How much rates vary
Facilitymedian $141 · 10th to 90th $55 to $1,778Professionalmedian $62 · 10th to 90th $48 to $102
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 $61.66 Median $107.15 Typical High $186.21 | Facility | None | $61.66 | $107.15 | $186.21 |
Aetna Setting Professional Modifier None (both parts) Typical Low $51.29 Median $57.54 Typical High $61.66 | Professional | None (both parts) | $51.29 | $57.54 | $61.66 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $16.60 Typical High $16.98 | Professional | 26 · Professional part | $14.45 | $16.60 | $16.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $39.81 Typical High $45.71 | Professional | TC · Technical part | $36.31 | $39.81 | $45.71 |
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 $154.88 Median $186.21 Typical High $5,011.87 | Facility | TC · Technical part | $154.88 | $186.21 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $58.88 Median $61.66 Typical High $107.15 | Professional | None (both parts) | $58.88 | $61.66 | $107.15 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $17.78 Typical High $34.67 | Professional | 26 · Professional part | $16.98 | $17.78 | $34.67 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $43.65 Typical High $77.62 | Professional | TC · Technical part | $42.66 | $43.65 | $77.62 |
Cigna Setting Facility Modifier None Typical Low $53.70 Median $125.89 Typical High $1,621.81 | Facility | None | $53.70 | $125.89 | $1,621.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $30.90 Median $50.12 Typical High $102.33 | Professional | None (both parts) | $30.90 | $50.12 | $102.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $17.78 Typical High $31.62 | Professional | 26 · Professional part | $10.47 | $17.78 | $31.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $35.48 Typical High $70.79 | Professional | TC · Technical part | $20.89 | $35.48 | $70.79 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $72.44 Median $87.10 Typical High $109.65 | Professional | None (both parts) | $72.44 | $87.10 | $109.65 |
Geisinger Setting Facility Modifier None Typical Low $43.65 Median $43.65 Typical High $43.65 | Facility | None | $43.65 | $43.65 | $43.65 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $35.48 Median $63.10 Typical High $112.20 | Professional | None (both parts) | $35.48 | $63.10 | $112.20 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $19.50 Typical High $36.31 | Professional | 26 · Professional part | $13.80 | $19.50 | $36.31 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $44.67 Typical High $79.43 | Professional | TC · Technical part | $21.38 | $44.67 | $79.43 |
Martin's Point Setting Facility Modifier None Typical Low $61.66 Median $107.15 Typical High $186.21 | Facility | None | $61.66 | $107.15 | $186.21 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $51.29 Median $57.54 Typical High $61.66 | Professional | None (both parts) | $51.29 | $57.54 | $61.66 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $16.60 Typical High $16.98 | Professional | 26 · Professional part | $14.45 | $16.60 | $16.98 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $40.74 Typical High $45.71 | Professional | TC · Technical part | $36.31 | $40.74 | $45.71 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $56.23 Median $70.79 Typical High $104.71 | Professional | None (both parts) | $56.23 | $70.79 | $104.71 |
UPMC Health Plan Setting Facility Modifier None Typical Low $46.77 Median $120.23 Typical High $190.55 | Facility | None | $46.77 | $120.23 | $190.55 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $46.77 Median $46.77 Typical High $58.88 | Professional | None (both parts) | $46.77 | $46.77 | $58.88 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $18.20 Typical High $18.20 | Professional | 26 · Professional part | $16.98 | $18.20 | $18.20 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $28.18 Typical High $42.66 | Professional | TC · Technical part | $28.18 | $28.18 | $42.66 |
United Setting Facility Modifier None Typical Low $758.58 Median $1,584.89 Typical High $1,862.09 | Facility | None | $758.58 | $1,584.89 | $1,862.09 |
United Setting Professional Modifier None (both parts) Typical Low $41.69 Median $56.23 Typical High $102.33 | Professional | None (both parts) | $41.69 | $56.23 | $102.33 |
United Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $17.78 Typical High $33.11 | Professional | 26 · Professional part | $15.49 | $17.78 | $33.11 |
United Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $38.90 Typical High $69.18 | Professional | TC · Technical part | $28.18 | $38.90 | $69.18 |
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 $25.12 Median $28.84 Typical High $30.90 | Professional | 52 · Reduced service | $25.12 | $28.84 | $30.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.23 Median $11.48 Typical High $12.30 | Professional | 53 · Discontinued | $10.23 | $11.48 | $12.30 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $40.74 Median $46.77 Typical High $50.12 | Professional | FX · Film X-ray | $40.74 | $46.77 | $50.12 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $25.12 Median $28.84 Typical High $30.90 | Professional | 52 · Reduced service | $25.12 | $28.84 | $30.90 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $10.23 Median $11.48 Typical High $12.30 | Professional | 53 · Discontinued | $10.23 | $11.48 | $12.30 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $40.74 Median $47.86 Typical High $50.12 | Professional | FX · Film X-ray | $40.74 | $47.86 | $50.12 |
Where Pennsylvania sits
The same service costs 5.6 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
$61.66
AK $182UT $32.36
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.