How much rates vary
Facilitymedian $100 · 10th to 90th $38 to $282Professionalmedian $38 · 10th to 90th $30 to $68
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 $34.67 Median $58.88 Typical High $208.93 | Facility | None | $34.67 | $58.88 | $208.93 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $7.59 Median $10.23 Typical High $16.98 | Facility | 26 · Professional part | $7.59 | $10.23 | $16.98 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $25.70 Median $33.11 Typical High $85.11 | Facility | TC · Technical part | $25.70 | $33.11 | $85.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $31.62 Median $37.15 Typical High $53.70 | Professional | None (both parts) | $31.62 | $37.15 | $53.70 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $8.32 Typical High $12.59 | Professional | 26 · Professional part | $7.08 | $8.32 | $12.59 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $29.51 Typical High $40.74 | Professional | TC · Technical part | $24.55 | $29.51 | $40.74 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $35.48 Median $42.66 Typical High $44.67 | Professional | None (both parts) | $35.48 | $42.66 | $44.67 |
AmeriHealth Setting Facility Modifier None Typical Low $40.74 Median $93.33 Typical High $2,290.87 | Facility | None | $40.74 | $93.33 | $2,290.87 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $10.47 Typical High $13.49 | Professional | 26 · Professional part | $10.47 | $10.47 | $13.49 |
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 $120.23 Median $144.54 Typical High $5,011.87 | Facility | TC · Technical part | $120.23 | $144.54 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $36.31 Median $52.48 Typical High $75.86 | Professional | None (both parts) | $36.31 | $52.48 | $75.86 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $14.13 Typical High $21.38 | Professional | 26 · Professional part | $8.32 | $14.13 | $21.38 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $38.02 Typical High $53.70 | Professional | TC · Technical part | $28.18 | $38.02 | $53.70 |
Cigna Setting Facility Modifier None Typical Low $36.31 Median $85.11 Typical High $269.15 | Facility | None | $36.31 | $85.11 | $269.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $20.42 Median $31.62 Typical High $63.10 | Professional | None (both parts) | $20.42 | $31.62 | $63.10 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $5.37 Median $8.91 Typical High $15.85 | Professional | 26 · Professional part | $5.37 | $8.91 | $15.85 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $15.14 Median $23.44 Typical High $48.98 | Professional | TC · Technical part | $15.14 | $23.44 | $48.98 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $44.67 Median $53.70 Typical High $66.07 | Professional | None (both parts) | $44.67 | $53.70 | $66.07 |
Geisinger Setting Facility Modifier None Typical Low $30.90 Median $30.90 Typical High $30.90 | Facility | None | $30.90 | $30.90 | $30.90 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $21.88 Median $38.90 Typical High $70.79 | Professional | None (both parts) | $21.88 | $38.90 | $70.79 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $9.77 Typical High $18.20 | Professional | 26 · Professional part | $7.08 | $9.77 | $18.20 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $14.79 Median $30.20 Typical High $52.48 | Professional | TC · Technical part | $14.79 | $30.20 | $52.48 |
Highmark BCBS Setting Facility Modifier None Typical Low $107.15 Median $190.55 Typical High $302.00 | Facility | None | $107.15 | $190.55 | $302.00 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $41.69 Median $42.66 Typical High $52.48 | Professional | None (both parts) | $41.69 | $42.66 | $52.48 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $9.77 Typical High $14.79 | Professional | 26 · Professional part | $8.51 | $9.77 | $14.79 |
Independence Blue Cross Setting Facility Modifier None Typical Low $69.18 Median $97.72 Typical High $218.78 | Facility | None | $69.18 | $97.72 | $218.78 |
Independence Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $10.47 Typical High $13.49 | Professional | 26 · Professional part | $10.47 | $10.47 | $13.49 |
Martin's Point Setting Facility Modifier None Typical Low $34.67 Median $66.07 Typical High $208.93 | Facility | None | $34.67 | $66.07 | $208.93 |
Martin's Point Setting Facility Modifier 26 · Professional part Typical Low $7.59 Median $10.00 Typical High $16.98 | Facility | 26 · Professional part | $7.59 | $10.00 | $16.98 |
Martin's Point Setting Facility Modifier TC · Technical part Typical Low $25.70 Median $33.11 Typical High $114.82 | Facility | TC · Technical part | $25.70 | $33.11 | $114.82 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $31.62 Median $36.31 Typical High $51.29 | Professional | None (both parts) | $31.62 | $36.31 | $51.29 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $8.32 Typical High $11.22 | Professional | 26 · Professional part | $7.08 | $8.32 | $11.22 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $28.18 Typical High $38.90 | Professional | TC · Technical part | $24.55 | $28.18 | $38.90 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $36.31 Median $43.65 Typical High $70.79 | Professional | None (both parts) | $36.31 | $43.65 | $70.79 |
UPMC Health Plan Setting Facility Modifier None Typical Low $28.84 Median $79.43 Typical High $128.82 | Facility | None | $28.84 | $79.43 | $128.82 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $28.84 Median $28.84 Typical High $36.31 | Professional | None (both parts) | $28.84 | $28.84 | $36.31 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $9.55 Typical High $9.55 | Professional | 26 · Professional part | $8.32 | $9.55 | $9.55 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $19.50 Typical High $28.18 | Professional | TC · Technical part | $19.50 | $19.50 | $28.18 |
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 $27.54 Median $36.31 Typical High $63.10 | Professional | None (both parts) | $27.54 | $36.31 | $63.10 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $8.91 Typical High $16.60 | Professional | 26 · Professional part | $7.59 | $8.91 | $16.60 |
United Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $27.54 Typical High $48.98 | Professional | TC · Technical part | $19.95 | $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 $17.78 Typical High $19.50 | Professional | 52 · Reduced service | $15.85 | $17.78 | $19.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.31 Median $7.08 Typical High $7.76 | Professional | 53 · Discontinued | $6.31 | $7.08 | $7.76 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $25.12 Median $29.51 Typical High $30.90 | Professional | FX · Film X-ray | $25.12 | $29.51 | $30.90 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $15.85 Median $17.78 Typical High $19.50 | Professional | 52 · Reduced service | $15.85 | $17.78 | $19.50 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $6.31 Median $7.08 Typical High $7.76 | Professional | 53 · Discontinued | $6.31 | $7.08 | $7.76 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $25.12 Median $29.51 Typical High $30.90 | Professional | FX · Film X-ray | $25.12 | $29.51 | $30.90 |
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· 36th of 51
$38.90
AK $112FL $28.84
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.