How much rates vary
Facilitymedian $1,259 · 10th to 90th $427 to $3,311Professionalmedian $468 · 10th to 90th $339 to $1,259
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 $389.05 Median $645.65 Typical High $2,089.30 | Facility | None | $389.05 | $645.65 | $2,089.30 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $91.20 Median $125.89 Typical High $281.84 | Facility | 26 · Professional part | $91.20 | $125.89 | $281.84 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $269.15 Median $302.00 Typical High $741.31 | Facility | TC · Technical part | $269.15 | $302.00 | $741.31 |
Aetna Setting Professional Modifier None (both parts) Typical Low $354.81 Median $426.58 Typical High $549.54 | Professional | None (both parts) | $354.81 | $426.58 | $549.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $125.89 Typical High $154.88 | Professional | 26 · Professional part | $87.10 | $125.89 | $154.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $302.00 Typical High $389.05 | Professional | TC · Technical part | $269.15 | $302.00 | $389.05 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $316.23 Median $316.23 Typical High $316.23 | Professional | None (both parts) | $316.23 | $316.23 | $316.23 |
AmeriHealth Setting Facility Modifier None Typical Low $912.01 Median $2,041.74 Typical High $3,467.37 | Facility | None | $912.01 | $2,041.74 | $3,467.37 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $630.96 Median $630.96 Typical High $1,949.84 | Professional | None (both parts) | $630.96 | $630.96 | $1,949.84 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $107.15 Typical High $131.83 | Professional | 26 · Professional part | $100.00 | $107.15 | $131.83 |
Capital Blue Cross Setting Facility Modifier None Typical Low $1,905.46 Median $5,011.87 Typical High $5,011.87 | Facility | None | $1,905.46 | $5,011.87 | $5,011.87 |
Capital Blue Cross Setting Facility Modifier TC · Technical part Typical Low $2,884.03 Median $3,630.78 Typical High $5,011.87 | Facility | TC · Technical part | $2,884.03 | $3,630.78 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $338.84 Median $616.60 Typical High $1,412.54 | Professional | None (both parts) | $338.84 | $616.60 | $1,412.54 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $147.91 Typical High $223.87 | Professional | 26 · Professional part | $85.11 | $147.91 | $223.87 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $467.74 Typical High $1,174.90 | Professional | TC · Technical part | $251.19 | $467.74 | $1,174.90 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $912.01 Typical High $1,778.28 | Facility | None | $588.84 | $912.01 | $1,778.28 |
Cigna Setting Professional Modifier None (both parts) Typical Low $302.00 Median $645.65 Typical High $1,174.90 | Professional | None (both parts) | $302.00 | $645.65 | $1,174.90 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $91.20 Typical High $165.96 | Professional | 26 · Professional part | $54.95 | $91.20 | $165.96 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $501.19 Typical High $1,047.13 | Professional | TC · Technical part | $223.87 | $501.19 | $1,047.13 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $407.38 Median $588.84 Typical High $1,819.70 | Professional | None (both parts) | $407.38 | $588.84 | $1,819.70 |
Geisinger Setting Facility Modifier None Typical Low $870.96 Median $1,288.25 Typical High $1,949.84 | Facility | None | $870.96 | $1,288.25 | $1,949.84 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $354.81 Median $549.54 Typical High $954.99 | Professional | None (both parts) | $354.81 | $549.54 | $954.99 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $100.00 Typical High $181.97 | Professional | 26 · Professional part | $72.44 | $100.00 | $181.97 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $436.52 Typical High $831.76 | Professional | TC · Technical part | $263.03 | $436.52 | $831.76 |
Highmark BCBS Setting Facility Modifier None Typical Low $758.58 Median $1,659.59 Typical High $3,019.95 | Facility | None | $758.58 | $1,659.59 | $3,019.95 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $398.11 Median $436.52 Typical High $776.25 | Professional | None (both parts) | $398.11 | $436.52 | $776.25 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $104.71 Typical High $154.88 | Professional | 26 · Professional part | $93.33 | $104.71 | $154.88 |
Independence Blue Cross Setting Facility Modifier None Typical Low $380.19 Median $2,041.74 Typical High $4,897.79 | Facility | None | $380.19 | $2,041.74 | $4,897.79 |
Independence Blue Cross Setting Professional Modifier None (both parts) Typical Low $457.09 Median $457.09 Typical High $1,230.27 | Professional | None (both parts) | $457.09 | $457.09 | $1,230.27 |
Independence Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $107.15 Typical High $134.90 | Professional | 26 · Professional part | $95.50 | $107.15 | $134.90 |
Martin's Point Setting Facility Modifier None Typical Low $426.58 Median $870.96 Typical High $2,187.76 | Facility | None | $426.58 | $870.96 | $2,187.76 |
Martin's Point Setting Facility Modifier TC · Technical part Typical Low $269.15 Median $302.00 Typical High $676.08 | Facility | TC · Technical part | $269.15 | $302.00 | $676.08 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $354.81 Median $426.58 Typical High $549.54 | Professional | None (both parts) | $354.81 | $426.58 | $549.54 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $125.89 Typical High $151.36 | Professional | 26 · Professional part | $87.10 | $125.89 | $151.36 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $302.00 Typical High $389.05 | Professional | TC · Technical part | $269.15 | $302.00 | $389.05 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $91.20 Median $380.19 Typical High $1,479.11 | Professional | None (both parts) | $91.20 | $380.19 | $1,479.11 |
UPMC Health Plan Setting Facility Modifier None Typical Low $346.74 Median $1,148.15 Typical High $2,187.76 | Facility | None | $346.74 | $1,148.15 | $2,187.76 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $346.74 Median $933.25 Typical High $933.25 | Professional | None (both parts) | $346.74 | $933.25 | $933.25 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $95.50 Typical High $95.50 | Professional | 26 · Professional part | $85.11 | $95.50 | $95.50 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $831.76 Typical High $831.76 | Professional | TC · Technical part | $263.03 | $831.76 | $831.76 |
United Setting Facility Modifier None Typical Low $478.63 Median $1,023.29 Typical High $1,174.90 | Facility | None | $478.63 | $1,023.29 | $1,174.90 |
United Setting Professional Modifier None (both parts) Typical Low $302.00 Median $478.63 Typical High $954.99 | Professional | None (both parts) | $302.00 | $478.63 | $954.99 |
United Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $91.20 Typical High $169.82 | Professional | 26 · Professional part | $72.44 | $91.20 | $169.82 |
United Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $354.81 Typical High $870.96 | Professional | TC · Technical part | $229.09 | $354.81 | $870.96 |
8 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 $134.90 Median $177.83 Typical High $645.65 | Facility | 52 · Reduced service | $134.90 | $177.83 | $645.65 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $53.70 Median $70.79 Typical High $257.04 | Facility | 53 · Discontinued | $53.70 | $70.79 | $257.04 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $177.83 Median $213.80 Typical High $213.80 | Professional | 52 · Reduced service | $177.83 | $213.80 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $70.79 Median $85.11 Typical High $85.11 | Professional | 53 · Discontinued | $70.79 | $85.11 | $85.11 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $281.84 Median $338.84 Typical High $338.84 | Professional | FX · Film X-ray | $281.84 | $338.84 | $338.84 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $177.83 Median $213.80 Typical High $213.80 | Professional | 52 · Reduced service | $177.83 | $213.80 | $213.80 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $70.79 Median $85.11 Typical High $85.11 | Professional | 53 · Discontinued | $70.79 | $85.11 | $85.11 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $281.84 Median $338.84 Typical High $338.84 | Professional | FX · Film X-ray | $281.84 | $338.84 | $338.84 |
Where Pennsylvania sits
The same service costs 5.6 times more in Wyoming 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· 37th of 51
$501
WY $1,380UT $245
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.