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 $512.86 Median $588.84 Typical High $1,318.26 | Facility | None | $512.86 | $588.84 | $1,318.26 |
Aetna Setting Professional Modifier None (both parts) Typical Low $512.86 Median $562.34 Typical High $630.96 | Professional | None (both parts) | $512.86 | $562.34 | $630.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $45.71 Typical High $47.86 | Professional | 26 · Professional part | $40.74 | $45.71 | $47.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $467.74 Median $512.86 Typical High $707.95 | Professional | TC · Technical part | $467.74 | $512.86 | $707.95 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,819.70 Median $2,290.87 Typical High $2,951.21 | Facility | None | $1,819.70 | $2,290.87 | $2,951.21 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $537.03 Median $660.69 Typical High $831.76 | Professional | None (both parts) | $537.03 | $660.69 | $831.76 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $51.29 Typical High $64.57 | Professional | 26 · Professional part | $42.66 | $51.29 | $64.57 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $501.19 Median $602.56 Typical High $741.31 | Professional | TC · Technical part | $501.19 | $602.56 | $741.31 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $43.65 Median $588.84 Typical High $676.08 | Professional | None (both parts) | $43.65 | $588.84 | $676.08 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $48.98 Typical High $53.70 | Professional | 26 · Professional part | $48.98 | $48.98 | $53.70 |
Cigna Setting Facility Modifier None Typical Low $776.25 Median $1,288.25 Typical High $3,715.35 | Facility | None | $776.25 | $1,288.25 | $3,715.35 |
Cigna Setting Professional Modifier None (both parts) Typical Low $446.68 Median $676.08 Typical High $1,096.48 | Professional | None (both parts) | $446.68 | $676.08 | $1,096.48 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $67.61 Typical High $97.72 | Professional | 26 · Professional part | $38.90 | $67.61 | $97.72 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $407.38 Median $602.56 Typical High $1,023.29 | Professional | TC · Technical part | $407.38 | $602.56 | $1,023.29 |
Kaiser Permanente Setting Professional Modifier None Typical Low $562.34 Median $724.44 Typical High $812.83 | Professional | None | $562.34 | $724.44 | $812.83 |
Medcost Setting Professional Modifier None Typical Low $316.23 Median $575.44 Typical High $724.44 | Professional | None | $316.23 | $575.44 | $724.44 |
Medcost Setting Facility Modifier None Typical Low $776.25 Median $776.25 Typical High $1,047.13 | Facility | None | $776.25 | $776.25 | $1,047.13 |
Medcost Setting Professional Modifier None (both parts) Typical Low $562.34 Median $562.34 Typical High $562.34 | Professional | None (both parts) | $562.34 | $562.34 | $562.34 |
Sentara Setting Facility Modifier None Typical Low $54.95 Median $501.19 Typical High $2,137.96 | Facility | None | $54.95 | $501.19 | $2,137.96 |
Sentara Setting Professional Modifier None (both parts) Typical Low $64.57 Median $676.08 Typical High $1,548.82 | Professional | None (both parts) | $64.57 | $676.08 | $1,548.82 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $69.18 Typical High $117.49 | Professional | 26 · Professional part | $53.70 | $69.18 | $117.49 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $524.81 Median $776.25 Typical High $1,445.44 | Professional | TC · Technical part | $524.81 | $776.25 | $1,445.44 |
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 $524.81 Median $870.96 Typical High $1,230.27 | Professional | None (both parts) | $524.81 | $870.96 | $1,230.27 |
United Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $75.86 Typical High $104.71 | Professional | 26 · Professional part | $41.69 | $75.86 | $104.71 |
United Setting Professional Modifier TC · Technical part Typical Low $478.63 Median $794.33 Typical High $1,122.02 | Professional | TC · Technical part | $478.63 | $794.33 | $1,122.02 |
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 $257.04 Median $275.42 Typical High $295.12 | Professional | 52 · Reduced service | $257.04 | $275.42 | $295.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $104.71 Median $109.65 Typical High $117.49 | Professional | 53 · Discontinued | $104.71 | $109.65 | $117.49 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $416.87 Median $436.52 Typical High $467.74 | Professional | FX · Film X-ray | $416.87 | $436.52 | $467.74 |
Where Virginia sits
The same service costs 4.4 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· 36th of 51
$661
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.