How much rates vary
Facilitymedian $120 · 10th to 90th $54 to $288Professionalmedian $54 · 10th to 90th $44 to $91
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 $53.70 Median $83.18 Typical High $208.93 | Facility | None | $53.70 | $83.18 | $208.93 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $11.22 Median $15.49 Typical High $30.90 | Facility | 26 · Professional part | $11.22 | $15.49 | $30.90 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $36.31 Median $47.86 Typical High $123.03 | Facility | TC · Technical part | $36.31 | $47.86 | $123.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $43.65 Median $53.70 Typical High $66.07 | Professional | None (both parts) | $43.65 | $53.70 | $66.07 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $11.22 Typical High $15.14 | Professional | 26 · Professional part | $9.77 | $11.22 | $15.14 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $41.69 Typical High $53.70 | Professional | TC · Technical part | $34.67 | $41.69 | $53.70 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $35.48 Median $100.00 Typical High $100.00 | Professional | None (both parts) | $35.48 | $100.00 | $100.00 |
AmeriHealth Setting Facility Modifier None Typical Low $51.29 Median $117.49 Typical High $275.42 | Facility | None | $51.29 | $117.49 | $275.42 |
Capital Blue Cross Setting Facility Modifier None Typical Low $190.55 Median $5,011.87 Typical High $8,709.64 | Facility | None | $190.55 | $5,011.87 | $8,709.64 |
Capital Blue Cross Setting Facility Modifier TC · Technical part Typical Low $181.97 Median $218.78 Typical High $5,011.87 | Facility | TC · Technical part | $181.97 | $218.78 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $51.29 Median $75.86 Typical High $112.20 | Professional | None (both parts) | $51.29 | $75.86 | $112.20 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $19.95 Typical High $30.20 | Professional | 26 · Professional part | $11.48 | $19.95 | $30.20 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $56.23 Typical High $81.28 | Professional | TC · Technical part | $39.81 | $56.23 | $81.28 |
Cigna Setting Facility Modifier None Typical Low $48.98 Median $120.23 Typical High $269.15 | Facility | None | $48.98 | $120.23 | $269.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $30.90 Median $45.71 Typical High $87.10 | Professional | None (both parts) | $30.90 | $45.71 | $87.10 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $12.88 Typical High $22.39 | Professional | 26 · Professional part | $7.24 | $12.88 | $22.39 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $33.88 Typical High $67.61 | Professional | TC · Technical part | $23.99 | $33.88 | $67.61 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $64.57 Median $75.86 Typical High $95.50 | Professional | None (both parts) | $64.57 | $75.86 | $95.50 |
Geisinger Setting Facility Modifier None Typical Low $50.12 Median $50.12 Typical High $50.12 | Facility | None | $50.12 | $50.12 | $50.12 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $34.67 Median $56.23 Typical High $107.15 | Professional | None (both parts) | $34.67 | $56.23 | $107.15 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $13.80 Typical High $24.55 | Professional | 26 · Professional part | $9.77 | $13.80 | $24.55 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $43.65 Typical High $79.43 | Professional | TC · Technical part | $24.55 | $43.65 | $79.43 |
Highmark BCBS Setting Facility Modifier None Typical Low $144.54 Median $229.09 Typical High $363.08 | Facility | None | $144.54 | $229.09 | $363.08 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $53.70 Median $58.88 Typical High $75.86 | Professional | None (both parts) | $53.70 | $58.88 | $75.86 |
Independence Blue Cross Setting Facility Modifier None Typical Low $87.10 Median $117.49 Typical High $269.15 | Facility | None | $87.10 | $117.49 | $269.15 |
Martin's Point Setting Facility Modifier None Typical Low $53.70 Median $112.20 Typical High $478.63 | Facility | None | $53.70 | $112.20 | $478.63 |
Martin's Point Setting Facility Modifier TC · Technical part Typical Low $36.31 Median $58.88 Typical High $154.88 | Facility | TC · Technical part | $36.31 | $58.88 | $154.88 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $43.65 Median $52.48 Typical High $66.07 | Professional | None (both parts) | $43.65 | $52.48 | $66.07 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $11.22 Typical High $13.80 | Professional | 26 · Professional part | $9.77 | $11.22 | $13.80 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $41.69 Typical High $53.70 | Professional | TC · Technical part | $34.67 | $41.69 | $53.70 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $56.23 Median $63.10 Typical High $104.71 | Professional | None (both parts) | $56.23 | $63.10 | $104.71 |
UPMC Health Plan Setting Facility Modifier None Typical Low $45.71 Median $97.72 Typical High $162.18 | Facility | None | $45.71 | $97.72 | $162.18 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $45.71 Median $45.71 Typical High $51.29 | Professional | None (both parts) | $45.71 | $45.71 | $51.29 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $12.88 Typical High $12.88 | Professional | 26 · Professional part | $11.22 | $12.88 | $12.88 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $32.36 Typical High $39.81 | Professional | TC · Technical part | $32.36 | $32.36 | $39.81 |
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 $41.69 Median $51.29 Typical High $91.20 | Professional | None (both parts) | $41.69 | $51.29 | $91.20 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $12.30 Typical High $22.91 | Professional | 26 · Professional part | $10.72 | $12.30 | $22.91 |
United Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $39.81 Typical High $69.18 | Professional | TC · Technical part | $30.90 | $39.81 | $69.18 |
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 $21.88 Median $25.70 Typical High $26.92 | Professional | 52 · Reduced service | $21.88 | $25.70 | $26.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.71 Median $10.23 Typical High $10.96 | Professional | 53 · Discontinued | $8.71 | $10.23 | $10.96 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $35.48 Median $40.74 Typical High $43.65 | Professional | FX · Film X-ray | $35.48 | $40.74 | $43.65 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $21.88 Median $25.70 Typical High $26.92 | Professional | 52 · Reduced service | $21.88 | $25.70 | $26.92 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $8.71 Median $10.23 Typical High $10.96 | Professional | 53 · Discontinued | $8.71 | $10.23 | $10.96 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $35.48 Median $40.74 Typical High $43.65 | Professional | FX · Film X-ray | $35.48 | $40.74 | $43.65 |
Where Pennsylvania sits
The same service costs 4.5 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· 37th of 51
$53.70
AK $148UT $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.