How much rates vary
Facilitymedian $457 · 10th to 90th $182 to $1,072Professionalmedian $234 · 10th to 90th $170 to $447
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 $177.83 Median $380.19 Typical High $977.24 | Facility | None | $177.83 | $380.19 | $977.24 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $57.54 Median $75.86 Typical High $141.25 | Facility | 26 · Professional part | $57.54 | $75.86 | $141.25 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $109.65 Median $138.04 Typical High $346.74 | Facility | TC · Technical part | $109.65 | $138.04 | $346.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $165.96 Median $204.17 Typical High $331.13 | Professional | None (both parts) | $165.96 | $204.17 | $331.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $64.57 Typical High $87.10 | Professional | 26 · Professional part | $56.23 | $64.57 | $87.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $138.04 Typical High $263.03 | Professional | TC · Technical part | $109.65 | $138.04 | $263.03 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $141.25 Median $141.25 Typical High $158.49 | Professional | None (both parts) | $141.25 | $141.25 | $158.49 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $91.20 Typical High $100.00 | Professional | 26 · Professional part | $70.79 | $91.20 | $100.00 |
AmeriHealth Setting Facility Modifier None Typical Low $194.98 Median $398.11 Typical High $2,089.30 | Facility | None | $194.98 | $398.11 | $2,089.30 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $74.13 Typical High $89.13 | Professional | 26 · Professional part | $70.79 | $74.13 | $89.13 |
Capital Blue Cross Setting Facility Modifier None Typical Low $977.24 Median $5,011.87 Typical High $5,011.87 | Facility | None | $977.24 | $5,011.87 | $5,011.87 |
Capital Blue Cross Setting Facility Modifier TC · Technical part Typical Low $1,479.11 Median $1,862.09 Typical High $5,011.87 | Facility | TC · Technical part | $1,479.11 | $1,862.09 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $169.82 Median $302.00 Typical High $457.09 | Professional | None (both parts) | $169.82 | $302.00 | $457.09 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $100.00 Typical High $158.49 | Professional | 26 · Professional part | $60.26 | $100.00 | $158.49 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $204.17 Typical High $302.00 | Professional | TC · Technical part | $112.20 | $204.17 | $302.00 |
Cigna Setting Facility Modifier None Typical Low $223.87 Median $398.11 Typical High $831.76 | Facility | None | $223.87 | $398.11 | $831.76 |
Cigna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $234.42 Typical High $416.87 | Professional | None (both parts) | $151.36 | $234.42 | $416.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $64.57 Typical High $117.49 | Professional | 26 · Professional part | $38.90 | $64.57 | $117.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $190.55 Typical High $323.59 | Professional | TC · Technical part | $97.72 | $190.55 | $323.59 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $204.17 Median $245.47 Typical High $309.03 | Professional | None (both parts) | $204.17 | $245.47 | $309.03 |
Geisinger Setting Facility Modifier None Typical Low $416.87 Median $512.86 Typical High $1,819.70 | Facility | None | $416.87 | $512.86 | $1,819.70 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $177.83 Median $263.03 Typical High $478.63 | Professional | None (both parts) | $177.83 | $263.03 | $478.63 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $70.79 Typical High $128.82 | Professional | 26 · Professional part | $51.29 | $70.79 | $128.82 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $199.53 Typical High $346.74 | Professional | TC · Technical part | $114.82 | $199.53 | $346.74 |
Highmark BCBS Setting Facility Modifier None Typical Low $275.42 Median $549.54 Typical High $1,230.27 | Facility | None | $275.42 | $549.54 | $1,230.27 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $199.53 Median $218.78 Typical High $380.19 | Professional | None (both parts) | $199.53 | $218.78 | $380.19 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $70.79 Typical High $102.33 | Professional | 26 · Professional part | $63.10 | $70.79 | $102.33 |
Independence Blue Cross Setting Facility Modifier None Typical Low $128.82 Median $426.58 Typical High $2,089.30 | Facility | None | $128.82 | $426.58 | $2,089.30 |
Independence Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $74.13 Typical High $93.33 | Professional | 26 · Professional part | $70.79 | $74.13 | $93.33 |
Martin's Point Setting Facility Modifier None Typical Low $177.83 Median $407.38 Typical High $977.24 | Facility | None | $177.83 | $407.38 | $977.24 |
Martin's Point Setting Facility Modifier 26 · Professional part Typical Low $57.54 Median $75.86 Typical High $141.25 | Facility | 26 · Professional part | $57.54 | $75.86 | $141.25 |
Martin's Point Setting Facility Modifier TC · Technical part Typical Low $109.65 Median $138.04 Typical High $467.74 | Facility | TC · Technical part | $109.65 | $138.04 | $467.74 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $165.96 Median $204.17 Typical High $331.13 | Professional | None (both parts) | $165.96 | $204.17 | $331.13 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $64.57 Typical High $83.18 | Professional | 26 · Professional part | $56.23 | $64.57 | $83.18 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $138.04 Typical High $269.15 | Professional | TC · Technical part | $109.65 | $138.04 | $269.15 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $63.10 Median $177.83 Typical High $346.74 | Professional | None (both parts) | $63.10 | $177.83 | $346.74 |
UPMC Health Plan Setting Facility Modifier None Typical Low $173.78 Median $691.83 Typical High $1,288.25 | Facility | None | $173.78 | $691.83 | $1,288.25 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $173.78 Median $338.84 Typical High $338.84 | Professional | None (both parts) | $173.78 | $338.84 | $338.84 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $67.61 Typical High $67.61 | Professional | 26 · Professional part | $60.26 | $67.61 | $67.61 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $269.15 Typical High $269.15 | Professional | TC · Technical part | $114.82 | $269.15 | $269.15 |
United Setting Facility Modifier None Typical Low $239.88 Median $512.86 Typical High $588.84 | Facility | None | $239.88 | $512.86 | $588.84 |
United Setting Professional Modifier None (both parts) Typical Low $165.96 Median $229.09 Typical High $380.19 | Professional | None (both parts) | $165.96 | $229.09 | $380.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $63.10 Typical High $117.49 | Professional | 26 · Professional part | $54.95 | $63.10 | $117.49 |
United Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $144.54 Typical High $288.40 | Professional | TC · Technical part | $109.65 | $144.54 | $288.40 |
10 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 $54.95 Median $83.18 Typical High $257.04 | Facility | 52 · Reduced service | $54.95 | $83.18 | $257.04 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $21.88 Median $33.11 Typical High $104.71 | Facility | 53 · Discontinued | $21.88 | $33.11 | $104.71 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $83.18 Median $102.33 Typical High $104.71 | Professional | 52 · Reduced service | $83.18 | $102.33 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $40.74 Typical High $41.69 | Professional | 53 · Discontinued | $33.11 | $40.74 | $41.69 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $141.25 Median $162.18 Typical High $173.78 | Professional | CT · Older CT scanner | $141.25 | $162.18 | $173.78 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $131.83 Median $154.88 Typical High $165.96 | Professional | FX · Film X-ray | $131.83 | $154.88 | $165.96 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $83.18 Median $95.50 Typical High $102.33 | Professional | 52 · Reduced service | $83.18 | $95.50 | $102.33 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $38.02 Typical High $41.69 | Professional | 53 · Discontinued | $33.11 | $38.02 | $41.69 |
Martin's Point Setting Professional Modifier CT · Older CT scanner Typical Low $141.25 Median $162.18 Typical High $173.78 | Professional | CT · Older CT scanner | $141.25 | $162.18 | $173.78 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $131.83 Median $154.88 Typical High $165.96 | Professional | FX · Film X-ray | $131.83 | $154.88 | $165.96 |
Where Pennsylvania sits
The same service costs 5.6 times more in Alaska 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· 32nd of 51
$251
AK $708UT $126
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.