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 $162.18 Typical High $186.21 | Facility | None | $158.49 | $162.18 | $186.21 |
Aetna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $158.49 Typical High $181.97 | Professional | None (both parts) | $147.91 | $158.49 | $181.97 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $13.49 Typical High $13.80 | Professional | 26 · Professional part | $12.59 | $13.49 | $13.80 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $144.54 Typical High $154.88 | Professional | TC · Technical part | $131.83 | $144.54 | $154.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $501.19 Median $630.96 Typical High $831.76 | Facility | None | $501.19 | $630.96 | $831.76 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $151.36 Median $186.21 Typical High $229.09 | Professional | None (both parts) | $151.36 | $186.21 | $229.09 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $15.14 Typical High $19.50 | Professional | 26 · Professional part | $12.88 | $15.14 | $19.50 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $165.96 Typical High $204.17 | Professional | TC · Technical part | $138.04 | $165.96 | $204.17 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $75.86 Median $165.96 Typical High $213.80 | Professional | None (both parts) | $75.86 | $165.96 | $213.80 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $14.45 Typical High $14.79 | Professional | 26 · Professional part | $13.18 | $14.45 | $14.79 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $169.82 Typical High $177.83 | Professional | TC · Technical part | $151.36 | $169.82 | $177.83 |
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 $114.82 Median $158.49 Typical High $295.12 | Professional | None (both parts) | $114.82 | $158.49 | $295.12 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $19.95 Typical High $30.20 | Professional | 26 · Professional part | $11.48 | $19.95 | $30.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $144.54 Typical High $269.15 | Professional | TC · Technical part | $104.71 | $144.54 | $269.15 |
Kaiser Permanente Setting Professional Modifier None Typical Low $154.88 Median $199.53 Typical High $229.09 | Professional | None | $154.88 | $199.53 | $229.09 |
Medcost Setting Professional Modifier None Typical Low $109.65 Median $173.78 Typical High $218.78 | Professional | None | $109.65 | $173.78 | $218.78 |
Medcost Setting Facility Modifier None Typical Low $239.88 Median $239.88 Typical High $323.59 | Facility | None | $239.88 | $239.88 | $323.59 |
Medcost Setting Professional Modifier None (both parts) Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | None (both parts) | $151.36 | $151.36 | $151.36 |
Sentara Setting Facility Modifier None Typical Low $15.85 Median $162.18 Typical High $616.60 | Facility | None | $15.85 | $162.18 | $616.60 |
Sentara Setting Professional Modifier None (both parts) Typical Low $19.05 Median $194.98 Typical High $416.87 | Professional | None (both parts) | $19.05 | $194.98 | $416.87 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $19.95 Typical High $33.88 | Professional | 26 · Professional part | $15.49 | $19.95 | $33.88 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $229.09 Typical High $380.19 | Professional | TC · Technical part | $144.54 | $229.09 | $380.19 |
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 $114.82 Median $234.42 Typical High $363.08 | Professional | None (both parts) | $114.82 | $234.42 | $363.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $21.88 Typical High $30.20 | Professional | 26 · Professional part | $12.59 | $21.88 | $30.20 |
United Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $218.78 Typical High $331.13 | Professional | TC · Technical part | $97.72 | $218.78 | $331.13 |
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 $74.13 Median $79.43 Typical High $81.28 | Professional | 52 · Reduced service | $74.13 | $79.43 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $31.62 Typical High $32.36 | Professional | 53 · Discontinued | $29.51 | $31.62 | $32.36 |
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 4.3 times more in Alabama than in Indiana. 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
$182
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.