How much rates vary
Facilitymedian $79 · 10th to 90th $33 to $282Professionalmedian $33 · 10th to 90th $27 to $59
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 $33.11 Median $47.86 Typical High $199.53 | Facility | None | $33.11 | $47.86 | $199.53 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $8.32 Median $10.96 Typical High $21.38 | Facility | 26 · Professional part | $8.32 | $10.96 | $21.38 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $20.89 Median $27.54 Typical High $56.23 | Facility | TC · Technical part | $20.89 | $27.54 | $56.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $26.92 Median $32.36 Typical High $39.81 | Professional | None (both parts) | $26.92 | $32.36 | $39.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $8.32 Typical High $10.96 | Professional | 26 · Professional part | $7.08 | $8.32 | $10.96 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $23.44 Typical High $30.20 | Professional | TC · Technical part | $19.50 | $23.44 | $30.20 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $21.88 Median $21.88 Typical High $45.71 | Professional | None (both parts) | $21.88 | $21.88 | $45.71 |
Capital Blue Cross Setting Facility Modifier None Typical Low $20.42 Median $5,011.87 Typical High $8,709.64 | Facility | None | $20.42 | $5,011.87 | $8,709.64 |
Capital Blue Cross Setting Facility Modifier TC · Technical part Typical Low $109.65 Median $134.90 Typical High $5,011.87 | Facility | TC · Technical part | $109.65 | $134.90 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $30.90 Median $47.86 Typical High $69.18 | Professional | None (both parts) | $30.90 | $47.86 | $69.18 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $14.45 Typical High $21.38 | Professional | 26 · Professional part | $8.32 | $14.45 | $21.38 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $33.11 Typical High $47.86 | Professional | TC · Technical part | $22.91 | $33.11 | $47.86 |
Cigna Setting Facility Modifier None Typical Low $29.51 Median $79.43 Typical High $269.15 | Facility | None | $29.51 | $79.43 | $269.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $20.89 Median $29.51 Typical High $56.23 | Professional | None (both parts) | $20.89 | $29.51 | $56.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $5.13 Median $8.91 Typical High $15.85 | Professional | 26 · Professional part | $5.13 | $8.91 | $15.85 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $21.88 Typical High $40.74 | Professional | TC · Technical part | $15.85 | $21.88 | $40.74 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $33.88 Median $45.71 Typical High $57.54 | Professional | None (both parts) | $33.88 | $45.71 | $57.54 |
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 $25.12 Median $36.31 Typical High $66.07 | Professional | None (both parts) | $25.12 | $36.31 | $66.07 |
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 $16.98 Median $26.30 Typical High $48.98 | Professional | TC · Technical part | $16.98 | $26.30 | $48.98 |
Highmark BCBS Setting Facility Modifier None Typical Low $91.20 Median $181.97 Typical High $309.03 | Facility | None | $91.20 | $181.97 | $309.03 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $33.11 | $33.11 | $33.11 |
Martin's Point Setting Facility Modifier None Typical Low $33.11 Median $50.12 Typical High $199.53 | Facility | None | $33.11 | $50.12 | $199.53 |
Martin's Point Setting Facility Modifier TC · Technical part Typical Low $20.89 Median $30.90 Typical High $74.13 | Facility | TC · Technical part | $20.89 | $30.90 | $74.13 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $26.92 Median $32.36 Typical High $39.81 | Professional | None (both parts) | $26.92 | $32.36 | $39.81 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $8.32 Typical High $9.55 | Professional | 26 · Professional part | $7.08 | $8.32 | $9.55 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $23.44 Typical High $30.20 | Professional | TC · Technical part | $19.50 | $23.44 | $30.20 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $38.90 Median $43.65 Typical High $66.07 | Professional | None (both parts) | $38.90 | $43.65 | $66.07 |
UPMC Health Plan Setting Facility Modifier None Typical Low $30.90 Median $67.61 Typical High $114.82 | Facility | None | $30.90 | $67.61 | $114.82 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $30.90 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $30.90 | $33.11 | $33.11 |
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 $22.91 Median $23.44 Typical High $23.44 | Professional | TC · Technical part | $22.91 | $23.44 | $23.44 |
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 $7.76 Median $8.91 Typical High $16.60 | Professional | 26 · Professional part | $7.76 | $8.91 | $16.60 |
United Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $22.39 Typical High $40.74 | Professional | TC · Technical part | $19.05 | $22.39 | $40.74 |
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 $13.49 Median $15.49 Typical High $16.60 | Professional | 52 · Reduced service | $13.49 | $15.49 | $16.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.37 Median $6.31 Typical High $6.61 | Professional | 53 · Discontinued | $5.37 | $6.31 | $6.61 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $21.38 Median $25.12 Typical High $26.30 | Professional | FX · Film X-ray | $21.38 | $25.12 | $26.30 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $13.49 Median $15.49 Typical High $16.60 | Professional | 52 · Reduced service | $13.49 | $15.49 | $16.60 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $5.37 Median $6.31 Typical High $6.61 | Professional | 53 · Discontinued | $5.37 | $6.31 | $6.61 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $21.38 Median $25.12 Typical High $26.30 | Professional | FX · Film X-ray | $21.38 | $25.12 | $26.30 |
Where Pennsylvania sits
The same service costs 3.5 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
$33.11
AK $87.10FL $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.