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 $309.03 Median $380.19 Typical High $524.81 | Facility | None | $309.03 | $380.19 | $524.81 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $275.42 Median $380.19 Typical High $1,096.48 | Facility | TC · Technical part | $275.42 | $380.19 | $1,096.48 |
Aetna Setting Professional Modifier None (both parts) Typical Low $309.03 Median $309.03 Typical High $524.81 | Professional | None (both parts) | $309.03 | $309.03 | $524.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $30.90 Typical High $60.26 | Professional | 26 · Professional part | $28.18 | $30.90 | $60.26 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $275.42 Typical High $467.74 | Professional | TC · Technical part | $275.42 | $275.42 | $467.74 |
Anthem BCBS Setting Facility Modifier None Typical Low $954.99 Median $1,202.26 Typical High $1,548.82 | Facility | None | $954.99 | $1,202.26 | $1,548.82 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $288.40 Median $346.74 Typical High $436.52 | Professional | None (both parts) | $288.40 | $346.74 | $436.52 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $34.67 Typical High $43.65 | Professional | 26 · Professional part | $28.84 | $34.67 | $43.65 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $309.03 Typical High $380.19 | Professional | TC · Technical part | $257.04 | $309.03 | $380.19 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $33.11 Median $281.84 Typical High $354.81 | Professional | None (both parts) | $33.11 | $281.84 | $354.81 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $30.20 Typical High $37.15 | Professional | 26 · Professional part | $30.20 | $30.20 | $37.15 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $309.03 Typical High $389.05 | Professional | TC · Technical part | $309.03 | $309.03 | $389.05 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $776.25 Typical High $2,238.72 | Facility | None | $562.34 | $776.25 | $2,238.72 |
Cigna Setting Professional Modifier None (both parts) Typical Low $257.04 Median $346.74 Typical High $562.34 | Professional | None (both parts) | $257.04 | $346.74 | $562.34 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $44.67 Typical High $69.18 | Professional | 26 · Professional part | $26.30 | $44.67 | $69.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $302.00 Typical High $512.86 | Professional | TC · Technical part | $229.09 | $302.00 | $512.86 |
Kaiser Permanente Setting Professional Modifier None Typical Low $295.12 Median $380.19 Typical High $426.58 | Professional | None | $295.12 | $380.19 | $426.58 |
Medcost Setting Professional Modifier None Typical Low $288.40 Median $331.13 Typical High $363.08 | Professional | None | $288.40 | $331.13 | $363.08 |
Medcost Setting Facility Modifier None Typical Low $436.52 Median $436.52 Typical High $616.60 | Facility | None | $436.52 | $436.52 | $616.60 |
Medcost Setting Professional Modifier None (both parts) Typical Low $288.40 Median $288.40 Typical High $288.40 | Professional | None (both parts) | $288.40 | $288.40 | $288.40 |
Sentara Setting Facility Modifier None Typical Low $35.48 Median $316.23 Typical High $1,412.54 | Facility | None | $35.48 | $316.23 | $1,412.54 |
Sentara Setting Professional Modifier None (both parts) Typical Low $43.65 Median $380.19 Typical High $912.01 | Professional | None (both parts) | $43.65 | $380.19 | $912.01 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $44.67 Typical High $75.86 | Professional | 26 · Professional part | $34.67 | $44.67 | $75.86 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $426.58 Typical High $724.44 | Professional | TC · Technical part | $269.15 | $426.58 | $724.44 |
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 $275.42 Median $457.09 Typical High $676.08 | Professional | None (both parts) | $275.42 | $457.09 | $676.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $48.98 Typical High $69.18 | Professional | 26 · Professional part | $28.18 | $48.98 | $69.18 |
United Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $416.87 Typical High $602.56 | Professional | TC · Technical part | $251.19 | $416.87 | $602.56 |
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 $141.25 Median $154.88 Typical High $154.88 | Professional | 52 · Reduced service | $141.25 | $154.88 | $154.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $61.66 Typical High $61.66 | Professional | 53 · Discontinued | $56.23 | $61.66 | $61.66 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $245.47 Median $245.47 Typical High $245.47 | Professional | FX · Film X-ray | $245.47 | $245.47 | $245.47 |
Where Virginia sits
The same service costs 4.4 times more in Alaska than in Kentucky. 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
$355
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.