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 $120.23 Median $120.23 Typical High $123.03 | Facility | None | $120.23 | $120.23 | $123.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $123.03 Typical High $125.89 | Professional | None (both parts) | $120.23 | $123.03 | $125.89 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $75.86 Typical High $77.62 | Professional | 26 · Professional part | $69.18 | $75.86 | $77.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $46.77 Typical High $52.48 | Professional | TC · Technical part | $46.77 | $46.77 | $52.48 |
Anthem BCBS Setting Facility Modifier None Typical Low $407.38 Median $524.81 Typical High $676.08 | Facility | None | $407.38 | $524.81 | $676.08 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $117.49 Median $144.54 Typical High $190.55 | Professional | None (both parts) | $117.49 | $144.54 | $190.55 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $87.10 Typical High $114.82 | Professional | 26 · Professional part | $70.79 | $87.10 | $114.82 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $58.88 Typical High $75.86 | Professional | TC · Technical part | $48.98 | $58.88 | $75.86 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $60.26 Median $128.82 Typical High $218.78 | Professional | None (both parts) | $60.26 | $128.82 | $218.78 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $81.28 Typical High $81.28 | Professional | 26 · Professional part | $74.13 | $81.28 | $81.28 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $54.95 Typical High $93.33 | Professional | TC · Technical part | $54.95 | $54.95 | $93.33 |
Cigna Setting Facility Modifier None Typical Low $107.15 Median $186.21 Typical High $1,047.13 | Facility | None | $107.15 | $186.21 | $1,047.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $186.21 Typical High $331.13 | Professional | None (both parts) | $109.65 | $186.21 | $331.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $109.65 Typical High $169.82 | Professional | 26 · Professional part | $64.57 | $109.65 | $169.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $77.62 Typical High $134.90 | Professional | TC · Technical part | $46.77 | $77.62 | $134.90 |
Kaiser Permanente Setting Professional Modifier None Typical Low $128.82 Median $158.49 Typical High $181.97 | Professional | None | $128.82 | $158.49 | $181.97 |
Medcost Setting Professional Modifier None Typical Low $263.03 Median $288.40 Typical High $331.13 | Professional | None | $263.03 | $288.40 | $331.13 |
Medcost Setting Facility Modifier None Typical Low $245.47 Median $245.47 Typical High $245.47 | Facility | None | $245.47 | $245.47 | $245.47 |
Medcost Setting Professional Modifier None (both parts) Typical Low $125.89 Median $125.89 Typical High $234.42 | Professional | None (both parts) | $125.89 | $125.89 | $234.42 |
Sentara Setting Facility Modifier None Typical Low $61.66 Median $123.03 Typical High $371.54 | Facility | None | $61.66 | $123.03 | $371.54 |
Sentara Setting Professional Modifier None (both parts) Typical Low $67.61 Median $177.83 Typical High $309.03 | Professional | None (both parts) | $67.61 | $177.83 | $309.03 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $120.23 Typical High $204.17 | Professional | 26 · Professional part | $100.00 | $120.23 | $204.17 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $83.18 Typical High $128.82 | Professional | TC · Technical part | $64.57 | $83.18 | $128.82 |
United Setting Facility Modifier None Typical Low $436.52 Median $489.78 Typical High $1,071.52 | Facility | None | $436.52 | $489.78 | $1,071.52 |
United Setting Professional Modifier None (both parts) Typical Low $120.23 Median $199.53 Typical High $302.00 | Professional | None (both parts) | $120.23 | $199.53 | $302.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $114.82 Typical High $169.82 | Professional | 26 · Professional part | $69.18 | $114.82 | $169.82 |
United Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $81.28 Typical High $141.25 | Professional | TC · Technical part | $50.12 | $81.28 | $141.25 |
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 $60.26 Median $60.26 Typical High $63.10 | Professional | 52 · Reduced service | $60.26 | $60.26 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $24.55 Typical High $25.12 | Professional | 53 · Discontinued | $23.99 | $24.55 | $25.12 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $95.50 Median $97.72 Typical High $100.00 | Professional | FX · Film X-ray | $95.50 | $97.72 | $100.00 |
Where Virginia sits
The same service costs 5.6 times more in Alaska than in Texas. 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
$151
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.