How much rates vary
Facilitymedian $447 · 10th to 90th $224 to $1,318Professionalmedian $269 · 10th to 90th $219 to $589
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 $218.78 Median $346.74 Typical High $1,000.00 | Facility | None | $218.78 | $346.74 | $1,000.00 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $74.13 Median $104.71 Typical High $173.78 | Facility | 26 · Professional part | $74.13 | $104.71 | $173.78 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $141.25 Median $177.83 Typical High $549.54 | Facility | TC · Technical part | $141.25 | $177.83 | $549.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $213.80 Median $263.03 Typical High $398.11 | Professional | None (both parts) | $213.80 | $263.03 | $398.11 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $81.28 Typical High $97.72 | Professional | 26 · Professional part | $70.79 | $81.28 | $97.72 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $177.83 Typical High $316.23 | Professional | TC · Technical part | $141.25 | $177.83 | $316.23 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $109.65 Typical High $109.65 | Professional | 26 · Professional part | $67.61 | $109.65 | $109.65 |
AmeriHealth Setting Facility Modifier None Typical Low $199.53 Median $457.09 Typical High $1,071.52 | Facility | None | $199.53 | $457.09 | $1,071.52 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $91.20 Typical High $117.49 | Professional | 26 · Professional part | $91.20 | $91.20 | $117.49 |
Capital Blue Cross Setting Facility Modifier None Typical Low $1,174.90 Median $5,011.87 Typical High $5,011.87 | Facility | None | $1,174.90 | $5,011.87 | $5,011.87 |
Capital Blue Cross Setting Facility Modifier TC · Technical part Typical Low $1,778.28 Median $2,238.72 Typical High $5,011.87 | Facility | TC · Technical part | $1,778.28 | $2,238.72 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $218.78 Median $380.19 Typical High $645.65 | Professional | None (both parts) | $218.78 | $380.19 | $645.65 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $123.03 Typical High $177.83 | Professional | 26 · Professional part | $75.86 | $123.03 | $177.83 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $251.19 Typical High $478.63 | Professional | TC · Technical part | $141.25 | $251.19 | $478.63 |
Cigna Setting Facility Modifier None Typical Low $281.84 Median $501.19 Typical High $831.76 | Facility | None | $281.84 | $501.19 | $831.76 |
Cigna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $269.15 Typical High $524.81 | Professional | None (both parts) | $190.55 | $269.15 | $524.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $74.13 Typical High $141.25 | Professional | 26 · Professional part | $43.65 | $74.13 | $141.25 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $223.87 Typical High $389.05 | Professional | TC · Technical part | $125.89 | $223.87 | $389.05 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $263.03 Median $309.03 Typical High $398.11 | Professional | None (both parts) | $263.03 | $309.03 | $398.11 |
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 $229.09 Median $309.03 Typical High $602.56 | Professional | None (both parts) | $229.09 | $309.03 | $602.56 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $83.18 Typical High $158.49 | Professional | 26 · Professional part | $58.88 | $83.18 | $158.49 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $213.80 Typical High $446.68 | Professional | TC · Technical part | $147.91 | $213.80 | $446.68 |
Highmark BCBS Setting Facility Modifier None Typical Low $302.00 Median $478.63 Typical High $1,348.96 | Facility | None | $302.00 | $478.63 | $1,348.96 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $257.04 Median $257.04 Typical High $275.42 | Professional | None (both parts) | $257.04 | $257.04 | $275.42 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $87.10 Typical High $117.49 | Professional | 26 · Professional part | $79.43 | $87.10 | $117.49 |
Independence Blue Cross Setting Facility Modifier None Typical Low $181.97 Median $446.68 Typical High $1,096.48 | Facility | None | $181.97 | $446.68 | $1,096.48 |
Independence Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $95.50 Typical High $109.65 | Professional | 26 · Professional part | $85.11 | $95.50 | $109.65 |
Martin's Point Setting Facility Modifier None Typical Low $218.78 Median $380.19 Typical High $1,380.38 | Facility | None | $218.78 | $380.19 | $1,380.38 |
Martin's Point Setting Facility Modifier 26 · Professional part Typical Low $74.13 Median $112.20 Typical High $162.18 | Facility | 26 · Professional part | $74.13 | $112.20 | $162.18 |
Martin's Point Setting Facility Modifier TC · Technical part Typical Low $141.25 Median $177.83 Typical High $630.96 | Facility | TC · Technical part | $141.25 | $177.83 | $630.96 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $213.80 Median $263.03 Typical High $398.11 | Professional | None (both parts) | $213.80 | $263.03 | $398.11 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $77.62 Typical High $91.20 | Professional | 26 · Professional part | $70.79 | $77.62 | $91.20 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $177.83 Typical High $316.23 | Professional | TC · Technical part | $141.25 | $177.83 | $316.23 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $79.43 Median $223.87 Typical High $446.68 | Professional | None (both parts) | $79.43 | $223.87 | $446.68 |
UPMC Health Plan Setting Facility Modifier None Typical Low $223.87 Median $691.83 Typical High $1,348.96 | Facility | None | $223.87 | $691.83 | $1,348.96 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $223.87 Median $380.19 Typical High $380.19 | Professional | None (both parts) | $223.87 | $380.19 | $380.19 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $79.43 Typical High $79.43 | Professional | 26 · Professional part | $75.86 | $79.43 | $79.43 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $302.00 Typical High $302.00 | Professional | TC · Technical part | $144.54 | $302.00 | $302.00 |
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 $213.80 Median $288.40 Typical High $467.74 | Professional | None (both parts) | $213.80 | $288.40 | $467.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $79.43 Typical High $151.36 | Professional | 26 · Professional part | $64.57 | $79.43 | $151.36 |
United Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $186.21 Typical High $331.13 | Professional | TC · Technical part | $138.04 | $186.21 | $331.13 |
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 $70.79 Median $107.15 Typical High $363.08 | Facility | 52 · Reduced service | $70.79 | $107.15 | $363.08 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $28.18 Median $42.66 Typical High $144.54 | Facility | 53 · Discontinued | $28.18 | $42.66 | $144.54 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $107.15 Median $131.83 Typical High $144.54 | Professional | 52 · Reduced service | $107.15 | $131.83 | $144.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $52.48 Typical High $57.54 | Professional | 53 · Discontinued | $42.66 | $52.48 | $57.54 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $181.97 Median $208.93 Typical High $223.87 | Professional | CT · Older CT scanner | $181.97 | $208.93 | $223.87 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $169.82 Median $194.98 Typical High $208.93 | Professional | FX · Film X-ray | $169.82 | $194.98 | $208.93 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $107.15 Median $123.03 Typical High $131.83 | Professional | 52 · Reduced service | $107.15 | $123.03 | $131.83 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $48.98 Typical High $52.48 | Professional | 53 · Discontinued | $42.66 | $48.98 | $52.48 |
Martin's Point Setting Professional Modifier CT · Older CT scanner Typical Low $181.97 Median $208.93 Typical High $223.87 | Professional | CT · Older CT scanner | $181.97 | $208.93 | $223.87 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $169.82 Median $194.98 Typical High $208.93 | Professional | FX · Film X-ray | $169.82 | $194.98 | $208.93 |
Where Pennsylvania sits
The same service costs 6.3 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· 40th of 51
$282
AK $851UT $135
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.