How much rates vary
Facilitymedian $98 · 10th to 90th $10 to $437Professionalmedian $81 · 10th to 90th $59 to $129
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 $66.07 Median $66.07 Typical High $70.79 | Facility | None | $66.07 | $66.07 | $70.79 |
Aetna Setting Professional Modifier None (both parts) Typical Low $64.57 Median $70.79 Typical High $147.91 | Professional | None (both parts) | $64.57 | $70.79 | $147.91 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.31 Median $7.24 Typical High $11.48 | Professional | 26 · Professional part | $6.31 | $7.24 | $11.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $63.10 Typical High $131.83 | Professional | TC · Technical part | $58.88 | $63.10 | $131.83 |
Anthem BCBS Setting Facility Modifier None Typical Low $234.42 Median $295.12 Typical High $389.05 | Facility | None | $234.42 | $295.12 | $389.05 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $64.57 Median $77.62 Typical High $97.72 | Professional | None (both parts) | $64.57 | $77.62 | $97.72 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $8.13 Typical High $10.47 | Professional | 26 · Professional part | $6.92 | $8.13 | $10.47 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $67.61 Typical High $87.10 | Professional | TC · Technical part | $57.54 | $67.61 | $87.10 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $61.66 Median $74.13 Typical High $89.13 | Professional | None (both parts) | $61.66 | $74.13 | $89.13 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $7.76 Typical High $10.23 | Professional | 26 · Professional part | $7.08 | $7.76 | $10.23 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | TC · Technical part | $67.61 | $67.61 | $67.61 |
Cigna Setting Facility Modifier None Typical Low $123.03 Median $194.98 Typical High $776.25 | Facility | None | $123.03 | $194.98 | $776.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $60.26 Median $95.50 Typical High $144.54 | Professional | None (both parts) | $60.26 | $95.50 | $144.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.17 Median $10.96 Typical High $20.89 | Professional | 26 · Professional part | $6.17 | $10.96 | $20.89 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $81.28 Typical High $120.23 | Professional | TC · Technical part | $53.70 | $81.28 | $120.23 |
Kaiser Permanente Setting Professional Modifier None Typical Low $72.44 Median $93.33 Typical High $107.15 | Professional | None | $72.44 | $93.33 | $107.15 |
Medcost Setting Professional Modifier None Typical Low $95.50 Median $107.15 Typical High $117.49 | Professional | None | $95.50 | $107.15 | $117.49 |
Medcost Setting Facility Modifier None Typical Low $104.71 Median $104.71 Typical High $141.25 | Facility | None | $104.71 | $104.71 | $141.25 |
Medcost Setting Professional Modifier None (both parts) Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | None (both parts) | $63.10 | $63.10 | $63.10 |
Sentara Setting Facility Modifier None Typical Low $9.55 Median $75.86 Typical High $346.74 | Facility | None | $9.55 | $75.86 | $346.74 |
Sentara Setting Professional Modifier None (both parts) Typical Low $10.00 Median $89.13 Typical High $204.17 | Professional | None (both parts) | $10.00 | $89.13 | $204.17 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $12.02 Typical High $18.62 | Professional | 26 · Professional part | $8.91 | $12.02 | $18.62 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $97.72 Typical High $162.18 | Professional | TC · Technical part | $58.88 | $97.72 | $162.18 |
United Setting Professional Modifier None (both parts) Typical Low $61.66 Median $109.65 Typical High $162.18 | Professional | None (both parts) | $61.66 | $109.65 | $162.18 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.61 Median $11.48 Typical High $22.91 | Professional | 26 · Professional part | $6.61 | $11.48 | $22.91 |
United Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $93.33 Typical High $144.54 | Professional | TC · Technical part | $56.23 | $93.33 | $144.54 |
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 $31.62 Median $33.11 Typical High $35.48 | Professional | 52 · Reduced service | $31.62 | $33.11 | $35.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.59 Median $13.18 Typical High $14.13 | Professional | 53 · Discontinued | $12.59 | $13.18 | $14.13 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $53.70 Median $53.70 Typical High $56.23 | Professional | FX · Film X-ray | $53.70 | $53.70 | $56.23 |
Where Virginia sits
The same service costs 4.6 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· 35th of 51
$81.28
AK $275KY $60.26
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.