How much rates vary
Facilitymedian $282 · 10th to 90th $28 to $1,000Professionalmedian $234 · 10th to 90th $166 to $372
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 $199.53 Median $204.17 Typical High $416.87 | Facility | None | $199.53 | $204.17 | $416.87 |
Aetna Setting Professional Modifier None (both parts) Typical Low $186.21 Median $199.53 Typical High $218.78 | Professional | None (both parts) | $186.21 | $199.53 | $218.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $21.88 Typical High $22.39 | Professional | 26 · Professional part | $20.42 | $21.88 | $22.39 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $177.83 Typical High $190.55 | Professional | TC · Technical part | $165.96 | $177.83 | $190.55 |
Anthem BCBS Setting Facility Modifier None Typical Low $645.65 Median $831.76 Typical High $1,071.52 | Facility | None | $645.65 | $831.76 | $1,071.52 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $194.98 Median $234.42 Typical High $295.12 | Professional | None (both parts) | $194.98 | $234.42 | $295.12 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $25.12 Typical High $31.62 | Professional | 26 · Professional part | $21.38 | $25.12 | $31.62 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $208.93 Typical High $263.03 | Professional | TC · Technical part | $169.82 | $208.93 | $263.03 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $181.97 Median $213.80 Typical High $263.03 | Professional | None (both parts) | $181.97 | $213.80 | $263.03 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $24.55 Typical High $28.84 | Professional | 26 · Professional part | $21.88 | $24.55 | $28.84 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $190.55 Typical High $190.55 | Professional | TC · Technical part | $154.88 | $190.55 | $190.55 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $537.03 Typical High $1,258.93 | Facility | None | $380.19 | $537.03 | $1,258.93 |
Cigna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $234.42 Typical High $363.08 | Professional | None (both parts) | $177.83 | $234.42 | $363.08 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $32.36 Typical High $48.98 | Professional | 26 · Professional part | $19.50 | $32.36 | $48.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $204.17 Typical High $323.59 | Professional | TC · Technical part | $158.49 | $204.17 | $323.59 |
Kaiser Permanente Setting Professional Modifier None Typical Low $199.53 Median $263.03 Typical High $295.12 | Professional | None | $199.53 | $263.03 | $295.12 |
Medcost Setting Professional Modifier None Typical Low $204.17 Median $229.09 Typical High $251.19 | Professional | None | $204.17 | $229.09 | $251.19 |
Medcost Setting Facility Modifier None Typical Low $281.84 Median $281.84 Typical High $398.11 | Facility | None | $281.84 | $281.84 | $398.11 |
Medcost Setting Professional Modifier None (both parts) Typical Low $194.98 Median $194.98 Typical High $194.98 | Professional | None (both parts) | $194.98 | $194.98 | $194.98 |
Sentara Setting Facility Modifier None Typical Low $25.12 Median $199.53 Typical High $870.96 | Facility | None | $25.12 | $199.53 | $870.96 |
Sentara Setting Professional Modifier None (both parts) Typical Low $30.90 Median $245.47 Typical High $537.03 | Professional | None (both parts) | $30.90 | $245.47 | $537.03 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $32.36 Typical High $54.95 | Professional | 26 · Professional part | $24.55 | $32.36 | $54.95 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $263.03 Typical High $467.74 | Professional | TC · Technical part | $177.83 | $263.03 | $467.74 |
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 $177.83 Median $302.00 Typical High $446.68 | Professional | None (both parts) | $177.83 | $302.00 | $446.68 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $34.67 Typical High $48.98 | Professional | 26 · Professional part | $20.42 | $34.67 | $48.98 |
United Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $263.03 Typical High $398.11 | Professional | TC · Technical part | $158.49 | $263.03 | $398.11 |
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 $93.33 Median $100.00 Typical High $102.33 | Professional | 52 · Reduced service | $93.33 | $100.00 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $37.15 Median $39.81 Typical High $40.74 | Professional | 53 · Discontinued | $37.15 | $39.81 | $40.74 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $158.49 Median $158.49 Typical High $165.96 | Professional | FX · Film X-ray | $158.49 | $158.49 | $165.96 |
Where Virginia sits
The same service costs 4.8 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
$234
AK $851KY $178
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.