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 $1,000.00 Median $5,888.44 Typical High $8,317.64 | Facility | None | $1,000.00 | $5,888.44 | $8,317.64 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,000.00 Median $1,000.00 Typical High $4,265.80 | Professional | None (both parts) | $1,000.00 | $1,000.00 | $4,265.80 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $125.89 Typical High $199.53 | Professional | 26 · Professional part | $100.00 | $125.89 | $199.53 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $870.96 Median $870.96 Typical High $1,412.54 | Professional | TC · Technical part | $870.96 | $870.96 | $1,412.54 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $1,174.90 Median $1,412.54 Typical High $1,819.70 | Professional | None (both parts) | $1,174.90 | $1,412.54 | $1,819.70 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $97.72 Typical High $123.03 | Professional | 26 · Professional part | $83.18 | $97.72 | $123.03 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $1,174.90 Median $1,380.38 Typical High $1,737.80 | Professional | TC · Technical part | $1,174.90 | $1,380.38 | $1,737.80 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $1,023.29 Median $1,698.24 Typical High $1,862.09 | Professional | None (both parts) | $1,023.29 | $1,698.24 | $1,862.09 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $95.50 Typical High $107.15 | Professional | 26 · Professional part | $87.10 | $95.50 | $107.15 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $1,380.38 Median $1,778.28 Typical High $2,238.72 | Professional | TC · Technical part | $1,380.38 | $1,778.28 | $2,238.72 |
Cigna Setting Facility Modifier None Typical Low $776.25 Median $1,621.81 Typical High $4,570.88 | Facility | None | $776.25 | $1,621.81 | $4,570.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $524.81 Median $1,096.48 Typical High $1,621.81 | Professional | None (both parts) | $524.81 | $1,096.48 | $1,621.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $123.03 Typical High $169.82 | Professional | 26 · Professional part | $74.13 | $123.03 | $169.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $398.11 Median $954.99 Typical High $1,412.54 | Professional | TC · Technical part | $398.11 | $954.99 | $1,412.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $724.44 Median $1,000.00 Typical High $1,047.13 | Professional | None | $724.44 | $1,000.00 | $1,047.13 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $138.04 Typical High $173.78 | Professional | 26 · Professional part | $107.15 | $138.04 | $173.78 |
Medcost Setting Facility Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $1,513.56 | Facility | None | $1,148.15 | $1,148.15 | $1,513.56 |
Medcost Setting Professional Modifier None (both parts) Typical Low $1,380.38 Median $1,380.38 Typical High $1,380.38 | Professional | None (both parts) | $1,380.38 | $1,380.38 | $1,380.38 |
Sentara Setting Facility Modifier None Typical Low $100.00 Median $812.83 Typical High $6,918.31 | Facility | None | $100.00 | $812.83 | $6,918.31 |
Sentara Setting Professional Modifier None (both parts) Typical Low $114.82 Median $891.25 Typical High $3,311.31 | Professional | None (both parts) | $114.82 | $891.25 | $3,311.31 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $125.89 Typical High $218.78 | Professional | 26 · Professional part | $75.86 | $125.89 | $218.78 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $776.25 Median $933.25 Typical High $1,548.82 | Professional | TC · Technical part | $776.25 | $933.25 | $1,548.82 |
United Setting Facility Modifier None Typical Low $2,691.53 Median $3,019.95 Typical High $6,606.93 | Facility | None | $2,691.53 | $3,019.95 | $6,606.93 |
United Setting Professional Modifier None (both parts) Typical Low $1,230.27 Median $2,041.74 Typical High $3,090.30 | Professional | None (both parts) | $1,230.27 | $2,041.74 | $3,090.30 |
United Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $134.90 Typical High $177.83 | Professional | 26 · Professional part | $77.62 | $134.90 | $177.83 |
United Setting Professional Modifier TC · Technical part Typical Low $1,148.15 Median $1,905.46 Typical High $2,884.03 | Professional | TC · Technical part | $1,148.15 | $1,905.46 | $2,884.03 |
1 more rate 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 FX · Film X-ray Typical Low $794.33 Median $794.33 Typical High $1,047.13 | Professional | FX · Film X-ray | $794.33 | $794.33 | $1,047.13 |
Where Virginia sits
The same service costs 16.2 times more in Nebraska than in Washington. 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· 44th of 51
$1,349
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.