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 $190.55 Median $194.98 Typical High $380.19 | Facility | None | $190.55 | $194.98 | $380.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $190.55 Typical High $194.98 | Professional | None (both parts) | $177.83 | $190.55 | $194.98 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $32.36 Typical High $33.11 | Professional | 26 · Professional part | $30.20 | $32.36 | $33.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $158.49 Typical High $162.18 | Professional | TC · Technical part | $147.91 | $158.49 | $162.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $602.56 Median $776.25 Typical High $1,000.00 | Facility | None | $602.56 | $776.25 | $1,000.00 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $181.97 Median $218.78 Typical High $288.40 | Professional | None (both parts) | $181.97 | $218.78 | $288.40 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $37.15 Typical High $46.77 | Professional | 26 · Professional part | $30.90 | $37.15 | $46.77 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $186.21 Typical High $239.88 | Professional | TC · Technical part | $154.88 | $186.21 | $239.88 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $32.36 Median $190.55 Typical High $234.42 | Professional | None (both parts) | $32.36 | $190.55 | $234.42 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $35.48 Typical High $38.02 | Professional | 26 · Professional part | $35.48 | $35.48 | $38.02 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $165.96 Typical High $218.78 | Professional | TC · Technical part | $165.96 | $165.96 | $218.78 |
Cigna Setting Facility Modifier None Typical Low $331.13 Median $501.19 Typical High $1,174.90 | Facility | None | $331.13 | $501.19 | $1,174.90 |
Cigna Setting Professional Modifier None (both parts) Typical Low $165.96 Median $229.09 Typical High $354.81 | Professional | None (both parts) | $165.96 | $229.09 | $354.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $46.77 Typical High $72.44 | Professional | 26 · Professional part | $28.84 | $46.77 | $72.44 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $181.97 Typical High $295.12 | Professional | TC · Technical part | $141.25 | $181.97 | $295.12 |
Kaiser Permanente Setting Professional Modifier None Typical Low $186.21 Median $245.47 Typical High $275.42 | Professional | None | $186.21 | $245.47 | $275.42 |
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 $389.05 | Facility | None | $281.84 | $281.84 | $389.05 |
Medcost Setting Professional Modifier None (both parts) Typical Low $186.21 Median $186.21 Typical High $186.21 | Professional | None (both parts) | $186.21 | $186.21 | $186.21 |
Sentara Setting Facility Modifier None Typical Low $37.15 Median $194.98 Typical High $912.01 | Facility | None | $37.15 | $194.98 | $912.01 |
Sentara Setting Professional Modifier None (both parts) Typical Low $45.71 Median $239.88 Typical High $575.44 | Professional | None (both parts) | $45.71 | $239.88 | $575.44 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $46.77 Typical High $81.28 | Professional | 26 · Professional part | $36.31 | $46.77 | $81.28 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $245.47 Typical High $416.87 | Professional | TC · Technical part | $158.49 | $245.47 | $416.87 |
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 $173.78 Median $288.40 Typical High $426.58 | Professional | None (both parts) | $173.78 | $288.40 | $426.58 |
United Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $51.29 Typical High $70.79 | Professional | 26 · Professional part | $29.51 | $51.29 | $70.79 |
United Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $239.88 Typical High $363.08 | Professional | TC · Technical part | $144.54 | $239.88 | $363.08 |
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 $89.13 Median $95.50 Typical High $97.72 | Professional | 52 · Reduced service | $89.13 | $95.50 | $97.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $38.90 Typical High $38.90 | Professional | 53 · Discontinued | $36.31 | $38.90 | $38.90 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | FX · Film X-ray | $154.88 | $154.88 | $154.88 |
Where Virginia sits
The same service costs 4.6 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
$224
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.