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 $165.96 Median $165.96 Typical High $169.82 | Facility | None | $165.96 | $165.96 | $169.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $165.96 Typical High $177.83 | Professional | None (both parts) | $154.88 | $165.96 | $177.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $19.95 Typical High $20.42 | Professional | 26 · Professional part | $18.20 | $19.95 | $20.42 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $147.91 Typical High $158.49 | Professional | TC · Technical part | $134.90 | $147.91 | $158.49 |
Anthem BCBS Setting Facility Modifier None Typical Low $537.03 Median $676.08 Typical High $891.25 | Facility | None | $537.03 | $676.08 | $891.25 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $158.49 Median $190.55 Typical High $239.88 | Professional | None (both parts) | $158.49 | $190.55 | $239.88 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $22.91 Typical High $28.84 | Professional | 26 · Professional part | $19.05 | $22.91 | $28.84 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $165.96 Typical High $208.93 | Professional | TC · Technical part | $138.04 | $165.96 | $208.93 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $151.36 Median $169.82 Typical High $213.80 | Professional | None (both parts) | $151.36 | $169.82 | $213.80 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $21.38 Typical High $24.55 | Professional | 26 · Professional part | $19.50 | $21.38 | $24.55 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $169.82 Typical High $208.93 | Professional | TC · Technical part | $125.89 | $169.82 | $208.93 |
Cigna Setting Facility Modifier None Typical Low $302.00 Median $457.09 Typical High $954.99 | Facility | None | $302.00 | $457.09 | $954.99 |
Cigna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $213.80 Typical High $309.03 | Professional | None (both parts) | $141.25 | $213.80 | $309.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $29.51 Typical High $44.67 | Professional | 26 · Professional part | $17.38 | $29.51 | $44.67 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $190.55 Typical High $269.15 | Professional | TC · Technical part | $125.89 | $190.55 | $269.15 |
Kaiser Permanente Setting Professional Modifier None Typical Low $165.96 Median $213.80 Typical High $239.88 | Professional | None | $165.96 | $213.80 | $239.88 |
Medcost Setting Professional Modifier None Typical Low $165.96 Median $190.55 Typical High $208.93 | Professional | None | $165.96 | $190.55 | $208.93 |
Medcost Setting Facility Modifier None Typical Low $239.88 Median $239.88 Typical High $338.84 | Facility | None | $239.88 | $239.88 | $338.84 |
Medcost Setting Professional Modifier None (both parts) Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | None (both parts) | $158.49 | $158.49 | $158.49 |
Sentara Setting Facility Modifier None Typical Low $22.39 Median $158.49 Typical High $707.95 | Facility | None | $22.39 | $158.49 | $707.95 |
Sentara Setting Professional Modifier None (both parts) Typical Low $27.54 Median $204.17 Typical High $426.58 | Professional | None (both parts) | $27.54 | $204.17 | $426.58 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $29.51 Typical High $50.12 | Professional | 26 · Professional part | $22.39 | $29.51 | $50.12 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $218.78 Typical High $380.19 | Professional | TC · Technical part | $141.25 | $218.78 | $380.19 |
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 $151.36 Median $251.19 Typical High $363.08 | Professional | None (both parts) | $151.36 | $251.19 | $363.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $32.36 Typical High $44.67 | Professional | 26 · Professional part | $18.62 | $32.36 | $44.67 |
United Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $223.87 Typical High $316.23 | Professional | TC · Technical part | $131.83 | $223.87 | $316.23 |
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 $77.62 Median $83.18 Typical High $85.11 | Professional | 52 · Reduced service | $77.62 | $83.18 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $33.11 Typical High $33.88 | Professional | 53 · Discontinued | $30.90 | $33.11 | $33.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $131.83 Median $131.83 Typical High $134.90 | Professional | FX · Film X-ray | $131.83 | $131.83 | $134.90 |
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· 38th of 51
$191
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.