How much rates vary
Facilitymedian $107 · 10th to 90th $54 to $776Professionalmedian $151 · 10th to 90th $81 to $282
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 $95.50 Median $95.50 Typical High $100.00 | Facility | None | $95.50 | $95.50 | $100.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $100.00 Typical High $100.00 | Professional | None (both parts) | $95.50 | $100.00 | $100.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $61.66 Typical High $63.10 | Professional | 26 · Professional part | $54.95 | $61.66 | $63.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $39.81 Typical High $40.74 | Professional | TC · Technical part | $37.15 | $39.81 | $40.74 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $61.66 Median $114.82 Typical High $151.36 | Professional | None (both parts) | $61.66 | $114.82 | $151.36 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $69.18 Typical High $91.20 | Professional | 26 · Professional part | $58.88 | $69.18 | $91.20 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $125.89 Typical High $162.18 | Professional | TC · Technical part | $104.71 | $125.89 | $162.18 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $158.49 Median $213.80 Typical High $269.15 | Professional | None (both parts) | $158.49 | $213.80 | $269.15 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $66.07 Typical High $81.28 | Professional | 26 · Professional part | $58.88 | $66.07 | $81.28 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $154.88 Typical High $223.87 | Professional | TC · Technical part | $154.88 | $154.88 | $223.87 |
Cigna Setting Facility Modifier None Typical Low $83.18 Median $154.88 Typical High $870.96 | Facility | None | $83.18 | $154.88 | $870.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $147.91 Typical High $223.87 | Professional | None (both parts) | $87.10 | $147.91 | $223.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $89.13 Typical High $151.36 | Professional | 26 · Professional part | $52.48 | $89.13 | $151.36 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $58.88 Typical High $89.13 | Professional | TC · Technical part | $37.15 | $58.88 | $89.13 |
Kaiser Permanente Setting Professional Modifier None Typical Low $102.33 Median $125.89 Typical High $144.54 | Professional | None | $102.33 | $125.89 | $144.54 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $117.49 Typical High $147.91 | Professional | 26 · Professional part | $117.49 | $117.49 | $147.91 |
Medcost Setting Facility Modifier None Typical Low $154.88 Median $194.98 Typical High $194.98 | Facility | None | $154.88 | $194.98 | $194.98 |
Medcost Setting Professional Modifier None (both parts) Typical Low $100.00 Median $100.00 Typical High $190.55 | Professional | None (both parts) | $100.00 | $100.00 | $190.55 |
Sentara Setting Facility Modifier None Typical Low $50.12 Median $102.33 Typical High $302.00 | Facility | None | $50.12 | $102.33 | $302.00 |
Sentara Setting Professional Modifier None (both parts) Typical Low $57.54 Median $138.04 Typical High $263.03 | Professional | None (both parts) | $57.54 | $138.04 | $263.03 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $97.72 Typical High $162.18 | Professional | 26 · Professional part | $79.43 | $97.72 | $162.18 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $64.57 Typical High $107.15 | Professional | TC · Technical part | $53.70 | $64.57 | $107.15 |
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 $102.33 Median $181.97 Typical High $398.11 | Professional | None (both parts) | $102.33 | $181.97 | $398.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $95.50 Typical High $141.25 | Professional | 26 · Professional part | $54.95 | $95.50 | $141.25 |
United Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $93.33 Typical High $269.15 | Professional | TC · Technical part | $41.69 | $93.33 | $269.15 |
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 $47.86 Median $50.12 Typical High $50.12 | Professional | 52 · Reduced service | $47.86 | $50.12 | $50.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $20.42 Typical High $20.42 | Professional | 53 · Discontinued | $19.05 | $20.42 | $20.42 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $77.62 Median $81.28 Typical High $81.28 | Professional | FX · Film X-ray | $77.62 | $81.28 | $81.28 |
Where Virginia sits
The same service costs 4.7 times more in Nebraska than in New Jersey. 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· 39th of 51
$145
NE $537NJ $115
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.