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 $199.53 Median $199.53 Typical High $251.19 | Facility | None | $199.53 | $199.53 | $251.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $186.21 Median $199.53 Typical High $363.08 | Professional | None (both parts) | $186.21 | $199.53 | $363.08 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $25.12 Typical High $40.74 | Professional | 26 · Professional part | $22.91 | $25.12 | $40.74 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $173.78 Typical High $363.08 | Professional | TC · Technical part | $162.18 | $173.78 | $363.08 |
Anthem BCBS Setting Facility Modifier None Typical Low $707.95 Median $891.25 Typical High $1,174.90 | Facility | None | $707.95 | $891.25 | $1,174.90 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $194.98 Median $234.42 Typical High $302.00 | Professional | None (both parts) | $194.98 | $234.42 | $302.00 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $28.84 Typical High $37.15 | Professional | 26 · Professional part | $24.55 | $28.84 | $37.15 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $204.17 Typical High $257.04 | Professional | TC · Technical part | $169.82 | $204.17 | $257.04 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $25.70 Median $213.80 Typical High $269.15 | Professional | None (both parts) | $25.70 | $213.80 | $269.15 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $28.18 Typical High $31.62 | Professional | 26 · Professional part | $26.92 | $28.18 | $31.62 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $208.93 Typical High $239.88 | Professional | TC · Technical part | $190.55 | $208.93 | $239.88 |
Cigna Setting Facility Modifier None Typical Low $371.54 Median $575.44 Typical High $1,174.90 | Facility | None | $371.54 | $575.44 | $1,174.90 |
Cigna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $208.93 Typical High $363.08 | Professional | None (both parts) | $158.49 | $208.93 | $363.08 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $36.31 Typical High $57.54 | Professional | 26 · Professional part | $22.39 | $36.31 | $57.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $181.97 Typical High $316.23 | Professional | TC · Technical part | $134.90 | $181.97 | $316.23 |
Kaiser Permanente Setting Professional Modifier None Typical Low $218.78 Median $281.84 Typical High $323.59 | Professional | None | $218.78 | $281.84 | $323.59 |
Medcost Setting Professional Modifier None Typical Low $158.49 Median $208.93 Typical High $257.04 | Professional | None | $158.49 | $208.93 | $257.04 |
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 $190.55 Median $190.55 Typical High $190.55 | Professional | None (both parts) | $190.55 | $190.55 | $190.55 |
Sentara Setting Facility Modifier None Typical Low $28.84 Median $194.98 Typical High $724.44 | Facility | None | $28.84 | $194.98 | $724.44 |
Sentara Setting Professional Modifier None (both parts) Typical Low $35.48 Median $245.47 Typical High $512.86 | Professional | None (both parts) | $35.48 | $245.47 | $512.86 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $37.15 Typical High $66.07 | Professional | 26 · Professional part | $28.84 | $37.15 | $66.07 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $275.42 Typical High $446.68 | Professional | TC · Technical part | $177.83 | $275.42 | $446.68 |
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 $154.88 Median $295.12 Typical High $398.11 | Professional | None (both parts) | $154.88 | $295.12 | $398.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $40.74 Typical High $56.23 | Professional | 26 · Professional part | $22.91 | $40.74 | $56.23 |
United Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $257.04 Typical High $354.81 | Professional | TC · Technical part | $123.03 | $257.04 | $354.81 |
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 $91.20 Median $100.00 Typical High $100.00 | Professional | 52 · Reduced service | $91.20 | $100.00 | $100.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $39.81 Typical High $39.81 | Professional | 53 · Discontinued | $36.31 | $39.81 | $39.81 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | FX · Film X-ray | $158.49 | $158.49 | $158.49 |
Where Virginia sits
The same service costs 4.8 times more in Alaska than in Indiana. 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· 37th of 51
$240
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.