How much rates vary
Facilitymedian $513 · 10th to 90th $214 to $1,380Professionalmedian $219 · 10th to 90th $178 to $427
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 $181.97 Median $371.54 Typical High $1,023.29 | Facility | None | $181.97 | $371.54 | $1,023.29 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $120.23 Median $154.88 Typical High $562.34 | Facility | TC · Technical part | $120.23 | $154.88 | $562.34 |
Aetna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $218.78 Typical High $398.11 | Professional | None (both parts) | $177.83 | $218.78 | $398.11 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $66.07 Typical High $74.13 | Professional | 26 · Professional part | $56.23 | $66.07 | $74.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $154.88 Typical High $323.59 | Professional | TC · Technical part | $120.23 | $154.88 | $323.59 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | None (both parts) | $144.54 | $144.54 | $144.54 |
Capital Blue Cross Setting Facility Modifier None Typical Low $1,202.26 Median $5,011.87 Typical High $5,011.87 | Facility | None | $1,202.26 | $5,011.87 | $5,011.87 |
Capital Blue Cross Setting Facility Modifier TC · Technical part Typical Low $1,819.70 Median $2,290.87 Typical High $5,011.87 | Facility | TC · Technical part | $1,819.70 | $2,290.87 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $309.03 Median $309.03 Typical High $309.03 | Professional | None (both parts) | $309.03 | $309.03 | $309.03 |
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 $120.23 Median $213.80 Typical High $323.59 | Professional | TC · Technical part | $120.23 | $213.80 | $323.59 |
Cigna Setting Facility Modifier None Typical Low $245.47 Median $436.52 Typical High $831.76 | Facility | None | $245.47 | $436.52 | $831.76 |
Cigna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $269.15 Typical High $512.86 | Professional | None (both parts) | $158.49 | $269.15 | $512.86 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $64.57 Typical High $117.49 | Professional | 26 · Professional part | $43.65 | $64.57 | $117.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $213.80 Typical High $389.05 | Professional | TC · Technical part | $107.15 | $213.80 | $389.05 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $218.78 Median $263.03 Typical High $331.13 | Professional | None (both parts) | $218.78 | $263.03 | $331.13 |
Geisinger Setting Facility Modifier None Typical Low $416.87 Median $549.54 Typical High $1,819.70 | Facility | None | $416.87 | $549.54 | $1,819.70 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $190.55 Median $281.84 Typical High $562.34 | Professional | None (both parts) | $190.55 | $281.84 | $562.34 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $75.86 Typical High $134.90 | Professional | 26 · Professional part | $57.54 | $75.86 | $134.90 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $204.17 Typical High $407.38 | Professional | TC · Technical part | $125.89 | $204.17 | $407.38 |
Highmark BCBS Setting Facility Modifier None Typical Low $346.74 Median $549.54 Typical High $1,659.59 | Facility | None | $346.74 | $549.54 | $1,659.59 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $67.61 Typical High $93.33 | Professional | 26 · Professional part | $63.10 | $67.61 | $93.33 |
Martin's Point Setting Facility Modifier None Typical Low $190.55 Median $380.19 Typical High $1,023.29 | Facility | None | $190.55 | $380.19 | $1,023.29 |
Martin's Point Setting Facility Modifier TC · Technical part Typical Low $120.23 Median $128.82 Typical High $575.44 | Facility | TC · Technical part | $120.23 | $128.82 | $575.44 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $177.83 Median $218.78 Typical High $354.81 | Professional | None (both parts) | $177.83 | $218.78 | $354.81 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $66.07 Typical High $70.79 | Professional | 26 · Professional part | $56.23 | $66.07 | $70.79 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $154.88 Typical High $302.00 | Professional | TC · Technical part | $120.23 | $154.88 | $302.00 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $63.10 Median $186.21 Typical High $371.54 | Professional | None (both parts) | $63.10 | $186.21 | $371.54 |
UPMC Health Plan Setting Facility Modifier None Typical Low $186.21 Median $691.83 Typical High $1,348.96 | Facility | None | $186.21 | $691.83 | $1,348.96 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $186.21 Median $426.58 Typical High $426.58 | Professional | None (both parts) | $186.21 | $426.58 | $426.58 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $83.18 Typical High $83.18 | Professional | 26 · Professional part | $60.26 | $83.18 | $83.18 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $338.84 Typical High $338.84 | Professional | TC · Technical part | $125.89 | $338.84 | $338.84 |
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 $177.83 Median $245.47 Typical High $416.87 | Professional | None (both parts) | $177.83 | $245.47 | $416.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $66.07 Typical High $117.49 | Professional | 26 · Professional part | $54.95 | $66.07 | $117.49 |
United Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $158.49 Typical High $323.59 | Professional | TC · Technical part | $120.23 | $158.49 | $323.59 |
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 $60.26 Median $89.13 Typical High $371.54 | Facility | 52 · Reduced service | $60.26 | $89.13 | $371.54 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $23.99 Median $35.48 Typical High $147.91 | Facility | 53 · Discontinued | $23.99 | $35.48 | $147.91 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $89.13 Median $109.65 Typical High $138.04 | Professional | 52 · Reduced service | $89.13 | $109.65 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $43.65 Typical High $54.95 | Professional | 53 · Discontinued | $35.48 | $43.65 | $54.95 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $151.36 Median $173.78 Typical High $186.21 | Professional | CT · Older CT scanner | $151.36 | $173.78 | $186.21 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $141.25 Median $162.18 Typical High $177.83 | Professional | FX · Film X-ray | $141.25 | $162.18 | $177.83 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $89.13 Median $102.33 Typical High $109.65 | Professional | 52 · Reduced service | $89.13 | $102.33 | $109.65 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $40.74 Typical High $43.65 | Professional | 53 · Discontinued | $35.48 | $40.74 | $43.65 |
Martin's Point Setting Professional Modifier CT · Older CT scanner Typical Low $151.36 Median $173.78 Typical High $186.21 | Professional | CT · Older CT scanner | $151.36 | $173.78 | $186.21 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $141.25 Median $162.18 Typical High $177.83 | Professional | FX · Film X-ray | $141.25 | $162.18 | $177.83 |
Where Pennsylvania sits
The same service costs 5.1 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· 46th of 51
$219
AK $676UT $132
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.