How much rates vary
Facilitymedian $309 · 10th to 90th $162 to $912Professionalmedian $186 · 10th to 90th $151 to $324
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 $162.18 Median $234.42 Typical High $575.44 | Facility | None | $162.18 | $234.42 | $575.44 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $58.88 Median $75.86 Typical High $144.54 | Facility | 26 · Professional part | $58.88 | $75.86 | $144.54 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $93.33 Median $125.89 Typical High $416.87 | Facility | TC · Technical part | $93.33 | $125.89 | $416.87 |
Aetna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $186.21 Typical High $288.40 | Professional | None (both parts) | $151.36 | $186.21 | $288.40 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $64.57 Typical High $87.10 | Professional | 26 · Professional part | $57.54 | $64.57 | $87.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $120.23 Typical High $208.93 | Professional | TC · Technical part | $93.33 | $120.23 | $208.93 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $107.15 Median $107.15 Typical High $131.83 | Professional | None (both parts) | $107.15 | $107.15 | $131.83 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $100.00 Typical High $100.00 | Professional | 26 · Professional part | $70.79 | $100.00 | $100.00 |
AmeriHealth Setting Facility Modifier None Typical Low $288.40 Median $645.65 Typical High $1,096.48 | Facility | None | $288.40 | $645.65 | $1,096.48 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $100.00 Median $199.53 Typical High $229.09 | Professional | None (both parts) | $100.00 | $199.53 | $229.09 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $74.13 Typical High $120.23 | Professional | 26 · Professional part | $74.13 | $74.13 | $120.23 |
Capital Blue Cross Setting Facility Modifier None Typical Low $691.83 Median $5,011.87 Typical High $5,011.87 | Facility | None | $691.83 | $5,011.87 | $5,011.87 |
Capital Blue Cross Setting Facility Modifier TC · Technical part Typical Low $1,023.29 Median $1,318.26 Typical High $5,011.87 | Facility | TC · Technical part | $1,023.29 | $1,318.26 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | None (both parts) | $162.18 | $162.18 | $162.18 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $104.71 Typical High $158.49 | Professional | 26 · Professional part | $60.26 | $104.71 | $158.49 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $169.82 Typical High $389.05 | Professional | TC · Technical part | $95.50 | $169.82 | $389.05 |
Cigna Setting Facility Modifier None Typical Low $194.98 Median $338.84 Typical High $512.86 | Facility | None | $194.98 | $338.84 | $512.86 |
Cigna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $223.87 Typical High $426.58 | Professional | None (both parts) | $138.04 | $223.87 | $426.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $66.07 Typical High $117.49 | Professional | 26 · Professional part | $38.90 | $66.07 | $117.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $169.82 Typical High $323.59 | Professional | TC · Technical part | $85.11 | $169.82 | $323.59 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $162.18 Median $223.87 Typical High $281.84 | Professional | None (both parts) | $162.18 | $223.87 | $281.84 |
Geisinger Setting Facility Modifier None Typical Low $281.84 Median $389.05 Typical High $1,819.70 | Facility | None | $281.84 | $389.05 | $1,819.70 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $162.18 Median $223.87 Typical High $416.87 | Professional | None (both parts) | $162.18 | $223.87 | $416.87 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $70.79 Typical High $128.82 | Professional | 26 · Professional part | $52.48 | $70.79 | $128.82 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $138.04 Typical High $288.40 | Professional | TC · Technical part | $100.00 | $138.04 | $288.40 |
Highmark BCBS Setting Facility Modifier None Typical Low $154.88 Median $288.40 Typical High $912.01 | Facility | None | $154.88 | $288.40 | $912.01 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $177.83 Median $204.17 Typical High $323.59 | Professional | None (both parts) | $177.83 | $204.17 | $323.59 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $72.44 Typical High $104.71 | Professional | 26 · Professional part | $64.57 | $72.44 | $104.71 |
Independence Blue Cross Setting Facility Modifier None Typical Low $154.88 Median $645.65 Typical High $1,513.56 | Facility | None | $154.88 | $645.65 | $1,513.56 |
Independence Blue Cross Setting Professional Modifier None (both parts) Typical Low $147.91 Median $199.53 Typical High $263.03 | Professional | None (both parts) | $147.91 | $199.53 | $263.03 |
Independence Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $74.13 Typical High $100.00 | Professional | 26 · Professional part | $74.13 | $74.13 | $100.00 |
Martin's Point Setting Facility Modifier None Typical Low $162.18 Median $239.88 Typical High $588.84 | Facility | None | $162.18 | $239.88 | $588.84 |
Martin's Point Setting Facility Modifier 26 · Professional part Typical Low $58.88 Median $75.86 Typical High $138.04 | Facility | 26 · Professional part | $58.88 | $75.86 | $138.04 |
Martin's Point Setting Facility Modifier TC · Technical part Typical Low $93.33 Median $120.23 Typical High $416.87 | Facility | TC · Technical part | $93.33 | $120.23 | $416.87 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $151.36 Median $186.21 Typical High $281.84 | Professional | None (both parts) | $151.36 | $186.21 | $281.84 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $64.57 Typical High $81.28 | Professional | 26 · Professional part | $57.54 | $64.57 | $81.28 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $120.23 Typical High $208.93 | Professional | TC · Technical part | $93.33 | $120.23 | $208.93 |
Oscar Health Setting Facility Modifier None Typical Low $158.49 Median $213.80 Typical High $229.09 | Facility | None | $158.49 | $213.80 | $229.09 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $64.57 Median $162.18 Typical High $346.74 | Professional | None (both parts) | $64.57 | $162.18 | $346.74 |
UPMC Health Plan Setting Facility Modifier None Typical Low $158.49 Median $371.54 Typical High $954.99 | Facility | None | $158.49 | $371.54 | $954.99 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $158.49 Median $309.03 Typical High $309.03 | Professional | None (both parts) | $158.49 | $309.03 | $309.03 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $70.79 Typical High $70.79 | Professional | 26 · Professional part | $60.26 | $70.79 | $70.79 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $239.88 Typical High $239.88 | Professional | TC · Technical part | $97.72 | $239.88 | $239.88 |
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 $169.82 Median $223.87 Typical High $380.19 | Professional | None (both parts) | $169.82 | $223.87 | $380.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $64.57 Typical High $117.49 | Professional | 26 · Professional part | $56.23 | $64.57 | $117.49 |
United Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $151.36 Typical High $269.15 | Professional | TC · Technical part | $112.20 | $151.36 | $269.15 |
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 $46.77 Median $72.44 Typical High $234.42 | Facility | 52 · Reduced service | $46.77 | $72.44 | $234.42 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $18.62 Median $28.84 Typical High $93.33 | Facility | 53 · Discontinued | $18.62 | $28.84 | $93.33 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $75.86 Median $93.33 Typical High $97.72 | Professional | 52 · Reduced service | $75.86 | $93.33 | $97.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $37.15 Typical High $38.90 | Professional | 53 · Discontinued | $30.20 | $37.15 | $38.90 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $128.82 Median $151.36 Typical High $158.49 | Professional | CT · Older CT scanner | $128.82 | $151.36 | $158.49 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $120.23 Median $141.25 Typical High $151.36 | Professional | FX · Film X-ray | $120.23 | $141.25 | $151.36 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $75.86 Median $89.13 Typical High $93.33 | Professional | 52 · Reduced service | $75.86 | $89.13 | $93.33 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $35.48 Typical High $37.15 | Professional | 53 · Discontinued | $30.20 | $35.48 | $37.15 |
Martin's Point Setting Professional Modifier CT · Older CT scanner Typical Low $128.82 Median $151.36 Typical High $158.49 | Professional | CT · Older CT scanner | $128.82 | $151.36 | $158.49 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $120.23 Median $141.25 Typical High $151.36 | Professional | FX · Film X-ray | $120.23 | $141.25 | $151.36 |
Where Pennsylvania sits
The same service costs 6.2 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· 43rd of 51
$195
AK $646UT $105
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.