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 $177.83 Median $229.09 Typical High $229.09 | Facility | None | $177.83 | $229.09 | $229.09 |
Aetna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $229.09 Typical High $363.08 | Professional | None (both parts) | $177.83 | $229.09 | $363.08 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $30.20 Typical High $60.26 | Professional | 26 · Professional part | $26.92 | $30.20 | $60.26 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $204.17 Typical High $309.03 | Professional | TC · Technical part | $147.91 | $204.17 | $309.03 |
Anthem BCBS Setting Facility Modifier None Typical Low $741.31 Median $933.25 Typical High $1,230.27 | Facility | None | $741.31 | $933.25 | $1,230.27 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $208.93 Median $263.03 Typical High $331.13 | Professional | None (both parts) | $208.93 | $263.03 | $331.13 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $33.88 Typical High $42.66 | Professional | 26 · Professional part | $28.18 | $33.88 | $42.66 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $223.87 Typical High $288.40 | Professional | TC · Technical part | $181.97 | $223.87 | $288.40 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $28.84 Median $234.42 Typical High $295.12 | Professional | None (both parts) | $28.84 | $234.42 | $295.12 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $32.36 Typical High $38.02 | Professional | 26 · Professional part | $32.36 | $32.36 | $38.02 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $204.17 Typical High $229.09 | Professional | TC · Technical part | $154.88 | $204.17 | $229.09 |
Cigna Setting Facility Modifier None Typical Low $407.38 Median $588.84 Typical High $1,096.48 | Facility | None | $407.38 | $588.84 | $1,096.48 |
Cigna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $229.09 Typical High $407.38 | Professional | None (both parts) | $177.83 | $229.09 | $407.38 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $43.65 Typical High $67.61 | Professional | 26 · Professional part | $25.70 | $43.65 | $67.61 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $199.53 Typical High $346.74 | Professional | TC · Technical part | $154.88 | $199.53 | $346.74 |
Kaiser Permanente Setting Professional Modifier None Typical Low $229.09 Median $295.12 Typical High $338.84 | Professional | None | $229.09 | $295.12 | $338.84 |
Medcost Setting Professional Modifier None Typical Low $208.93 Median $234.42 Typical High $263.03 | Professional | None | $208.93 | $234.42 | $263.03 |
Medcost Setting Facility Modifier None Typical Low $251.19 Median $251.19 Typical High $354.81 | Facility | None | $251.19 | $251.19 | $354.81 |
Medcost Setting Professional Modifier None (both parts) Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | None (both parts) | $218.78 | $218.78 | $218.78 |
Sentara Setting Facility Modifier None Typical Low $34.67 Median $186.21 Typical High $794.33 | Facility | None | $34.67 | $186.21 | $794.33 |
Sentara Setting Professional Modifier None (both parts) Typical Low $41.69 Median $239.88 Typical High $616.60 | Professional | None (both parts) | $41.69 | $239.88 | $616.60 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $44.67 Typical High $74.13 | Professional | 26 · Professional part | $33.11 | $44.67 | $74.13 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $251.19 Typical High $524.81 | Professional | TC · Technical part | $117.49 | $251.19 | $524.81 |
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 $295.12 Typical High $436.52 | Professional | None (both parts) | $173.78 | $295.12 | $436.52 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $47.86 Typical High $66.07 | Professional | 26 · Professional part | $26.92 | $47.86 | $66.07 |
United Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $245.47 Typical High $389.05 | Professional | TC · Technical part | $144.54 | $245.47 | $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 $89.13 Median $107.15 Typical High $114.82 | Professional | 52 · Reduced service | $89.13 | $107.15 | $114.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $42.66 Typical High $45.71 | Professional | 53 · Discontinued | $35.48 | $42.66 | $45.71 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $141.25 Median $169.82 Typical High $181.97 | Professional | FX · Film X-ray | $141.25 | $169.82 | $181.97 |
Where Virginia sits
The same service costs 5.2 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· 34th of 51
$263
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.