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 $309.03 Typical High $309.03 | Facility | None | $309.03 | $309.03 | $309.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $281.84 Median $309.03 Typical High $309.03 | Professional | None (both parts) | $281.84 | $309.03 | $309.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $27.54 Typical High $28.84 | Professional | 26 · Professional part | $26.30 | $27.54 | $28.84 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $281.84 Typical High $281.84 | Professional | TC · Technical part | $257.04 | $281.84 | $281.84 |
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 $26.92 Median $32.36 Typical High $40.74 | Professional | 26 · Professional part | $26.92 | $32.36 | $40.74 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $316.23 Typical High $398.11 | Professional | TC · Technical part | $263.03 | $316.23 | $398.11 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $27.54 Median $309.03 Typical High $389.05 | Professional | None (both parts) | $27.54 | $309.03 | $389.05 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $30.20 Typical High $34.67 | Professional | 26 · Professional part | $30.20 | $30.20 | $34.67 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $316.23 Typical High $346.74 | Professional | TC · Technical part | $281.84 | $316.23 | $346.74 |
Cigna Setting Facility Modifier None Typical Low $575.44 Median $776.25 Typical High $2,238.72 | Facility | None | $575.44 | $776.25 | $2,238.72 |
Cigna Setting Professional Modifier None (both parts) Typical Low $213.80 Median $302.00 Typical High $562.34 | Professional | None (both parts) | $213.80 | $302.00 | $562.34 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $40.74 Typical High $61.66 | Professional | 26 · Professional part | $23.99 | $40.74 | $61.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $275.42 Typical High $512.86 | Professional | TC · Technical part | $190.55 | $275.42 | $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 $186.21 Median $288.40 Typical High $363.08 | Professional | None | $186.21 | $288.40 | $363.08 |
Medcost Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $630.96 | Facility | None | $398.11 | $398.11 | $630.96 |
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 $32.36 Median $281.84 Typical High $1,288.25 | Facility | None | $32.36 | $281.84 | $1,288.25 |
Sentara Setting Professional Modifier None (both parts) Typical Low $38.90 Median $371.54 Typical High $794.33 | Professional | None (both parts) | $38.90 | $371.54 | $794.33 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $40.74 Typical High $69.18 | Professional | 26 · Professional part | $31.62 | $40.74 | $69.18 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $416.87 Typical High $724.44 | Professional | TC · Technical part | $269.15 | $416.87 | $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 $204.17 Median $457.09 Typical High $588.84 | Professional | None (both parts) | $204.17 | $457.09 | $588.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $44.67 Typical High $63.10 | Professional | 26 · Professional part | $25.70 | $44.67 | $63.10 |
United Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $416.87 Typical High $537.03 | Professional | TC · Technical part | $158.49 | $416.87 | $537.03 |
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 4.9 times more in Alaska 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· 33rd of 51
$347
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.