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 $281.84 Median $295.12 Typical High $660.69 | Facility | None | $281.84 | $295.12 | $660.69 |
Aetna Setting Professional Modifier None (both parts) Typical Low $281.84 Median $295.12 Typical High $562.34 | Professional | None (both parts) | $281.84 | $295.12 | $562.34 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $38.02 Typical High $77.62 | Professional | 26 · Professional part | $33.11 | $38.02 | $77.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $257.04 Typical High $524.81 | Professional | TC · Technical part | $245.47 | $257.04 | $524.81 |
Anthem BCBS Setting Facility Modifier None Typical Low $870.96 Median $1,096.48 Typical High $1,445.44 | Facility | None | $870.96 | $1,096.48 | $1,445.44 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $263.03 Median $316.23 Typical High $407.38 | Professional | None (both parts) | $263.03 | $316.23 | $407.38 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $40.74 Typical High $51.29 | Professional | 26 · Professional part | $33.88 | $40.74 | $51.29 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $281.84 Typical High $371.54 | Professional | TC · Technical part | $229.09 | $281.84 | $371.54 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $275.42 Median $281.84 Typical High $354.81 | Professional | None (both parts) | $275.42 | $281.84 | $354.81 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $38.90 Typical High $43.65 | Professional | 26 · Professional part | $34.67 | $38.90 | $43.65 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $245.47 Typical High $346.74 | Professional | TC · Technical part | $245.47 | $245.47 | $346.74 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $776.25 Typical High $1,778.28 | Facility | None | $501.19 | $776.25 | $1,778.28 |
Cigna Setting Professional Modifier None (both parts) Typical Low $251.19 Median $371.54 Typical High $549.54 | Professional | None (both parts) | $251.19 | $371.54 | $549.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $53.70 Typical High $85.11 | Professional | 26 · Professional part | $30.90 | $53.70 | $85.11 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $316.23 Typical High $467.74 | Professional | TC · Technical part | $218.78 | $316.23 | $467.74 |
Kaiser Permanente Setting Professional Modifier None Typical Low $269.15 Median $346.74 Typical High $389.05 | Professional | None | $269.15 | $346.74 | $389.05 |
Medcost Setting Professional Modifier None Typical Low $323.59 Median $371.54 Typical High $407.38 | Professional | None | $323.59 | $371.54 | $407.38 |
Medcost Setting Facility Modifier None Typical Low $436.52 Median $436.52 Typical High $588.84 | Facility | None | $436.52 | $436.52 | $588.84 |
Medcost Setting Professional Modifier None (both parts) Typical Low $269.15 Median $269.15 Typical High $269.15 | Professional | None (both parts) | $269.15 | $269.15 | $269.15 |
Sentara Setting Facility Modifier None Typical Low $43.65 Median $309.03 Typical High $1,412.54 | Facility | None | $43.65 | $309.03 | $1,412.54 |
Sentara Setting Professional Modifier None (both parts) Typical Low $51.29 Median $354.81 Typical High $851.14 | Professional | None (both parts) | $51.29 | $354.81 | $851.14 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $54.95 Typical High $93.33 | Professional | 26 · Professional part | $43.65 | $54.95 | $93.33 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $389.05 Typical High $645.65 | Professional | TC · Technical part | $234.42 | $389.05 | $645.65 |
United Setting Facility Modifier None Typical Low $1,023.29 Median $1,122.02 Typical High $2,511.89 | Facility | None | $1,023.29 | $1,122.02 | $2,511.89 |
United Setting Professional Modifier None (both parts) Typical Low $257.04 Median $426.58 Typical High $645.65 | Professional | None (both parts) | $257.04 | $426.58 | $645.65 |
United Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $60.26 Typical High $81.28 | Professional | 26 · Professional part | $32.36 | $60.26 | $81.28 |
United Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $371.54 Typical High $575.44 | Professional | TC · Technical part | $223.87 | $371.54 | $575.44 |
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 $128.82 Median $141.25 Typical High $147.91 | Professional | 52 · Reduced service | $128.82 | $141.25 | $147.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $52.48 Median $56.23 Typical High $58.88 | Professional | 53 · Discontinued | $52.48 | $56.23 | $58.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $223.87 Median $234.42 Typical High $234.42 | Professional | FX · Film X-ray | $223.87 | $234.42 | $234.42 |
Where Virginia sits
The same service costs 3.7 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· 40th of 51
$331
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.