How much rates vary
Facilitymedian $708 · 10th to 90th $372 to $1,950Professionalmedian $363 · 10th to 90th $257 to $603
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 $302.00 Median $562.34 Typical High $1,949.84 | Facility | None | $302.00 | $562.34 | $1,949.84 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $70.79 Median $107.15 Typical High $281.84 | Facility | 26 · Professional part | $70.79 | $107.15 | $281.84 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $204.17 Median $275.42 Typical High $741.31 | Facility | TC · Technical part | $204.17 | $275.42 | $741.31 |
Aetna Setting Professional Modifier None (both parts) Typical Low $275.42 Median $426.58 Typical High $501.19 | Professional | None (both parts) | $275.42 | $426.58 | $501.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $120.23 Typical High $141.25 | Professional | 26 · Professional part | $70.79 | $120.23 | $141.25 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $302.00 Typical High $354.81 | Professional | TC · Technical part | $204.17 | $302.00 | $354.81 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | 26 · Professional part | $131.83 | $131.83 | $131.83 |
AmeriHealth Setting Facility Modifier None Typical Low $691.83 Median $691.83 Typical High $6,606.93 | Facility | None | $691.83 | $691.83 | $6,606.93 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $371.54 Median $371.54 Typical High $478.63 | Professional | None (both parts) | $371.54 | $371.54 | $478.63 |
Capital Blue Cross Setting Facility Modifier None Typical Low $1,230.27 Median $5,011.87 Typical High $5,011.87 | Facility | None | $1,230.27 | $5,011.87 | $5,011.87 |
Capital Blue Cross Setting Facility Modifier TC · Technical part Typical Low $1,862.09 Median $2,344.23 Typical High $5,011.87 | Facility | TC · Technical part | $1,862.09 | $2,344.23 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $257.04 Median $269.15 Typical High $602.56 | Professional | None (both parts) | $257.04 | $269.15 | $602.56 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $72.44 Typical High $144.54 | Professional | 26 · Professional part | $69.18 | $72.44 | $144.54 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $194.98 Typical High $457.09 | Professional | TC · Technical part | $186.21 | $194.98 | $457.09 |
Cigna Setting Facility Modifier None Typical Low $436.52 Median $691.83 Typical High $1,071.52 | Facility | None | $436.52 | $691.83 | $1,071.52 |
Cigna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $354.81 Typical High $660.69 | Professional | None (both parts) | $229.09 | $354.81 | $660.69 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $75.86 Typical High $134.90 | Professional | 26 · Professional part | $44.67 | $75.86 | $134.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $309.03 Typical High $524.81 | Professional | TC · Technical part | $169.82 | $309.03 | $524.81 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $309.03 Median $371.54 Typical High $467.74 | Professional | None (both parts) | $309.03 | $371.54 | $467.74 |
Geisinger Setting Facility Modifier None Typical Low $524.81 Median $660.69 Typical High $3,981.07 | Facility | None | $524.81 | $660.69 | $3,981.07 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $269.15 Median $363.08 Typical High $707.95 | Professional | None (both parts) | $269.15 | $363.08 | $707.95 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $81.28 Typical High $147.91 | Professional | 26 · Professional part | $60.26 | $81.28 | $147.91 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $295.12 Typical High $524.81 | Professional | TC · Technical part | $194.98 | $295.12 | $524.81 |
Highmark BCBS Setting Facility Modifier None Typical Low $457.09 Median $691.83 Typical High $1,737.80 | Facility | None | $457.09 | $691.83 | $1,737.80 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $309.03 Median $346.74 Typical High $549.54 | Professional | None (both parts) | $309.03 | $346.74 | $549.54 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $87.10 Typical High $117.49 | Professional | 26 · Professional part | $74.13 | $87.10 | $117.49 |
Independence Blue Cross Setting Facility Modifier None Typical Low $691.83 Median $6,606.93 Typical High $8,317.64 | Facility | None | $691.83 | $6,606.93 | $8,317.64 |
Independence Blue Cross Setting Professional Modifier None (both parts) Typical Low $371.54 Median $371.54 Typical High $478.63 | Professional | None (both parts) | $371.54 | $371.54 | $478.63 |
Martin's Point Setting Facility Modifier None Typical Low $371.54 Median $645.65 Typical High $2,041.74 | Facility | None | $371.54 | $645.65 | $2,041.74 |
Martin's Point Setting Facility Modifier TC · Technical part Typical Low $204.17 Median $302.00 Typical High $933.25 | Facility | TC · Technical part | $204.17 | $302.00 | $933.25 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $275.42 Median $426.58 Typical High $501.19 | Professional | None (both parts) | $275.42 | $426.58 | $501.19 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $125.89 Typical High $141.25 | Professional | 26 · Professional part | $70.79 | $125.89 | $141.25 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $302.00 Typical High $338.84 | Professional | TC · Technical part | $204.17 | $302.00 | $338.84 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $323.59 Median $707.95 Typical High $1,174.90 | Professional | None (both parts) | $323.59 | $707.95 | $1,174.90 |
UPMC Health Plan Setting Facility Modifier None Typical Low $263.03 Median $724.44 Typical High $1,819.70 | Facility | None | $263.03 | $724.44 | $1,819.70 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $263.03 Median $501.19 Typical High $501.19 | Professional | None (both parts) | $263.03 | $501.19 | $501.19 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $77.62 Typical High $77.62 | Professional | 26 · Professional part | $69.18 | $77.62 | $77.62 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $426.58 Typical High $426.58 | Professional | TC · Technical part | $194.98 | $426.58 | $426.58 |
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 $269.15 Median $354.81 Typical High $588.84 | Professional | None (both parts) | $269.15 | $354.81 | $588.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $74.13 Typical High $138.04 | Professional | 26 · Professional part | $64.57 | $74.13 | $138.04 |
United Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $263.03 Typical High $489.78 | Professional | TC · Technical part | $194.98 | $263.03 | $489.78 |
8 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 $102.33 Median $138.04 Typical High $524.81 | Facility | 52 · Reduced service | $102.33 | $138.04 | $524.81 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $40.74 Median $54.95 Typical High $208.93 | Facility | 53 · Discontinued | $40.74 | $54.95 | $208.93 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $138.04 Median $213.80 Typical High $213.80 | Professional | 52 · Reduced service | $138.04 | $213.80 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $85.11 Typical High $85.11 | Professional | 53 · Discontinued | $54.95 | $85.11 | $85.11 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $218.78 Median $338.84 Typical High $338.84 | Professional | FX · Film X-ray | $218.78 | $338.84 | $338.84 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $138.04 Median $213.80 Typical High $213.80 | Professional | 52 · Reduced service | $138.04 | $213.80 | $213.80 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $85.11 Typical High $85.11 | Professional | 53 · Discontinued | $54.95 | $85.11 | $85.11 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $218.78 Median $338.84 Typical High $338.84 | Professional | FX · Film X-ray | $218.78 | $338.84 | $338.84 |
Where Pennsylvania sits
The same service costs 5.5 times more in Wyoming 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
$372
WY $1,047UT $191
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.