How much rates vary
Facilitymedian $95 · 10th to 90th $32 to $295Professionalmedian $32 · 10th to 90th $26 to $55
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 $32.36 Median $58.88 Typical High $199.53 | Facility | None | $32.36 | $58.88 | $199.53 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $19.50 Median $22.91 Typical High $95.50 | Facility | TC · Technical part | $19.50 | $22.91 | $95.50 |
Aetna Setting Professional Modifier None (both parts) Typical Low $26.30 Median $31.62 Typical High $38.90 | Professional | None (both parts) | $26.30 | $31.62 | $38.90 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $9.55 Typical High $11.22 | Professional | 26 · Professional part | $8.32 | $9.55 | $11.22 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $21.88 Typical High $27.54 | Professional | TC · Technical part | $18.20 | $21.88 | $27.54 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $6.61 Median $6.61 Typical High $14.13 | Professional | 26 · Professional part | $6.61 | $6.61 | $14.13 |
Capital Blue Cross Setting Facility Modifier None Typical Low $19.50 Median $5,011.87 Typical High $8,709.64 | Facility | None | $19.50 | $5,011.87 | $8,709.64 |
Capital Blue Cross Setting Facility Modifier TC · Technical part Typical Low $107.15 Median $131.83 Typical High $5,011.87 | Facility | TC · Technical part | $107.15 | $131.83 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $30.90 Median $32.36 Typical High $56.23 | Professional | None (both parts) | $30.90 | $32.36 | $56.23 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $10.00 Typical High $20.42 | Professional | 26 · Professional part | $9.77 | $10.00 | $20.42 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $21.88 Typical High $38.90 | Professional | TC · Technical part | $21.38 | $21.88 | $38.90 |
Cigna Setting Facility Modifier None Typical Low $27.54 Median $74.13 Typical High $269.15 | Facility | None | $27.54 | $74.13 | $269.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $21.38 Median $30.20 Typical High $57.54 | Professional | None (both parts) | $21.38 | $30.20 | $57.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $5.75 Median $10.47 Typical High $18.62 | Professional | 26 · Professional part | $5.75 | $10.47 | $18.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $15.49 Median $20.42 Typical High $38.02 | Professional | TC · Technical part | $15.49 | $20.42 | $38.02 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $38.02 Median $44.67 Typical High $56.23 | Professional | None (both parts) | $38.02 | $44.67 | $56.23 |
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 $35.48 Typical High $66.07 | Professional | None (both parts) | $25.70 | $35.48 | $66.07 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $10.96 Typical High $20.42 | Professional | 26 · Professional part | $7.76 | $10.96 | $20.42 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $24.55 Typical High $44.67 | Professional | TC · Technical part | $16.98 | $24.55 | $44.67 |
Highmark BCBS Setting Facility Modifier None Typical Low $41.69 Median $173.78 Typical High $309.03 | Facility | None | $41.69 | $173.78 | $309.03 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $35.48 Median $35.48 Typical High $40.74 | Professional | None (both parts) | $35.48 | $35.48 | $40.74 |
Martin's Point Setting Facility Modifier None Typical Low $32.36 Median $58.88 Typical High $263.03 | Facility | None | $32.36 | $58.88 | $263.03 |
Martin's Point Setting Facility Modifier TC · Technical part Typical Low $19.50 Median $22.91 Typical High $95.50 | Facility | TC · Technical part | $19.50 | $22.91 | $95.50 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $26.30 Median $31.62 Typical High $38.02 | Professional | None (both parts) | $26.30 | $31.62 | $38.02 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $9.55 Typical High $11.22 | Professional | 26 · Professional part | $8.32 | $9.55 | $11.22 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $21.88 Typical High $26.30 | Professional | TC · Technical part | $18.20 | $21.88 | $26.30 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $38.02 Median $44.67 Typical High $66.07 | Professional | None (both parts) | $38.02 | $44.67 | $66.07 |
UPMC Health Plan Setting Facility Modifier None Typical Low $30.90 Median $95.50 Typical High $165.96 | Facility | None | $30.90 | $95.50 | $165.96 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $30.90 Median $34.67 Typical High $34.67 | Professional | None (both parts) | $30.90 | $34.67 | $34.67 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $10.47 Typical High $10.47 | Professional | 26 · Professional part | $9.55 | $10.47 | $10.47 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $23.99 Typical High $23.99 | Professional | TC · Technical part | $21.38 | $23.99 | $23.99 |
United Setting Facility Modifier None Typical Low $120.23 Median $257.04 Typical High $295.12 | Facility | None | $120.23 | $257.04 | $295.12 |
United Setting Professional Modifier None (both parts) Typical Low $26.92 Median $31.62 Typical High $56.23 | Professional | None (both parts) | $26.92 | $31.62 | $56.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $10.23 Typical High $19.05 | Professional | 26 · Professional part | $8.51 | $10.23 | $19.05 |
United Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $21.38 Typical High $38.02 | Professional | TC · Technical part | $17.78 | $21.38 | $38.02 |
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 $13.18 Median $15.49 Typical High $16.22 | Professional | 52 · Reduced service | $13.18 | $15.49 | $16.22 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.25 Median $6.17 Typical High $6.46 | Professional | 53 · Discontinued | $5.25 | $6.17 | $6.46 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $21.38 Median $24.55 Typical High $25.70 | Professional | FX · Film X-ray | $21.38 | $24.55 | $25.70 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $13.18 Median $15.49 Typical High $16.22 | Professional | 52 · Reduced service | $13.18 | $15.49 | $16.22 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $5.25 Median $6.17 Typical High $6.46 | Professional | 53 · Discontinued | $5.25 | $6.17 | $6.46 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $21.38 Median $24.55 Typical High $25.70 | Professional | FX · Film X-ray | $21.38 | $24.55 | $25.70 |
Where Pennsylvania sits
The same service costs 3.8 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· 39th of 51
$32.36
AK $95.50FL $25.12
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.