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 $245.47 Median $245.47 Typical High $251.19 | Facility | None | $245.47 | $245.47 | $251.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $234.42 Median $245.47 Typical High $269.15 | Professional | None (both parts) | $234.42 | $245.47 | $269.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $22.91 Typical High $24.55 | Professional | 26 · Professional part | $20.89 | $22.91 | $24.55 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $223.87 Typical High $245.47 | Professional | TC · Technical part | $208.93 | $223.87 | $245.47 |
Anthem BCBS Setting Facility Modifier None Typical Low $794.33 Median $1,000.00 Typical High $1,288.25 | Facility | None | $794.33 | $1,000.00 | $1,288.25 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $234.42 Median $281.84 Typical High $354.81 | Professional | None (both parts) | $234.42 | $281.84 | $354.81 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $26.92 Typical High $33.88 | Professional | 26 · Professional part | $22.39 | $26.92 | $33.88 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $251.19 Typical High $309.03 | Professional | TC · Technical part | $208.93 | $251.19 | $309.03 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $22.39 Median $251.19 Typical High $331.13 | Professional | None (both parts) | $22.39 | $251.19 | $331.13 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $25.12 Typical High $33.11 | Professional | 26 · Professional part | $25.12 | $25.12 | $33.11 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $251.19 Typical High $338.84 | Professional | TC · Technical part | $199.53 | $251.19 | $338.84 |
Cigna Setting Facility Modifier None Typical Low $457.09 Median $776.25 Typical High $2,238.72 | Facility | None | $457.09 | $776.25 | $2,238.72 |
Cigna Setting Professional Modifier None (both parts) Typical Low $208.93 Median $323.59 Typical High $537.03 | Professional | None (both parts) | $208.93 | $323.59 | $537.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $35.48 Typical High $58.88 | Professional | 26 · Professional part | $19.95 | $35.48 | $58.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $288.40 Typical High $478.63 | Professional | TC · Technical part | $199.53 | $288.40 | $478.63 |
Kaiser Permanente Setting Professional Modifier None Typical Low $245.47 Median $316.23 Typical High $354.81 | Professional | None | $245.47 | $316.23 | $354.81 |
Medcost Setting Professional Modifier None Typical Low $263.03 Median $302.00 Typical High $346.74 | Professional | None | $263.03 | $302.00 | $346.74 |
Medcost Setting Facility Modifier None Typical Low $426.58 Median $426.58 Typical High $501.19 | Facility | None | $426.58 | $426.58 | $501.19 |
Medcost Setting Professional Modifier None (both parts) Typical Low $234.42 Median $234.42 Typical High $234.42 | Professional | None (both parts) | $234.42 | $234.42 | $234.42 |
Sentara Setting Facility Modifier None Typical Low $30.90 Median $257.04 Typical High $1,122.02 | Facility | None | $30.90 | $257.04 | $1,122.02 |
Sentara Setting Professional Modifier None (both parts) Typical Low $36.31 Median $331.13 Typical High $691.83 | Professional | None (both parts) | $36.31 | $331.13 | $691.83 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $36.31 Typical High $63.10 | Professional | 26 · Professional part | $30.90 | $36.31 | $63.10 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $363.08 Typical High $602.56 | Professional | TC · Technical part | $213.80 | $363.08 | $602.56 |
United Setting Facility Modifier None Typical Low $2,454.71 Median $2,691.53 Typical High $6,025.60 | Facility | None | $2,454.71 | $2,691.53 | $6,025.60 |
United Setting Professional Modifier None (both parts) Typical Low $223.87 Median $380.19 Typical High $575.44 | Professional | None (both parts) | $223.87 | $380.19 | $575.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $39.81 Typical High $53.70 | Professional | 26 · Professional part | $21.88 | $39.81 | $53.70 |
United Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $338.84 Typical High $512.86 | Professional | TC · Technical part | $204.17 | $338.84 | $512.86 |
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 $117.49 Median $123.03 Typical High $134.90 | Professional | 52 · Reduced service | $117.49 | $123.03 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $48.98 Typical High $53.70 | Professional | 53 · Discontinued | $46.77 | $48.98 | $53.70 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $194.98 Median $194.98 Typical High $199.53 | Professional | FX · Film X-ray | $194.98 | $194.98 | $199.53 |
Where Virginia sits
The same service costs 4.3 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· 39th of 51
$288
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.