How much rates vary
Facilitymedian $138 · 10th to 90th $21 to $776Professionalmedian $112 · 10th to 90th $81 to $182
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 $97.72 Median $97.72 Typical High $109.65 | Facility | None | $97.72 | $97.72 | $109.65 |
Aetna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $100.00 Typical High $109.65 | Professional | None (both parts) | $97.72 | $100.00 | $109.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $16.60 Typical High $16.98 | Professional | 26 · Professional part | $15.49 | $16.60 | $16.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $83.18 Typical High $93.33 | Professional | TC · Technical part | $81.28 | $83.18 | $93.33 |
Anthem BCBS Setting Facility Modifier None Typical Low $316.23 Median $407.38 Typical High $524.81 | Facility | None | $316.23 | $407.38 | $524.81 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $91.20 Median $109.65 Typical High $141.25 | Professional | None (both parts) | $91.20 | $109.65 | $141.25 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $18.62 Typical High $23.44 | Professional | 26 · Professional part | $15.49 | $18.62 | $23.44 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $89.13 Typical High $112.20 | Professional | TC · Technical part | $74.13 | $89.13 | $112.20 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $26.92 Median $107.15 Typical High $125.89 | Professional | None (both parts) | $26.92 | $107.15 | $125.89 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $17.78 Typical High $19.05 | Professional | 26 · Professional part | $15.85 | $17.78 | $19.05 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $93.33 Typical High $104.71 | Professional | TC · Technical part | $83.18 | $93.33 | $104.71 |
Cigna Setting Facility Modifier None Typical Low $162.18 Median $263.03 Typical High $776.25 | Facility | None | $162.18 | $263.03 | $776.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $123.03 Typical High $194.98 | Professional | None (both parts) | $85.11 | $123.03 | $194.98 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $23.99 Typical High $38.02 | Professional | 26 · Professional part | $14.13 | $23.99 | $38.02 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $97.72 Typical High $154.88 | Professional | TC · Technical part | $72.44 | $97.72 | $154.88 |
Kaiser Permanente Setting Professional Modifier None Typical Low $97.72 Median $128.82 Typical High $144.54 | Professional | None | $97.72 | $128.82 | $144.54 |
Medcost Setting Professional Modifier None Typical Low $112.20 Median $125.89 Typical High $141.25 | Professional | None | $112.20 | $125.89 | $141.25 |
Medcost Setting Facility Modifier None Typical Low $138.04 Median $138.04 Typical High $199.53 | Facility | None | $138.04 | $138.04 | $199.53 |
Medcost Setting Professional Modifier None (both parts) Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | None (both parts) | $104.71 | $104.71 | $104.71 |
Sentara Setting Facility Modifier None Typical Low $19.50 Median $102.33 Typical High $812.83 | Facility | None | $19.50 | $102.33 | $812.83 |
Sentara Setting Professional Modifier None (both parts) Typical Low $23.44 Median $123.03 Typical High $338.84 | Professional | None (both parts) | $23.44 | $123.03 | $338.84 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $24.55 Typical High $41.69 | Professional | 26 · Professional part | $19.50 | $24.55 | $41.69 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $123.03 Typical High $213.80 | Professional | TC · Technical part | $77.62 | $123.03 | $213.80 |
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 $89.13 Median $147.91 Typical High $218.78 | Professional | None (both parts) | $89.13 | $147.91 | $218.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $27.54 Typical High $37.15 | Professional | 26 · Professional part | $15.14 | $27.54 | $37.15 |
United Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $123.03 Typical High $181.97 | Professional | TC · Technical part | $74.13 | $123.03 | $181.97 |
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 $48.98 Median $50.12 Typical High $54.95 | Professional | 52 · Reduced service | $48.98 | $50.12 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $19.95 Typical High $21.88 | Professional | 53 · Discontinued | $19.50 | $19.95 | $21.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $79.43 Median $79.43 Typical High $87.10 | Professional | FX · Film X-ray | $79.43 | $79.43 | $87.10 |
Where Virginia sits
The same service costs 5.5 times more in Alabama 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· 39th of 51
$115
AL $479FL $87.10
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.