How much rates vary
Facilitymedian $295 · 10th to 90th $151 to $851Professionalmedian $182 · 10th to 90th $123 to $331
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 $131.83 Median $239.88 Typical High $588.84 | Facility | None | $131.83 | $239.88 | $588.84 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $38.90 Median $50.12 Typical High $125.89 | Facility | 26 · Professional part | $38.90 | $50.12 | $125.89 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $85.11 Median $117.49 Typical High $416.87 | Facility | TC · Technical part | $85.11 | $117.49 | $416.87 |
Aetna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $151.36 Typical High $275.42 | Professional | None (both parts) | $120.23 | $151.36 | $275.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $44.67 Typical High $69.18 | Professional | 26 · Professional part | $38.02 | $44.67 | $69.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $107.15 Typical High $208.93 | Professional | TC · Technical part | $83.18 | $107.15 | $208.93 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $87.10 Median $104.71 Typical High $151.36 | Professional | None (both parts) | $87.10 | $104.71 | $151.36 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $58.88 Typical High $67.61 | Professional | 26 · Professional part | $33.11 | $58.88 | $67.61 |
AmeriHealth Setting Facility Modifier None Typical Low $281.84 Median $630.96 Typical High $1,096.48 | Facility | None | $281.84 | $630.96 | $1,096.48 |
AmeriHealth Setting Facility Modifier TC · Technical part Typical Low $275.42 Median $630.96 Typical High $2,511.89 | Facility | TC · Technical part | $275.42 | $630.96 | $2,511.89 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $131.83 Median $181.97 Typical High $457.09 | Professional | None (both parts) | $131.83 | $181.97 | $457.09 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $50.12 Typical High $89.13 | Professional | 26 · Professional part | $47.86 | $50.12 | $89.13 |
AmeriHealth Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $123.03 Typical High $158.49 | Professional | TC · Technical part | $123.03 | $123.03 | $158.49 |
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 $131.83 Median $223.87 Typical High $331.13 | Professional | None (both parts) | $131.83 | $223.87 | $331.13 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $69.18 Typical High $104.71 | Professional | 26 · Professional part | $42.66 | $69.18 | $104.71 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $151.36 Typical High $245.47 | Professional | TC · Technical part | $91.20 | $151.36 | $245.47 |
Cigna Setting Facility Modifier None Typical Low $173.78 Median $302.00 Typical High $512.86 | Facility | None | $173.78 | $302.00 | $512.86 |
Cigna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $181.97 Typical High $354.81 | Professional | None (both parts) | $112.20 | $181.97 | $354.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $43.65 Typical High $87.10 | Professional | 26 · Professional part | $34.67 | $43.65 | $87.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $147.91 Typical High $263.03 | Professional | TC · Technical part | $75.86 | $147.91 | $263.03 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $154.88 Median $181.97 Typical High $229.09 | Professional | None (both parts) | $154.88 | $181.97 | $229.09 |
Geisinger Setting Facility Modifier None Typical Low $281.84 Median $371.54 Typical High $1,819.70 | Facility | None | $281.84 | $371.54 | $1,819.70 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $131.83 Median $190.55 Typical High $380.19 | Professional | None (both parts) | $131.83 | $190.55 | $380.19 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $54.95 Typical High $107.15 | Professional | 26 · Professional part | $41.69 | $54.95 | $107.15 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $138.04 Typical High $281.84 | Professional | TC · Technical part | $89.13 | $138.04 | $281.84 |
Highmark BCBS Setting Facility Modifier None Typical Low $158.49 Median $281.84 Typical High $812.83 | Facility | None | $158.49 | $281.84 | $812.83 |
Highmark BCBS Setting Facility Modifier TC · Technical part Typical Low $186.21 Median $389.05 Typical High $645.65 | Facility | TC · Technical part | $186.21 | $389.05 | $645.65 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $141.25 Median $162.18 Typical High $186.21 | Professional | None (both parts) | $141.25 | $162.18 | $186.21 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $48.98 Typical High $74.13 | Professional | 26 · Professional part | $42.66 | $48.98 | $74.13 |
Independence Blue Cross Setting Facility Modifier None Typical Low $478.63 Median $630.96 Typical High $1,479.11 | Facility | None | $478.63 | $630.96 | $1,479.11 |
Independence Blue Cross Setting Facility Modifier TC · Technical part Typical Low $151.36 Median $630.96 Typical High $3,090.30 | Facility | TC · Technical part | $151.36 | $630.96 | $3,090.30 |
Independence Blue Cross Setting Professional Modifier None (both parts) Typical Low $117.49 Median $186.21 Typical High $457.09 | Professional | None (both parts) | $117.49 | $186.21 | $457.09 |
Independence Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $50.12 Typical High $70.79 | Professional | 26 · Professional part | $47.86 | $50.12 | $70.79 |
Independence Blue Cross Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $123.03 Typical High $158.49 | Professional | TC · Technical part | $123.03 | $123.03 | $158.49 |
Martin's Point Setting Facility Modifier None Typical Low $131.83 Median $239.88 Typical High $602.56 | Facility | None | $131.83 | $239.88 | $602.56 |
Martin's Point Setting Facility Modifier 26 · Professional part Typical Low $38.90 Median $53.70 Typical High $107.15 | Facility | 26 · Professional part | $38.90 | $53.70 | $107.15 |
Martin's Point Setting Facility Modifier TC · Technical part Typical Low $83.18 Median $117.49 Typical High $436.52 | Facility | TC · Technical part | $83.18 | $117.49 | $436.52 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $120.23 Median $151.36 Typical High $275.42 | Professional | None (both parts) | $120.23 | $151.36 | $275.42 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $44.67 Typical High $63.10 | Professional | 26 · Professional part | $38.02 | $44.67 | $63.10 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $107.15 Typical High $208.93 | Professional | TC · Technical part | $83.18 | $107.15 | $208.93 |
Oscar Health Setting Facility Modifier None Typical Low $812.83 Median $812.83 Typical High $1,096.48 | Facility | None | $812.83 | $812.83 | $1,096.48 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $42.66 Median $131.83 Typical High $323.59 | Professional | None (both parts) | $42.66 | $131.83 | $323.59 |
UPMC Health Plan Setting Facility Modifier None Typical Low $128.82 Median $371.54 Typical High $912.01 | Facility | None | $128.82 | $371.54 | $912.01 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $128.82 Median $263.03 Typical High $263.03 | Professional | None (both parts) | $128.82 | $263.03 | $263.03 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $66.07 Typical High $66.07 | Professional | 26 · Professional part | $39.81 | $66.07 | $66.07 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $199.53 Typical High $199.53 | Professional | TC · Technical part | $87.10 | $199.53 | $199.53 |
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 $120.23 Median $169.82 Typical High $288.40 | Professional | None (both parts) | $120.23 | $169.82 | $288.40 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $48.98 Typical High $81.28 | Professional | 26 · Professional part | $38.90 | $48.98 | $81.28 |
United Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $109.65 Typical High $213.80 | Professional | TC · Technical part | $81.28 | $109.65 | $213.80 |
11 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 $41.69 Median $60.26 Typical High $223.87 | Facility | 52 · Reduced service | $41.69 | $60.26 | $223.87 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $16.60 Median $23.99 Typical High $91.20 | Facility | 53 · Discontinued | $16.60 | $23.99 | $91.20 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $60.26 Median $75.86 Typical High $93.33 | Professional | 52 · Reduced service | $60.26 | $75.86 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $30.20 Typical High $38.02 | Professional | 53 · Discontinued | $23.99 | $30.20 | $38.02 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $102.33 Median $123.03 Typical High $128.82 | Professional | CT · Older CT scanner | $102.33 | $123.03 | $128.82 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $97.72 Median $114.82 Typical High $120.23 | Professional | FX · Film X-ray | $97.72 | $114.82 | $120.23 |
Highmark BCBS Setting Facility Modifier PN · Off-campus dept, non-excepted Typical Low $53.70 Median $134.90 Typical High $933.25 | Facility | PN · Off-campus dept, non-excepted | $53.70 | $134.90 | $933.25 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $60.26 Median $72.44 Typical High $75.86 | Professional | 52 · Reduced service | $60.26 | $72.44 | $75.86 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $28.84 Typical High $30.20 | Professional | 53 · Discontinued | $23.99 | $28.84 | $30.20 |
Martin's Point Setting Professional Modifier CT · Older CT scanner Typical Low $102.33 Median $123.03 Typical High $128.82 | Professional | CT · Older CT scanner | $102.33 | $123.03 | $128.82 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $97.72 Median $114.82 Typical High $120.23 | Professional | FX · Film X-ray | $97.72 | $114.82 | $120.23 |
Where Pennsylvania sits
The same service costs 4.9 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· 31st of 51
$195
AK $513UT $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.