How much rates vary
Facilitymedian $85 · 10th to 90th $21 to $275Professionalmedian $21 · 10th to 90th $16 to $47
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 $17.78 Median $24.55 Typical High $51.29 | Facility | None | $17.78 | $24.55 | $51.29 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $9.55 Median $14.13 Typical High $26.92 | Facility | 26 · Professional part | $9.55 | $14.13 | $26.92 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $6.92 Median $10.47 Typical High $29.51 | Facility | TC · Technical part | $6.92 | $10.47 | $29.51 |
Aetna Setting Professional Modifier None (both parts) Typical Low $14.79 Median $17.78 Typical High $25.70 | Professional | None (both parts) | $14.79 | $17.78 | $25.70 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $9.55 Typical High $13.80 | Professional | 26 · Professional part | $8.32 | $9.55 | $13.80 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $6.61 Median $8.13 Typical High $12.59 | Professional | TC · Technical part | $6.61 | $8.13 | $12.59 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $28.84 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $28.84 | $33.11 | $33.11 |
AmeriHealth Setting Facility Modifier None Typical Low $44.67 Median $100.00 Typical High $912.01 | Facility | None | $44.67 | $100.00 | $912.01 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $29.51 Median $29.51 Typical High $29.51 | Professional | None (both parts) | $29.51 | $29.51 | $29.51 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $12.59 Typical High $16.22 | Professional | 26 · Professional part | $12.59 | $12.59 | $16.22 |
Capital Blue Cross Setting Facility Modifier None Typical Low $81.28 Median $85.11 Typical High $5,011.87 | Facility | None | $81.28 | $85.11 | $5,011.87 |
Capital Blue Cross Setting Facility Modifier TC · Technical part Typical Low $67.61 Median $81.28 Typical High $5,011.87 | Facility | TC · Technical part | $67.61 | $81.28 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $18.62 Median $30.90 Typical High $50.12 | Professional | None (both parts) | $18.62 | $30.90 | $50.12 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $17.38 Typical High $26.92 | Professional | 26 · Professional part | $10.00 | $17.38 | $26.92 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $8.51 Median $13.18 Typical High $22.39 | Professional | TC · Technical part | $8.51 | $13.18 | $22.39 |
Cigna Setting Facility Modifier None Typical Low $10.96 Median $26.30 Typical High $269.15 | Facility | None | $10.96 | $26.30 | $269.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $14.79 Median $20.42 Typical High $38.02 | Professional | None (both parts) | $14.79 | $20.42 | $38.02 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.31 Median $11.22 Typical High $19.05 | Professional | 26 · Professional part | $6.31 | $11.22 | $19.05 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $6.76 Median $11.48 Typical High $20.42 | Professional | TC · Technical part | $6.76 | $11.48 | $20.42 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $22.91 Median $26.92 Typical High $34.67 | Professional | None (both parts) | $22.91 | $26.92 | $34.67 |
Geisinger Setting Facility Modifier None Typical Low $33.88 Median $33.88 Typical High $33.88 | Facility | None | $33.88 | $33.88 | $33.88 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $20.42 Median $26.30 Typical High $46.77 | Professional | None (both parts) | $20.42 | $26.30 | $46.77 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $11.75 Typical High $21.38 | Professional | 26 · Professional part | $8.13 | $11.75 | $21.38 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $9.55 Median $14.79 Typical High $25.12 | Professional | TC · Technical part | $9.55 | $14.79 | $25.12 |
Highmark BCBS Setting Facility Modifier None Typical Low $81.28 Median $131.83 Typical High $309.03 | Facility | None | $81.28 | $131.83 | $309.03 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $11.22 Typical High $27.54 | Professional | 26 · Professional part | $10.23 | $11.22 | $27.54 |
Independence Blue Cross Setting Facility Modifier None Typical Low $74.13 Median $104.71 Typical High $239.88 | Facility | None | $74.13 | $104.71 | $239.88 |
Independence Blue Cross Setting Professional Modifier None (both parts) Typical Low $29.51 Median $29.51 Typical High $29.51 | Professional | None (both parts) | $29.51 | $29.51 | $29.51 |
Independence Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $12.59 Typical High $16.22 | Professional | 26 · Professional part | $12.59 | $12.59 | $16.22 |
Martin's Point Setting Facility Modifier None Typical Low $17.78 Median $26.92 Typical High $39.81 | Facility | None | $17.78 | $26.92 | $39.81 |
Martin's Point Setting Facility Modifier TC · Technical part Typical Low $6.92 Median $10.47 Typical High $30.90 | Facility | TC · Technical part | $6.92 | $10.47 | $30.90 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $14.79 Median $17.78 Typical High $26.92 | Professional | None (both parts) | $14.79 | $17.78 | $26.92 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $9.55 Typical High $12.88 | Professional | 26 · Professional part | $8.32 | $9.55 | $12.88 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $6.61 Median $8.13 Typical High $12.59 | Professional | TC · Technical part | $6.61 | $8.13 | $12.59 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $21.88 Median $43.65 Typical High $50.12 | Professional | None (both parts) | $21.88 | $43.65 | $50.12 |
UPMC Health Plan Setting Facility Modifier None Typical Low $17.38 Median $74.13 Typical High $131.83 | Facility | None | $17.38 | $74.13 | $131.83 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $17.38 Median $44.67 Typical High $44.67 | Professional | None (both parts) | $17.38 | $44.67 | $44.67 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $25.12 Typical High $25.12 | Professional | 26 · Professional part | $9.55 | $25.12 | $25.12 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $7.94 Median $19.95 Typical High $19.95 | Professional | TC · Technical part | $7.94 | $19.95 | $19.95 |
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 $16.98 Median $20.89 Typical High $36.31 | Professional | None (both parts) | $16.98 | $20.89 | $36.31 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $10.72 Typical High $19.95 | Professional | 26 · Professional part | $8.91 | $10.72 | $19.95 |
United Setting Professional Modifier TC · Technical part Typical Low $7.24 Median $9.55 Typical High $19.95 | Professional | TC · Technical part | $7.24 | $9.55 | $19.95 |
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 $7.41 Median $8.71 Typical High $9.55 | Professional | 52 · Reduced service | $7.41 | $8.71 | $9.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.95 Median $3.47 Typical High $3.80 | Professional | 53 · Discontinued | $2.95 | $3.47 | $3.80 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $11.75 Median $13.80 Typical High $14.13 | Professional | FX · Film X-ray | $11.75 | $13.80 | $14.13 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $7.41 Median $8.71 Typical High $8.91 | Professional | 52 · Reduced service | $7.41 | $8.71 | $8.91 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $2.95 Median $3.47 Typical High $3.55 | Professional | 53 · Discontinued | $2.95 | $3.47 | $3.55 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $11.75 Median $13.80 Typical High $14.13 | Professional | FX · Film X-ray | $11.75 | $13.80 | $14.13 |
Where Pennsylvania sits
The same service costs 3.6 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· 39th of 51
$21.38
AK $56.23FL $15.49
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.