How much rates vary
Facilitymedian $724 · 10th to 90th $275 to $1,514Professionalmedian $339 · 10th to 90th $240 to $676
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 $295.12 Median $831.76 Typical High $1,778.28 | Facility | None | $295.12 | $831.76 | $1,778.28 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $79.43 Median $102.33 Typical High $194.98 | Facility | 26 · Professional part | $79.43 | $102.33 | $194.98 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $158.49 Median $223.87 Typical High $954.99 | Facility | TC · Technical part | $158.49 | $223.87 | $954.99 |
Aetna Setting Professional Modifier None (both parts) Typical Low $234.42 Median $295.12 Typical High $478.63 | Professional | None (both parts) | $234.42 | $295.12 | $478.63 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $89.13 Typical High $125.89 | Professional | 26 · Professional part | $77.62 | $89.13 | $125.89 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $204.17 Typical High $363.08 | Professional | TC · Technical part | $158.49 | $204.17 | $363.08 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $181.97 Median $181.97 Typical High $239.88 | Professional | None (both parts) | $181.97 | $181.97 | $239.88 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $120.23 Typical High $128.82 | Professional | 26 · Professional part | $74.13 | $120.23 | $128.82 |
AmeriHealth Setting Facility Modifier None Typical Low $208.93 Median $457.09 Typical High $1,096.48 | Facility | None | $208.93 | $457.09 | $1,096.48 |
AmeriHealth Setting Facility Modifier TC · Technical part Typical Low $194.98 Median $457.09 Typical High $1,096.48 | Facility | TC · Technical part | $194.98 | $457.09 | $1,096.48 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $426.58 Median $426.58 Typical High $1,122.02 | Professional | None (both parts) | $426.58 | $426.58 | $1,122.02 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $102.33 Typical High $131.83 | Professional | 26 · Professional part | $97.72 | $102.33 | $131.83 |
Capital Blue Cross Setting Facility Modifier None Typical Low $1,230.27 Median $5,011.87 Typical High $5,011.87 | Facility | None | $1,230.27 | $5,011.87 | $5,011.87 |
Capital Blue Cross Setting Facility Modifier TC · Technical part Typical Low $1,862.09 Median $2,344.23 Typical High $5,011.87 | Facility | TC · Technical part | $1,862.09 | $2,344.23 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $257.04 Median $426.58 Typical High $691.83 | Professional | None (both parts) | $257.04 | $426.58 | $691.83 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $141.25 Typical High $218.78 | Professional | 26 · Professional part | $83.18 | $141.25 | $218.78 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $281.84 Typical High $478.63 | Professional | TC · Technical part | $173.78 | $281.84 | $478.63 |
Cigna Setting Facility Modifier None Typical Low $331.13 Median $602.56 Typical High $954.99 | Facility | None | $331.13 | $602.56 | $954.99 |
Cigna Setting Professional Modifier None (both parts) Typical Low $239.88 Median $416.87 Typical High $794.33 | Professional | None (both parts) | $239.88 | $416.87 | $794.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $89.13 Typical High $158.49 | Professional | 26 · Professional part | $53.70 | $89.13 | $158.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $309.03 Typical High $630.96 | Professional | TC · Technical part | $165.96 | $309.03 | $630.96 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $309.03 Median $371.54 Typical High $467.74 | Professional | None (both parts) | $309.03 | $371.54 | $467.74 |
Geisinger Setting Facility Modifier None Typical Low $416.87 Median $575.44 Typical High $1,819.70 | Facility | None | $416.87 | $575.44 | $1,819.70 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $269.15 Median $371.54 Typical High $724.44 | Professional | None (both parts) | $269.15 | $371.54 | $724.44 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $95.50 Typical High $177.83 | Professional | 26 · Professional part | $70.79 | $95.50 | $177.83 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $275.42 Typical High $524.81 | Professional | TC · Technical part | $181.97 | $275.42 | $524.81 |
Highmark BCBS Setting Facility Modifier None Typical Low $323.59 Median $912.01 Typical High $1,584.89 | Facility | None | $323.59 | $912.01 | $1,584.89 |
Highmark BCBS Setting Facility Modifier TC · Technical part Typical Low $602.56 Median $1,258.93 Typical High $2,290.87 | Facility | TC · Technical part | $602.56 | $1,258.93 | $2,290.87 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $316.23 Median $354.81 Typical High $389.05 | Professional | None (both parts) | $316.23 | $354.81 | $389.05 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $95.50 Typical High $141.25 | Professional | 26 · Professional part | $87.10 | $95.50 | $141.25 |
Independence Blue Cross Setting Facility Modifier None Typical Low $125.89 Median $467.74 Typical High $1,096.48 | Facility | None | $125.89 | $467.74 | $1,096.48 |
Independence Blue Cross Setting Facility Modifier TC · Technical part Typical Low $239.88 Median $478.63 Typical High $1,819.70 | Facility | TC · Technical part | $239.88 | $478.63 | $1,819.70 |
Independence Blue Cross Setting Professional Modifier None (both parts) Typical Low $416.87 Median $426.58 Typical High $1,122.02 | Professional | None (both parts) | $416.87 | $426.58 | $1,122.02 |
Independence Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $102.33 Typical High $125.89 | Professional | 26 · Professional part | $97.72 | $102.33 | $125.89 |
Martin's Point Setting Facility Modifier None Typical Low $295.12 Median $870.96 Typical High $1,905.46 | Facility | None | $295.12 | $870.96 | $1,905.46 |
Martin's Point Setting Facility Modifier 26 · Professional part Typical Low $79.43 Median $102.33 Typical High $190.55 | Facility | 26 · Professional part | $79.43 | $102.33 | $190.55 |
Martin's Point Setting Facility Modifier TC · Technical part Typical Low $158.49 Median $223.87 Typical High $954.99 | Facility | TC · Technical part | $158.49 | $223.87 | $954.99 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $234.42 Median $295.12 Typical High $478.63 | Professional | None (both parts) | $234.42 | $295.12 | $478.63 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $89.13 Typical High $117.49 | Professional | 26 · Professional part | $77.62 | $89.13 | $117.49 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $204.17 Typical High $363.08 | Professional | TC · Technical part | $158.49 | $204.17 | $363.08 |
Oscar Health Setting Facility Modifier None Typical Low $660.69 Median $870.96 Typical High $912.01 | Facility | None | $660.69 | $870.96 | $912.01 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $87.10 Median $281.84 Typical High $549.54 | Professional | None (both parts) | $87.10 | $281.84 | $549.54 |
UPMC Health Plan Setting Facility Modifier None Typical Low $251.19 Median $707.95 Typical High $1,230.27 | Facility | None | $251.19 | $707.95 | $1,230.27 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $251.19 Median $467.74 Typical High $467.74 | Professional | None (both parts) | $251.19 | $467.74 | $467.74 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $91.20 Typical High $91.20 | Professional | 26 · Professional part | $83.18 | $91.20 | $91.20 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $380.19 Typical High $380.19 | Professional | TC · Technical part | $169.82 | $380.19 | $380.19 |
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 $257.04 Median $354.81 Typical High $602.56 | Professional | None (both parts) | $257.04 | $354.81 | $602.56 |
United Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $87.10 Typical High $162.18 | Professional | 26 · Professional part | $75.86 | $87.10 | $162.18 |
United Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $239.88 Typical High $489.78 | Professional | TC · Technical part | $177.83 | $239.88 | $489.78 |
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 $79.43 Median $117.49 Typical High $467.74 | Facility | 52 · Reduced service | $79.43 | $117.49 | $467.74 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $31.62 Median $47.86 Typical High $186.21 | Facility | 53 · Discontinued | $31.62 | $47.86 | $186.21 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $117.49 Median $144.54 Typical High $154.88 | Professional | 52 · Reduced service | $117.49 | $144.54 | $154.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $57.54 Typical High $61.66 | Professional | 53 · Discontinued | $47.86 | $57.54 | $61.66 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $199.53 Median $234.42 Typical High $251.19 | Professional | CT · Older CT scanner | $199.53 | $234.42 | $251.19 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $190.55 Median $218.78 Typical High $234.42 | Professional | FX · Film X-ray | $190.55 | $218.78 | $234.42 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $117.49 Median $138.04 Typical High $147.91 | Professional | 52 · Reduced service | $117.49 | $138.04 | $147.91 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $54.95 Typical High $58.88 | Professional | 53 · Discontinued | $47.86 | $54.95 | $58.88 |
Martin's Point Setting Professional Modifier CT · Older CT scanner Typical Low $199.53 Median $234.42 Typical High $251.19 | Professional | CT · Older CT scanner | $199.53 | $234.42 | $251.19 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $190.55 Median $218.78 Typical High $234.42 | Professional | FX · Film X-ray | $190.55 | $218.78 | $234.42 |
Where Pennsylvania sits
The same service costs 7.6 times more in Vermont 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· 36th of 51
$363
VT $1,288UT $170
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.