How much rates vary
Facilitymedian $89 · 10th to 90th $30 to $372Professionalmedian $32 · 10th to 90th $25 to $59
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 $28.84 Median $46.77 Typical High $426.58 | Facility | None | $28.84 | $46.77 | $426.58 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $7.76 Median $10.47 Typical High $17.78 | Facility | 26 · Professional part | $7.76 | $10.47 | $17.78 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $19.50 Median $25.70 Typical High $89.13 | Facility | TC · Technical part | $19.50 | $25.70 | $89.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $25.70 Median $30.90 Typical High $45.71 | Professional | None (both parts) | $25.70 | $30.90 | $45.71 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $8.51 Typical High $13.18 | Professional | 26 · Professional part | $7.41 | $8.51 | $13.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $22.39 Typical High $32.36 | Professional | TC · Technical part | $18.62 | $22.39 | $32.36 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $20.89 Median $28.18 Typical High $37.15 | Professional | None (both parts) | $20.89 | $28.18 | $37.15 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $13.80 Typical High $14.79 | Professional | 26 · Professional part | $12.88 | $13.80 | $14.79 |
AmeriHealth Setting Facility Modifier None Typical Low $28.84 Median $69.18 Typical High $1,230.27 | Facility | None | $28.84 | $69.18 | $1,230.27 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $39.81 Median $39.81 Typical High $50.12 | Professional | None (both parts) | $39.81 | $39.81 | $50.12 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $10.96 Typical High $14.45 | Professional | 26 · Professional part | $10.96 | $10.96 | $14.45 |
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 $95.50 Median $114.82 Typical High $5,011.87 | Facility | TC · Technical part | $95.50 | $114.82 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $30.20 Median $45.71 Typical High $64.57 | Professional | None (both parts) | $30.20 | $45.71 | $64.57 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $13.80 Typical High $20.89 | Professional | 26 · Professional part | $8.71 | $13.80 | $20.89 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $30.90 Typical High $44.67 | Professional | TC · Technical part | $21.38 | $30.90 | $44.67 |
Cigna Setting Facility Modifier None Typical Low $27.54 Median $74.13 Typical High $269.15 | Facility | None | $27.54 | $74.13 | $269.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $17.78 Median $27.54 Typical High $52.48 | Professional | None (both parts) | $17.78 | $27.54 | $52.48 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $5.37 Median $8.51 Typical High $16.22 | Professional | 26 · Professional part | $5.37 | $8.51 | $16.22 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $12.30 Median $18.62 Typical High $37.15 | Professional | TC · Technical part | $12.30 | $18.62 | $37.15 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $37.15 Median $44.67 Typical High $54.95 | Professional | None (both parts) | $37.15 | $44.67 | $54.95 |
Geisinger Setting Facility Modifier None Typical Low $25.12 Median $25.12 Typical High $25.12 | Facility | None | $25.12 | $25.12 | $25.12 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $19.05 Median $32.36 Typical High $61.66 | Professional | None (both parts) | $19.05 | $32.36 | $61.66 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $10.00 Typical High $18.62 | Professional | 26 · Professional part | $7.08 | $10.00 | $18.62 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $12.30 Median $23.44 Typical High $40.74 | Professional | TC · Technical part | $12.30 | $23.44 | $40.74 |
Highmark BCBS Setting Facility Modifier None Typical Low $95.50 Median $208.93 Typical High $363.08 | Facility | None | $95.50 | $208.93 | $363.08 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $31.62 Median $37.15 Typical High $43.65 | Professional | None (both parts) | $31.62 | $37.15 | $43.65 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $10.23 Typical High $15.49 | Professional | 26 · Professional part | $8.91 | $10.23 | $15.49 |
Independence Blue Cross Setting Facility Modifier None Typical Low $48.98 Median $72.44 Typical High $1,412.54 | Facility | None | $48.98 | $72.44 | $1,412.54 |
Independence Blue Cross Setting Professional Modifier None (both parts) Typical Low $28.84 Median $39.81 Typical High $52.48 | Professional | None (both parts) | $28.84 | $39.81 | $52.48 |
Independence Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $10.96 Typical High $14.45 | Professional | 26 · Professional part | $10.96 | $10.96 | $14.45 |
Martin's Point Setting Facility Modifier None Typical Low $28.84 Median $47.86 Typical High $446.68 | Facility | None | $28.84 | $47.86 | $446.68 |
Martin's Point Setting Facility Modifier 26 · Professional part Typical Low $7.76 Median $10.96 Typical High $17.78 | Facility | 26 · Professional part | $7.76 | $10.96 | $17.78 |
Martin's Point Setting Facility Modifier TC · Technical part Typical Low $19.50 Median $27.54 Typical High $97.72 | Facility | TC · Technical part | $19.50 | $27.54 | $97.72 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $25.70 Median $30.20 Typical High $44.67 | Professional | None (both parts) | $25.70 | $30.20 | $44.67 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $8.51 Typical High $12.30 | Professional | 26 · Professional part | $7.41 | $8.51 | $12.30 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $21.88 Typical High $31.62 | Professional | TC · Technical part | $18.62 | $21.88 | $31.62 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $30.90 Median $37.15 Typical High $60.26 | Professional | None (both parts) | $30.90 | $37.15 | $60.26 |
UPMC Health Plan Setting Facility Modifier None Typical Low $25.70 Median $63.10 Typical High $107.15 | Facility | None | $25.70 | $63.10 | $107.15 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $25.70 Median $25.70 Typical High $30.20 | Professional | None (both parts) | $25.70 | $25.70 | $30.20 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $9.55 Typical High $9.55 | Professional | 26 · Professional part | $8.71 | $9.55 | $9.55 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $15.85 Typical High $21.88 | Professional | TC · Technical part | $15.85 | $15.85 | $21.88 |
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 $23.99 Median $30.90 Typical High $53.70 | Professional | None (both parts) | $23.99 | $30.90 | $53.70 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $9.12 Typical High $16.98 | Professional | 26 · Professional part | $7.76 | $9.12 | $16.98 |
United Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $21.38 Typical High $38.02 | Professional | TC · Technical part | $15.85 | $21.38 | $38.02 |
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 $12.88 Median $15.14 Typical High $15.85 | Professional | 52 · Reduced service | $12.88 | $15.14 | $15.85 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.25 Median $6.03 Typical High $6.31 | Professional | 53 · Discontinued | $5.25 | $6.03 | $6.31 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $20.89 Median $23.99 Typical High $25.70 | Professional | FX · Film X-ray | $20.89 | $23.99 | $25.70 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $12.88 Median $15.14 Typical High $15.85 | Professional | 52 · Reduced service | $12.88 | $15.14 | $15.85 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $5.25 Median $6.03 Typical High $6.31 | Professional | 53 · Discontinued | $5.25 | $6.03 | $6.31 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $20.89 Median $23.99 Typical High $25.70 | Professional | FX · Film X-ray | $20.89 | $23.99 | $25.70 |
Where Pennsylvania sits
The same service costs 4.3 times more in Alaska than in New York. 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
$31.62
AK $93.33NY $21.88
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.