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 $208.93 Median $354.81 Typical High $407.38 | Facility | None | $208.93 | $354.81 | $407.38 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $38.90 Median $72.44 Typical High $85.11 | Facility | 26 · Professional part | $38.90 | $72.44 | $85.11 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $173.78 Median $295.12 Typical High $676.08 | Facility | TC · Technical part | $173.78 | $295.12 | $676.08 |
Aetna Setting Professional Modifier None (both parts) Typical Low $208.93 Median $239.88 Typical High $446.68 | Professional | None (both parts) | $208.93 | $239.88 | $446.68 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $42.66 Typical High $87.10 | Professional | 26 · Professional part | $38.90 | $42.66 | $87.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $181.97 Typical High $354.81 | Professional | TC · Technical part | $169.82 | $181.97 | $354.81 |
Anthem BCBS Setting Facility Modifier None Typical Low $676.08 Median $851.14 Typical High $1,096.48 | Facility | None | $676.08 | $851.14 | $1,096.48 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $199.53 Median $245.47 Typical High $309.03 | Professional | None (both parts) | $199.53 | $245.47 | $309.03 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $48.98 Typical High $61.66 | Professional | 26 · Professional part | $40.74 | $48.98 | $61.66 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $190.55 Typical High $234.42 | Professional | TC · Technical part | $162.18 | $190.55 | $234.42 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $173.78 Median $218.78 Typical High $269.15 | Professional | None (both parts) | $173.78 | $218.78 | $269.15 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $46.77 Typical High $46.77 | Professional | 26 · Professional part | $41.69 | $46.77 | $46.77 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $173.78 Typical High $245.47 | Professional | TC · Technical part | $173.78 | $173.78 | $245.47 |
Cigna Setting Facility Modifier None Typical Low $346.74 Median $537.03 Typical High $1,174.90 | Facility | None | $346.74 | $537.03 | $1,174.90 |
Cigna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $302.00 Typical High $426.58 | Professional | None (both parts) | $190.55 | $302.00 | $426.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $61.66 Typical High $95.50 | Professional | 26 · Professional part | $37.15 | $61.66 | $95.50 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $239.88 Typical High $331.13 | Professional | TC · Technical part | $154.88 | $239.88 | $331.13 |
Kaiser Permanente Setting Professional Modifier None Typical Low $208.93 Median $269.15 Typical High $302.00 | Professional | None | $208.93 | $269.15 | $302.00 |
Medcost Setting Professional Modifier None Typical Low $281.84 Median $316.23 Typical High $346.74 | Professional | None | $281.84 | $316.23 | $346.74 |
Medcost Setting Facility Modifier None Typical Low $331.13 Median $331.13 Typical High $426.58 | Facility | None | $331.13 | $331.13 | $426.58 |
Medcost Setting Professional Modifier None (both parts) Typical Low $204.17 Median $204.17 Typical High $204.17 | Professional | None (both parts) | $204.17 | $204.17 | $204.17 |
Sentara Setting Facility Modifier None Typical Low $48.98 Median $218.78 Typical High $1,047.13 | Facility | None | $48.98 | $218.78 | $1,047.13 |
Sentara Setting Professional Modifier None (both parts) Typical Low $60.26 Median $263.03 Typical High $630.96 | Professional | None (both parts) | $60.26 | $263.03 | $630.96 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $61.66 Typical High $107.15 | Professional | 26 · Professional part | $48.98 | $61.66 | $107.15 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $263.03 Typical High $436.52 | Professional | TC · Technical part | $165.96 | $263.03 | $436.52 |
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 $190.55 Median $338.84 Typical High $478.63 | Professional | None (both parts) | $190.55 | $338.84 | $478.63 |
United Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $69.18 Typical High $93.33 | Professional | 26 · Professional part | $39.81 | $69.18 | $93.33 |
United Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $269.15 Typical High $389.05 | Professional | TC · Technical part | $151.36 | $269.15 | $389.05 |
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 $97.72 Median $104.71 Typical High $107.15 | Professional | 52 · Reduced service | $97.72 | $104.71 | $107.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $42.66 Typical High $42.66 | Professional | 53 · Discontinued | $39.81 | $42.66 | $42.66 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | FX · Film X-ray | $169.82 | $169.82 | $169.82 |
Where Virginia sits
The same service costs 3.8 times more in Alaska than in Florida. 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
$251
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.