How much rates vary
Facilitymedian $135 · 10th to 90th $46 to $363Professionalmedian $46 · 10th to 90th $37 to $98
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 $38.90 Median $63.10 Typical High $302.00 | Facility | None | $38.90 | $63.10 | $302.00 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $12.02 Median $17.38 Typical High $38.02 | Facility | 26 · Professional part | $12.02 | $17.38 | $38.02 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $26.92 Median $36.31 Typical High $102.33 | Facility | TC · Technical part | $26.92 | $36.31 | $102.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $37.15 Median $45.71 Typical High $61.66 | Professional | None (both parts) | $37.15 | $45.71 | $61.66 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $13.18 Typical High $18.62 | Professional | 26 · Professional part | $11.48 | $13.18 | $18.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $32.36 Typical High $43.65 | Professional | TC · Technical part | $25.70 | $32.36 | $43.65 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $38.02 Median $38.02 Typical High $38.02 | Professional | None (both parts) | $38.02 | $38.02 | $38.02 |
AmeriHealth Setting Facility Modifier None Typical Low $60.26 Median $134.90 Typical High $794.33 | Facility | None | $60.26 | $134.90 | $794.33 |
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 $162.18 Median $199.53 Typical High $5,011.87 | Facility | TC · Technical part | $162.18 | $199.53 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $43.65 Median $72.44 Typical High $109.65 | Professional | None (both parts) | $43.65 | $72.44 | $109.65 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $23.99 Typical High $42.66 | Professional | 26 · Professional part | $13.49 | $23.99 | $42.66 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $44.67 Typical High $64.57 | Professional | TC · Technical part | $30.20 | $44.67 | $64.57 |
Cigna Setting Facility Modifier None Typical Low $38.90 Median $102.33 Typical High $363.08 | Facility | None | $38.90 | $102.33 | $363.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $33.11 Median $44.67 Typical High $83.18 | Professional | None (both parts) | $33.11 | $44.67 | $83.18 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $16.60 Typical High $27.54 | Professional | 26 · Professional part | $10.47 | $16.60 | $27.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $29.51 Typical High $54.95 | Professional | TC · Technical part | $22.91 | $29.51 | $54.95 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $44.67 Median $61.66 Typical High $77.62 | Professional | None (both parts) | $44.67 | $61.66 | $77.62 |
Geisinger Setting Facility Modifier None Typical Low $52.48 Median $52.48 Typical High $52.48 | Facility | None | $52.48 | $52.48 | $52.48 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $39.81 Median $52.48 Typical High $95.50 | Professional | None (both parts) | $39.81 | $52.48 | $95.50 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $17.78 Typical High $32.36 | Professional | 26 · Professional part | $13.49 | $17.78 | $32.36 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $34.67 Typical High $63.10 | Professional | TC · Technical part | $24.55 | $34.67 | $63.10 |
Highmark BCBS Setting Facility Modifier None Typical Low $165.96 Median $257.04 Typical High $398.11 | Facility | None | $165.96 | $257.04 | $398.11 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $48.98 Median $53.70 Typical High $57.54 | Professional | None (both parts) | $48.98 | $53.70 | $57.54 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $16.22 Typical High $22.91 | Professional | 26 · Professional part | $14.13 | $16.22 | $22.91 |
Independence Blue Cross Setting Facility Modifier None Typical Low $102.33 Median $141.25 Typical High $316.23 | Facility | None | $102.33 | $141.25 | $316.23 |
Martin's Point Setting Facility Modifier None Typical Low $38.90 Median $66.07 Typical High $346.74 | Facility | None | $38.90 | $66.07 | $346.74 |
Martin's Point Setting Facility Modifier 26 · Professional part Typical Low $12.02 Median $17.38 Typical High $32.36 | Facility | 26 · Professional part | $12.02 | $17.38 | $32.36 |
Martin's Point Setting Facility Modifier TC · Technical part Typical Low $26.92 Median $38.90 Typical High $102.33 | Facility | TC · Technical part | $26.92 | $38.90 | $102.33 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $37.15 Median $45.71 Typical High $54.95 | Professional | None (both parts) | $37.15 | $45.71 | $54.95 |
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 $25.70 Median $32.36 Typical High $38.90 | Professional | TC · Technical part | $25.70 | $32.36 | $38.90 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $53.70 Median $69.18 Typical High $107.15 | Professional | None (both parts) | $53.70 | $69.18 | $107.15 |
UPMC Health Plan Setting Facility Modifier None Typical Low $42.66 Median $114.82 Typical High $194.98 | Facility | None | $42.66 | $114.82 | $194.98 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $42.66 Median $52.48 Typical High $52.48 | Professional | None (both parts) | $42.66 | $52.48 | $52.48 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $18.20 Typical High $18.20 | Professional | 26 · Professional part | $13.18 | $18.20 | $18.20 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $34.67 Typical High $34.67 | Professional | TC · Technical part | $29.51 | $34.67 | $34.67 |
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 $38.02 Median $45.71 Typical High $79.43 | Professional | None (both parts) | $38.02 | $45.71 | $79.43 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $15.49 Typical High $26.92 | Professional | 26 · Professional part | $12.88 | $15.49 | $26.92 |
United Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $30.20 Typical High $53.70 | Professional | TC · Technical part | $25.12 | $30.20 | $53.70 |
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 $18.62 Median $21.38 Typical High $22.39 | Professional | 52 · Reduced service | $18.62 | $21.38 | $22.39 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.41 Median $8.71 Typical High $9.12 | Professional | 53 · Discontinued | $7.41 | $8.71 | $9.12 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $29.51 Median $34.67 Typical High $36.31 | Professional | FX · Film X-ray | $29.51 | $34.67 | $36.31 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $18.62 Median $21.38 Typical High $22.39 | Professional | 52 · Reduced service | $18.62 | $21.38 | $22.39 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $7.41 Median $8.71 Typical High $9.12 | Professional | 53 · Discontinued | $7.41 | $8.71 | $9.12 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $29.51 Median $34.67 Typical High $36.31 | Professional | FX · Film X-ray | $29.51 | $34.67 | $36.31 |
Where Pennsylvania sits
The same service costs 4.0 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
$47.86
AK $132UT $33.11
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.