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 $38.90 Median $38.90 Typical High $120.23 | Facility | None | $38.90 | $38.90 | $120.23 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $26.30 Median $30.90 Typical High $91.20 | Facility | TC · Technical part | $26.30 | $30.90 | $91.20 |
Aetna Setting Professional Modifier None (both parts) Typical Low $31.62 Median $37.15 Typical High $38.90 | Professional | None (both parts) | $31.62 | $37.15 | $38.90 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $8.51 Typical High $8.91 | Professional | 26 · Professional part | $7.41 | $8.51 | $8.91 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $28.84 Typical High $30.90 | Professional | TC · Technical part | $24.55 | $28.84 | $30.90 |
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 $125.89 Median $154.88 Typical High $5,011.87 | Facility | TC · Technical part | $125.89 | $154.88 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $37.15 Median $38.02 Typical High $67.61 | Professional | None (both parts) | $37.15 | $38.02 | $67.61 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $9.12 Typical High $18.20 | Professional | 26 · Professional part | $8.71 | $9.12 | $18.20 |
Capital Blue Cross Setting Professional Modifier 50 · Both sides Typical Low $74.13 Median $77.62 Typical High $134.90 | Professional | 50 · Both sides | $74.13 | $77.62 | $134.90 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $29.51 Typical High $51.29 | Professional | TC · Technical part | $28.18 | $29.51 | $51.29 |
Cigna Setting Facility Modifier None Typical Low $36.31 Median $100.00 Typical High $363.08 | Facility | None | $36.31 | $100.00 | $363.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $22.91 Median $33.11 Typical High $64.57 | Professional | None (both parts) | $22.91 | $33.11 | $64.57 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $5.62 Median $9.33 Typical High $16.60 | Professional | 26 · Professional part | $5.62 | $9.33 | $16.60 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $23.99 Typical High $48.98 | Professional | TC · Technical part | $17.38 | $23.99 | $48.98 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $39.81 Median $54.95 Typical High $69.18 | Professional | None (both parts) | $39.81 | $54.95 | $69.18 |
Geisinger Setting Facility Modifier None Typical Low $37.15 Median $37.15 Typical High $37.15 | Facility | None | $37.15 | $37.15 | $37.15 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $25.70 Median $40.74 Typical High $77.62 | Professional | None (both parts) | $25.70 | $40.74 | $77.62 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $10.23 Typical High $18.62 | Professional | 26 · Professional part | $7.41 | $10.23 | $18.62 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $31.62 Typical High $58.88 | Professional | TC · Technical part | $17.78 | $31.62 | $58.88 |
Martin's Point Setting Facility Modifier None Typical Low $38.90 Median $38.90 Typical High $120.23 | Facility | None | $38.90 | $38.90 | $120.23 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $31.62 Median $37.15 Typical High $38.90 | Professional | None (both parts) | $31.62 | $37.15 | $38.90 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $8.51 Typical High $8.71 | Professional | 26 · Professional part | $7.41 | $8.51 | $8.71 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $28.84 Typical High $30.90 | Professional | TC · Technical part | $24.55 | $28.84 | $30.90 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $40.74 Median $45.71 Typical High $74.13 | Professional | None (both parts) | $40.74 | $45.71 | $74.13 |
UPMC Health Plan Setting Facility Modifier None Typical Low $33.88 Median $79.43 Typical High $147.91 | Facility | None | $33.88 | $79.43 | $147.91 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $33.88 Median $33.88 Typical High $37.15 | Professional | None (both parts) | $33.88 | $33.88 | $37.15 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $10.00 Typical High $10.00 | Professional | 26 · Professional part | $8.71 | $10.00 | $10.00 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $23.99 Typical High $28.18 | Professional | TC · Technical part | $23.99 | $23.99 | $28.18 |
United Setting Facility Modifier None Typical Low $144.54 Median $309.03 Typical High $354.81 | Facility | None | $144.54 | $309.03 | $354.81 |
United Setting Professional Modifier None (both parts) Typical Low $29.51 Median $36.31 Typical High $66.07 | Professional | None (both parts) | $29.51 | $36.31 | $66.07 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $9.12 Typical High $17.38 | Professional | 26 · Professional part | $7.94 | $9.12 | $17.38 |
United Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $27.54 Typical High $48.98 | Professional | TC · Technical part | $21.38 | $27.54 | $48.98 |
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 $15.85 Median $18.62 Typical High $19.50 | Professional | 52 · Reduced service | $15.85 | $18.62 | $19.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.46 Median $7.41 Typical High $7.94 | Professional | 53 · Discontinued | $6.46 | $7.41 | $7.94 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $25.70 Median $29.51 Typical High $31.62 | Professional | FX · Film X-ray | $25.70 | $29.51 | $31.62 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $15.85 Median $18.62 Typical High $19.50 | Professional | 52 · Reduced service | $15.85 | $18.62 | $19.50 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $6.46 Median $7.41 Typical High $7.94 | Professional | 53 · Discontinued | $6.46 | $7.41 | $7.94 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $25.70 Median $29.51 Typical High $31.62 | Professional | FX · Film X-ray | $25.70 | $29.51 | $31.62 |
Where Pennsylvania sits
The same service costs 3.9 times more in Alaska than in Florida. 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· 40th of 51
$38.02
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.