How much rates vary
Facilitymedian $347 · 10th to 90th $132 to $955Professionalmedian $151 · 10th to 90th $102 to $275
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 $109.65 Median $436.52 Typical High $954.99 | Facility | None | $109.65 | $436.52 | $954.99 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $38.02 Median $50.12 Typical High $93.33 | Facility | 26 · Professional part | $38.02 | $50.12 | $93.33 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $64.57 Median $93.33 Typical High $630.96 | Facility | TC · Technical part | $64.57 | $93.33 | $630.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $125.89 Typical High $218.78 | Professional | None (both parts) | $100.00 | $125.89 | $218.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $43.65 Typical High $63.10 | Professional | 26 · Professional part | $37.15 | $43.65 | $63.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $79.43 Typical High $165.96 | Professional | TC · Technical part | $63.10 | $79.43 | $165.96 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $38.90 Median $85.11 Typical High $97.72 | Professional | None (both parts) | $38.90 | $85.11 | $97.72 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $42.66 Typical High $67.61 | Professional | 26 · Professional part | $33.11 | $42.66 | $67.61 |
AmeriHealth Setting Facility Modifier None Typical Low $263.03 Median $1,380.38 Typical High $7,244.36 | Facility | None | $263.03 | $1,380.38 | $7,244.36 |
AmeriHealth Setting Facility Modifier TC · Technical part Typical Low $263.03 Median $602.56 Typical High $1,047.13 | Facility | TC · Technical part | $263.03 | $602.56 | $1,047.13 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $190.55 Median $190.55 Typical High $457.09 | Professional | None (both parts) | $190.55 | $190.55 | $457.09 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $50.12 Typical High $63.10 | Professional | 26 · Professional part | $47.86 | $50.12 | $63.10 |
Capital Blue Cross Setting Facility Modifier None Typical Low $616.60 Median $5,011.87 Typical High $5,011.87 | Facility | None | $616.60 | $5,011.87 | $5,011.87 |
Capital Blue Cross Setting Facility Modifier TC · Technical part Typical Low $933.25 Median $1,174.90 Typical High $5,011.87 | Facility | TC · Technical part | $933.25 | $1,174.90 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $104.71 Median $190.55 Typical High $275.42 | Professional | None (both parts) | $104.71 | $190.55 | $275.42 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $69.18 Typical High $104.71 | Professional | 26 · Professional part | $39.81 | $69.18 | $104.71 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $117.49 Typical High $204.17 | Professional | TC · Technical part | $64.57 | $117.49 | $204.17 |
Cigna Setting Facility Modifier None Typical Low $128.82 Median $229.09 Typical High $512.86 | Facility | None | $128.82 | $229.09 | $512.86 |
Cigna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $151.36 Typical High $275.42 | Professional | None (both parts) | $93.33 | $151.36 | $275.42 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $43.65 Typical High $77.62 | Professional | 26 · Professional part | $26.30 | $43.65 | $77.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $112.20 Typical High $213.80 | Professional | TC · Technical part | $57.54 | $112.20 | $213.80 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $125.89 Median $151.36 Typical High $190.55 | Professional | None (both parts) | $125.89 | $151.36 | $190.55 |
Geisinger Setting Facility Modifier None Typical Low $281.84 Median $338.84 Typical High $1,819.70 | Facility | None | $281.84 | $338.84 | $1,819.70 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $109.65 Median $169.82 Typical High $331.13 | Professional | None (both parts) | $109.65 | $169.82 | $331.13 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $46.77 Typical High $87.10 | Professional | 26 · Professional part | $34.67 | $46.77 | $87.10 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $128.82 Typical High $234.42 | Professional | TC · Technical part | $67.61 | $128.82 | $234.42 |
Highmark BCBS Setting Facility Modifier None Typical Low $186.21 Median $338.84 Typical High $794.33 | Facility | None | $186.21 | $338.84 | $794.33 |
Highmark BCBS Setting Facility Modifier TC · Technical part Typical Low $194.98 Median $426.58 Typical High $870.96 | Facility | TC · Technical part | $194.98 | $426.58 | $870.96 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $120.23 Median $138.04 Typical High $239.88 | Professional | None (both parts) | $120.23 | $138.04 | $239.88 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $48.98 Typical High $70.79 | Professional | 26 · Professional part | $42.66 | $48.98 | $70.79 |
Independence Blue Cross Setting Facility Modifier None Typical Low $107.15 Median $724.44 Typical High $9,120.11 | Facility | None | $107.15 | $724.44 | $9,120.11 |
Independence Blue Cross Setting Facility Modifier TC · Technical part Typical Low $151.36 Median $602.56 Typical High $1,412.54 | Facility | TC · Technical part | $151.36 | $602.56 | $1,412.54 |
Independence Blue Cross Setting Professional Modifier None (both parts) Typical Low $181.97 Median $190.55 Typical High $257.04 | Professional | None (both parts) | $181.97 | $190.55 | $257.04 |
Independence Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $50.12 Typical High $66.07 | Professional | 26 · Professional part | $47.86 | $50.12 | $66.07 |
Martin's Point Setting Facility Modifier None Typical Low $107.15 Median $436.52 Typical High $954.99 | Facility | None | $107.15 | $436.52 | $954.99 |
Martin's Point Setting Facility Modifier 26 · Professional part Typical Low $38.02 Median $50.12 Typical High $91.20 | Facility | 26 · Professional part | $38.02 | $50.12 | $91.20 |
Martin's Point Setting Facility Modifier TC · Technical part Typical Low $64.57 Median $95.50 Typical High $630.96 | Facility | TC · Technical part | $64.57 | $95.50 | $630.96 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $100.00 Median $125.89 Typical High $218.78 | Professional | None (both parts) | $100.00 | $125.89 | $218.78 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $42.66 Typical High $58.88 | Professional | 26 · Professional part | $37.15 | $42.66 | $58.88 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $79.43 Typical High $165.96 | Professional | TC · Technical part | $63.10 | $79.43 | $165.96 |
Oscar Health Setting Facility Modifier None Typical Low $812.83 Median $1,096.48 Typical High $1,584.89 | Facility | None | $812.83 | $1,096.48 | $1,584.89 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $42.66 Median $109.65 Typical High $323.59 | Professional | None (both parts) | $42.66 | $109.65 | $323.59 |
UPMC Health Plan Setting Facility Modifier None Typical Low $104.71 Median $363.08 Typical High $891.25 | Facility | None | $104.71 | $363.08 | $891.25 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $104.71 Median $229.09 Typical High $229.09 | Professional | None (both parts) | $104.71 | $229.09 | $229.09 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $45.71 Typical High $45.71 | Professional | 26 · Professional part | $39.81 | $45.71 | $45.71 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $181.97 Typical High $181.97 | Professional | TC · Technical part | $66.07 | $181.97 | $181.97 |
United Setting Facility Modifier None Typical Low $144.54 Median $309.03 Typical High $354.81 | Facility | None | $144.54 | $309.03 | $354.81 |
United Setting Professional Modifier None (both parts) Typical Low $100.00 Median $141.25 Typical High $245.47 | Professional | None (both parts) | $100.00 | $141.25 | $245.47 |
United Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $42.66 Typical High $79.43 | Professional | 26 · Professional part | $37.15 | $42.66 | $79.43 |
United Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $83.18 Typical High $186.21 | Professional | TC · Technical part | $61.66 | $83.18 | $186.21 |
14 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 $31.62 Median $47.86 Typical High $151.36 | Facility | 52 · Reduced service | $31.62 | $47.86 | $151.36 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $12.59 Median $19.05 Typical High $61.66 | Facility | 53 · Discontinued | $12.59 | $19.05 | $61.66 |
Aetna Setting Facility Modifier 59 · Distinct service Typical Low $562.34 Median $977.24 Typical High $2,511.89 | Facility | 59 · Distinct service | $562.34 | $977.24 | $2,511.89 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $50.12 Median $61.66 Typical High $63.10 | Professional | 52 · Reduced service | $50.12 | $61.66 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $25.12 Typical High $25.70 | Professional | 53 · Discontinued | $19.95 | $25.12 | $25.70 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $85.11 Median $102.33 Typical High $104.71 | Professional | CT · Older CT scanner | $85.11 | $102.33 | $104.71 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $79.43 Median $95.50 Typical High $100.00 | Professional | FX · Film X-ray | $79.43 | $95.50 | $100.00 |
Highmark BCBS Setting Facility Modifier 59 · Distinct service Typical Low $794.33 Median $1,023.29 Typical High $1,548.82 | Facility | 59 · Distinct service | $794.33 | $1,023.29 | $1,548.82 |
Highmark BCBS Setting Facility Modifier XU · Unusual separate service Typical Low $354.81 Median $831.76 Typical High $1,202.26 | Facility | XU · Unusual separate service | $354.81 | $831.76 | $1,202.26 |
Martin's Point Setting Facility Modifier 59 · Distinct service Typical Low $562.34 Median $977.24 Typical High $2,511.89 | Facility | 59 · Distinct service | $562.34 | $977.24 | $2,511.89 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $50.12 Median $60.26 Typical High $61.66 | Professional | 52 · Reduced service | $50.12 | $60.26 | $61.66 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $23.99 Typical High $25.12 | Professional | 53 · Discontinued | $19.95 | $23.99 | $25.12 |
Martin's Point Setting Professional Modifier CT · Older CT scanner Typical Low $85.11 Median $102.33 Typical High $104.71 | Professional | CT · Older CT scanner | $85.11 | $102.33 | $104.71 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $79.43 Median $95.50 Typical High $100.00 | Professional | FX · Film X-ray | $79.43 | $95.50 | $100.00 |
Where Pennsylvania sits
The same service costs 20.4 times more in Vermont 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· 27th of 51
$174
VT $1,585UT $77.62
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.