How much rates vary
Facilitymedian $126 · 10th to 90th $49 to $339Professionalmedian $49 · 10th to 90th $40 to $83
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 $44.67 Median $67.61 Typical High $218.78 | Facility | None | $44.67 | $67.61 | $218.78 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $12.59 Median $18.20 Typical High $31.62 | Facility | 26 · Professional part | $12.59 | $18.20 | $31.62 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $30.20 Median $39.81 Typical High $75.86 | Facility | TC · Technical part | $30.20 | $39.81 | $75.86 |
Aetna Setting Professional Modifier None (both parts) Typical Low $39.81 Median $48.98 Typical High $60.26 | Professional | None (both parts) | $39.81 | $48.98 | $60.26 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $13.18 Typical High $18.20 | Professional | 26 · Professional part | $11.48 | $13.18 | $18.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $34.67 Typical High $43.65 | Professional | TC · Technical part | $28.84 | $34.67 | $43.65 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $20.89 Typical High $21.88 | Professional | 26 · Professional part | $19.05 | $20.89 | $21.88 |
AmeriHealth Setting Facility Modifier None Typical Low $56.23 Median $128.82 Typical High $512.86 | Facility | None | $56.23 | $128.82 | $512.86 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $16.60 Typical High $20.89 | Professional | 26 · Professional part | $16.60 | $16.60 | $20.89 |
Capital Blue Cross Setting Facility Modifier None Typical Low $28.84 Median $5,011.87 Typical High $8,709.64 | Facility | None | $28.84 | $5,011.87 | $8,709.64 |
Capital Blue Cross Setting Facility Modifier TC · Technical part Typical Low $154.88 Median $190.55 Typical High $5,011.87 | Facility | TC · Technical part | $154.88 | $190.55 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $45.71 Median $67.61 Typical High $97.72 | Professional | None (both parts) | $45.71 | $67.61 | $97.72 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $22.91 Typical High $34.67 | Professional | 26 · Professional part | $13.49 | $22.91 | $34.67 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $44.67 Typical High $64.57 | Professional | TC · Technical part | $32.36 | $44.67 | $64.57 |
Cigna Setting Facility Modifier None Typical Low $41.69 Median $100.00 Typical High $363.08 | Facility | None | $41.69 | $100.00 | $363.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $29.51 Median $42.66 Typical High $79.43 | Professional | None (both parts) | $29.51 | $42.66 | $79.43 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $14.45 Typical High $25.70 | Professional | 26 · Professional part | $8.32 | $14.45 | $25.70 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $29.51 Typical High $57.54 | Professional | TC · Technical part | $21.38 | $29.51 | $57.54 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $56.23 Median $66.07 Typical High $83.18 | Professional | None (both parts) | $56.23 | $66.07 | $83.18 |
Geisinger Setting Facility Modifier None Typical Low $46.77 Median $46.77 Typical High $46.77 | Facility | None | $46.77 | $46.77 | $46.77 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $33.88 Median $51.29 Typical High $95.50 | Professional | None (both parts) | $33.88 | $51.29 | $95.50 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $15.49 Typical High $28.18 | Professional | 26 · Professional part | $11.22 | $15.49 | $28.18 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $35.48 Typical High $67.61 | Professional | TC · Technical part | $22.39 | $35.48 | $67.61 |
Highmark BCBS Setting Facility Modifier None Typical Low $134.90 Median $218.78 Typical High $302.00 | Facility | None | $134.90 | $218.78 | $302.00 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | None (both parts) | $63.10 | $63.10 | $63.10 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $15.14 Typical High $22.91 | Professional | 26 · Professional part | $10.96 | $15.14 | $22.91 |
Independence Blue Cross Setting Facility Modifier None Typical Low $95.50 Median $134.90 Typical High $302.00 | Facility | None | $95.50 | $134.90 | $302.00 |
Independence Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $16.60 Typical High $20.89 | Professional | 26 · Professional part | $16.60 | $16.60 | $20.89 |
Martin's Point Setting Facility Modifier None Typical Low $44.67 Median $70.79 Typical High $239.88 | Facility | None | $44.67 | $70.79 | $239.88 |
Martin's Point Setting Facility Modifier 26 · Professional part Typical Low $12.02 Median $19.50 Typical High $26.92 | Facility | 26 · Professional part | $12.02 | $19.50 | $26.92 |
Martin's Point Setting Facility Modifier TC · Technical part Typical Low $30.20 Median $43.65 Typical High $100.00 | Facility | TC · Technical part | $30.20 | $43.65 | $100.00 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $39.81 Median $48.98 Typical High $58.88 | Professional | None (both parts) | $39.81 | $48.98 | $58.88 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $13.18 Typical High $16.98 | Professional | 26 · Professional part | $11.48 | $13.18 | $16.98 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $34.67 Typical High $42.66 | Professional | TC · Technical part | $28.84 | $34.67 | $42.66 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $56.23 Median $58.88 Typical High $97.72 | Professional | None (both parts) | $56.23 | $58.88 | $97.72 |
UPMC Health Plan Setting Facility Modifier None Typical Low $45.71 Median $100.00 Typical High $169.82 | Facility | None | $45.71 | $100.00 | $169.82 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | None (both parts) | $45.71 | $45.71 | $45.71 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $15.14 Typical High $15.14 | Professional | 26 · Professional part | $13.18 | $15.14 | $15.14 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $30.20 Typical High $33.11 | Professional | TC · Technical part | $30.20 | $30.20 | $33.11 |
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 $38.90 Median $46.77 Typical High $85.11 | Professional | None (both parts) | $38.90 | $46.77 | $85.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $14.13 Typical High $26.30 | Professional | 26 · Professional part | $12.30 | $14.13 | $26.30 |
United Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $32.36 Typical High $57.54 | Professional | TC · Technical part | $26.30 | $32.36 | $57.54 |
7 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 Facility Modifier 52 · Reduced service Typical Low $15.14 Median $24.55 Typical High $123.03 | Facility | 52 · Reduced service | $15.14 | $24.55 | $123.03 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $19.95 Median $22.91 Typical High $24.55 | Professional | 52 · Reduced service | $19.95 | $22.91 | $24.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.94 Median $9.12 Typical High $9.77 | Professional | 53 · Discontinued | $7.94 | $9.12 | $9.77 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $32.36 Median $36.31 Typical High $38.90 | Professional | FX · Film X-ray | $32.36 | $36.31 | $38.90 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $19.95 Median $22.91 Typical High $24.55 | Professional | 52 · Reduced service | $19.95 | $22.91 | $24.55 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $7.94 Median $9.12 Typical High $9.77 | Professional | 53 · Discontinued | $7.94 | $9.12 | $9.77 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $32.36 Median $37.15 Typical High $38.90 | Professional | FX · Film X-ray | $32.36 | $37.15 | $38.90 |
Where Pennsylvania sits
The same service costs 4.1 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· 39th of 51
$48.98
AK $132UT $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.