | TC · Technical part | $141.25 | $239.88 | $380.19 |
Kaiser Permanente Setting Professional Modifier None Typical Low $208.93 Median $269.15 Typical High $302.00 | Professional | None | $208.93 | $269.15 | $302.00 |
Medcost Setting Professional Modifier None Typical Low $416.87 Median $467.74 Typical High $512.86 | Professional | None | $416.87 | $467.74 | $512.86 |
Medcost Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $416.87 | Facility | None | $398.11 | $398.11 | $416.87 |
Medcost Setting Professional Modifier None (both parts) Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | None (both parts) | $199.53 | $199.53 | $199.53 |
Sentara Setting Facility Modifier None Typical Low $61.66 Median $229.09 Typical High $758.58 | Facility | None | $61.66 | $229.09 | $758.58 |
Sentara Setting Professional Modifier None (both parts) Typical Low $74.13 Median $288.40 Typical High $537.03 | Professional | None (both parts) | $74.13 | $288.40 | $537.03 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $77.62 Typical High $138.04 | Professional | 26 · Professional part | $61.66 | $77.62 | $138.04 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $257.04 Typical High $407.38 | Professional | TC · Technical part | $199.53 | $257.04 | $407.38 |
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 $208.93 Median $338.84 Typical High $524.81 | Professional | None (both parts) | $208.93 | $338.84 | $524.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $87.10 Typical High $120.23 | Professional | 26 · Professional part | $48.98 | $87.10 | $120.23 |
United Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $257.04 Typical High $416.87 | Professional | TC · Technical part | $158.49 | $257.04 | $416.87 |
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 $97.72 Median $102.33 Typical High $109.65 | Professional | 52 · Reduced service | $97.72 | $102.33 | $109.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $40.74 Typical High $43.65 | Professional | 53 · Discontinued | $38.90 | $40.74 | $43.65 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | FX · Film X-ray | $165.96 | $165.96 | $165.96 |
Where Virginia sits
The same service costs 4.7 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
$251
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.