How much rates vary
Facilitymedian $372 · 10th to 90th $141 to $2,570Professionalmedian $166 · 10th to 90th $129 to $288
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 $173.78 Median $295.12 Typical High $501.19 | Facility | None | $173.78 | $295.12 | $501.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $158.49 Typical High $173.78 | Professional | None (both parts) | $141.25 | $158.49 | $173.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $56.23 Typical High $56.23 | Professional | 26 · Professional part | $47.86 | $56.23 | $56.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $100.00 Typical High $117.49 | Professional | TC · Technical part | $93.33 | $100.00 | $117.49 |
Capital Blue Cross Setting Facility Modifier None Typical Low $4,265.80 Median $5,011.87 Typical High $8,709.64 | Facility | None | $4,265.80 | $5,011.87 | $8,709.64 |
Capital Blue Cross Setting Facility Modifier TC · Technical part Typical Low $416.87 Median $512.86 Typical High $5,011.87 | Facility | TC · Technical part | $416.87 | $512.86 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $158.49 Median $165.96 Typical High $295.12 | Professional | None (both parts) | $158.49 | $165.96 | $295.12 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $58.88 Typical High $123.03 | Professional | 26 · Professional part | $56.23 | $58.88 | $123.03 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $107.15 Typical High $194.98 | Professional | TC · Technical part | $102.33 | $107.15 | $194.98 |
Cigna Setting Facility Modifier None Typical Low $138.04 Median $371.54 Typical High $2,398.83 | Facility | None | $138.04 | $371.54 | $2,398.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $151.36 Typical High $275.42 | Professional | None (both parts) | $89.13 | $151.36 | $275.42 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $63.10 Typical High $109.65 | Professional | 26 · Professional part | $37.15 | $63.10 | $109.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $87.10 Typical High $181.97 | Professional | TC · Technical part | $51.29 | $87.10 | $181.97 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $190.55 Median $229.09 Typical High $288.40 | Professional | None (both parts) | $190.55 | $229.09 | $288.40 |
Geisinger Setting Facility Modifier None Typical Low $79.43 Median $79.43 Typical High $79.43 | Facility | None | $79.43 | $79.43 | $79.43 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $89.13 Median $169.82 Typical High $309.03 | Professional | None (both parts) | $89.13 | $169.82 | $309.03 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $66.07 Typical High $117.49 | Professional | 26 · Professional part | $48.98 | $66.07 | $117.49 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $107.15 Typical High $194.98 | Professional | TC · Technical part | $39.81 | $107.15 | $194.98 |
Martin's Point Setting Facility Modifier None Typical Low $173.78 Median $295.12 Typical High $501.19 | Facility | None | $173.78 | $295.12 | $501.19 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $141.25 Median $158.49 Typical High $173.78 | Professional | None (both parts) | $141.25 | $158.49 | $173.78 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $56.23 Typical High $56.23 | Professional | 26 · Professional part | $47.86 | $56.23 | $56.23 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $100.00 Typical High $117.49 | Professional | TC · Technical part | $93.33 | $100.00 | $117.49 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $141.25 Median $169.82 Typical High $316.23 | Professional | None (both parts) | $141.25 | $169.82 | $316.23 |
UPMC Health Plan Setting Facility Modifier None Typical Low $114.82 Median $288.40 Typical High $1,071.52 | Facility | None | $114.82 | $288.40 | $1,071.52 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $114.82 Median $114.82 Typical High $162.18 | Professional | None (both parts) | $114.82 | $114.82 | $162.18 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $64.57 Typical High $64.57 | Professional | 26 · Professional part | $56.23 | $64.57 | $64.57 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $52.48 Typical High $107.15 | Professional | TC · Technical part | $52.48 | $52.48 | $107.15 |
United Setting Facility Modifier None Typical Low $1,071.52 Median $2,290.87 Typical High $2,630.27 | Facility | None | $1,071.52 | $2,290.87 | $2,630.27 |
United Setting Professional Modifier None (both parts) Typical Low $114.82 Median $162.18 Typical High $288.40 | Professional | None (both parts) | $114.82 | $162.18 | $288.40 |
United Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $60.26 Typical High $112.20 | Professional | 26 · Professional part | $52.48 | $60.26 | $112.20 |
United Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $104.71 Typical High $186.21 | Professional | TC · Technical part | $67.61 | $104.71 | $186.21 |
6 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 $70.79 Median $77.62 Typical High $87.10 | Professional | 52 · Reduced service | $70.79 | $77.62 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $31.62 Typical High $34.67 | Professional | 53 · Discontinued | $28.18 | $31.62 | $34.67 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $112.20 Median $125.89 Typical High $138.04 | Professional | FX · Film X-ray | $112.20 | $125.89 | $138.04 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $70.79 Median $77.62 Typical High $87.10 | Professional | 52 · Reduced service | $70.79 | $77.62 | $87.10 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $31.62 Typical High $34.67 | Professional | 53 · Discontinued | $28.18 | $31.62 | $34.67 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $112.20 Median $128.82 Typical High $138.04 | Professional | FX · Film X-ray | $112.20 | $128.82 | $138.04 |
Where Pennsylvania sits
The same service costs 4.3 times more in Alaska than in Utah. 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.
Pennsylvania· 35th of 51
$166
AK $513UT $120
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.