How much rates vary
Facilitymedian $224 · 10th to 90th $87 to $776Professionalmedian $83 · 10th to 90th $71 to $151
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 $87.10 Median $162.18 Typical High $275.42 | Facility | None | $87.10 | $162.18 | $275.42 |
Aetna Setting Professional Modifier None (both parts) Typical Low $70.79 Median $83.18 Typical High $87.10 | Professional | None (both parts) | $70.79 | $83.18 | $87.10 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $25.70 Typical High $25.70 | Professional | 26 · Professional part | $22.39 | $25.70 | $25.70 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $54.95 Typical High $61.66 | Professional | TC · Technical part | $48.98 | $54.95 | $61.66 |
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 $302.00 Median $371.54 Typical High $5,011.87 | Facility | TC · Technical part | $302.00 | $371.54 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $79.43 Median $81.28 Typical High $151.36 | Professional | None (both parts) | $79.43 | $81.28 | $151.36 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $26.92 Typical High $61.66 | Professional | 26 · Professional part | $25.70 | $26.92 | $61.66 |
Capital Blue Cross Setting Professional Modifier 50 · Both sides Typical Low $158.49 Median $162.18 Typical High $302.00 | Professional | 50 · Both sides | $158.49 | $162.18 | $302.00 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $54.95 Typical High $102.33 | Professional | TC · Technical part | $52.48 | $54.95 | $102.33 |
Cigna Setting Facility Modifier None Typical Low $67.61 Median $190.55 Typical High $776.25 | Facility | None | $67.61 | $190.55 | $776.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $63.10 Median $79.43 Typical High $151.36 | Professional | None (both parts) | $63.10 | $79.43 | $151.36 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $28.84 Typical High $51.29 | Professional | 26 · Professional part | $16.22 | $28.84 | $51.29 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $51.29 Typical High $104.71 | Professional | TC · Technical part | $44.67 | $51.29 | $104.71 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $95.50 Median $112.20 Typical High $141.25 | Professional | None (both parts) | $95.50 | $112.20 | $141.25 |
Geisinger Setting Facility Modifier None Typical Low $123.03 Median $123.03 Typical High $123.03 | Facility | None | $123.03 | $123.03 | $123.03 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $79.43 Median $104.71 Typical High $165.96 | Professional | None (both parts) | $79.43 | $104.71 | $165.96 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $30.90 Typical High $53.70 | Professional | 26 · Professional part | $22.91 | $30.90 | $53.70 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $70.79 Typical High $117.49 | Professional | TC · Technical part | $53.70 | $70.79 | $117.49 |
Martin's Point Setting Facility Modifier None Typical Low $87.10 Median $162.18 Typical High $275.42 | Facility | None | $87.10 | $162.18 | $275.42 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $70.79 Median $83.18 Typical High $87.10 | Professional | None (both parts) | $70.79 | $83.18 | $87.10 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $25.70 Typical High $25.70 | Professional | 26 · Professional part | $22.39 | $25.70 | $25.70 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $56.23 Typical High $61.66 | Professional | TC · Technical part | $48.98 | $56.23 | $61.66 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $97.72 Median $144.54 Typical High $190.55 | Professional | None (both parts) | $97.72 | $144.54 | $190.55 |
UPMC Health Plan Setting Facility Modifier None Typical Low $81.28 Median $245.47 Typical High $630.96 | Facility | None | $81.28 | $245.47 | $630.96 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $81.28 Median $109.65 Typical High $109.65 | Professional | None (both parts) | $81.28 | $109.65 | $109.65 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $29.51 Typical High $29.51 | Professional | 26 · Professional part | $25.70 | $29.51 | $29.51 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $81.28 Typical High $81.28 | Professional | TC · Technical part | $56.23 | $81.28 | $81.28 |
United Setting Facility Modifier None Typical Low $331.13 Median $691.83 Typical High $812.83 | Facility | None | $331.13 | $691.83 | $812.83 |
United Setting Professional Modifier None (both parts) Typical Low $70.79 Median $87.10 Typical High $147.91 | Professional | None (both parts) | $70.79 | $87.10 | $147.91 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $27.54 Typical High $50.12 | Professional | 26 · Professional part | $23.44 | $27.54 | $50.12 |
United Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $54.95 Typical High $100.00 | Professional | TC · Technical part | $46.77 | $54.95 | $100.00 |
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 $35.48 Median $41.69 Typical High $43.65 | Professional | 52 · Reduced service | $35.48 | $41.69 | $43.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $16.60 Typical High $17.38 | Professional | 53 · Discontinued | $14.13 | $16.60 | $17.38 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $57.54 Median $66.07 Typical High $69.18 | Professional | FX · Film X-ray | $57.54 | $66.07 | $69.18 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $35.48 Median $41.69 Typical High $43.65 | Professional | 52 · Reduced service | $35.48 | $41.69 | $43.65 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $16.60 Typical High $17.38 | Professional | 53 · Discontinued | $14.13 | $16.60 | $17.38 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $57.54 Median $66.07 Typical High $69.18 | Professional | FX · Film X-ray | $57.54 | $66.07 | $69.18 |
Where Pennsylvania sits
The same service costs 3.7 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· 43rd of 51
$83.18
AK $251FL $67.61
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.