How much rates vary
Facilitymedian $891 · 10th to 90th $427 to $2,951Professionalmedian $468 · 10th to 90th $331 to $1,047
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 $371.54 Median $812.83 Typical High $2,818.38 | Facility | None | $371.54 | $812.83 | $2,818.38 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $109.65 Median $141.25 Typical High $281.84 | Facility | 26 · Professional part | $109.65 | $141.25 | $281.84 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $218.78 Median $302.00 Typical High $2,089.30 | Facility | TC · Technical part | $218.78 | $302.00 | $2,089.30 |
Aetna Setting Professional Modifier None (both parts) Typical Low $331.13 Median $426.58 Typical High $602.56 | Professional | None (both parts) | $331.13 | $426.58 | $602.56 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $125.89 Typical High $173.78 | Professional | 26 · Professional part | $109.65 | $125.89 | $173.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $302.00 Typical High $389.05 | Professional | TC · Technical part | $218.78 | $302.00 | $389.05 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $213.80 Median $281.84 Typical High $380.19 | Professional | None (both parts) | $213.80 | $281.84 | $380.19 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $147.91 Typical High $177.83 | Professional | 26 · Professional part | $89.13 | $147.91 | $177.83 |
AmeriHealth Setting Facility Modifier TC · Technical part Typical Low $912.01 Median $1,862.09 Typical High $3,388.44 | Facility | TC · Technical part | $912.01 | $1,862.09 | $3,388.44 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $446.68 Median $446.68 Typical High $575.44 | Professional | None (both parts) | $446.68 | $446.68 | $575.44 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $134.90 Typical High $218.78 | Professional | 26 · Professional part | $128.82 | $134.90 | $218.78 |
AmeriHealth Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $309.03 Typical High $398.11 | Professional | TC · Technical part | $309.03 | $309.03 | $398.11 |
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 $407.38 Median $616.60 Typical High $1,202.26 | Professional | None (both parts) | $407.38 | $616.60 | $1,202.26 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $138.04 Median $181.97 Typical High $281.84 | Professional | 26 · Professional part | $138.04 | $181.97 | $281.84 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $416.87 Typical High $1,071.52 | Professional | TC · Technical part | $263.03 | $416.87 | $1,071.52 |
Cigna Setting Facility Modifier None Typical Low $478.63 Median $741.31 Typical High $1,778.28 | Facility | None | $478.63 | $741.31 | $1,778.28 |
Cigna Setting Professional Modifier None (both parts) Typical Low $275.42 Median $549.54 Typical High $1,122.02 | Professional | None (both parts) | $275.42 | $549.54 | $1,122.02 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $117.49 Typical High $208.93 | Professional | 26 · Professional part | $72.44 | $117.49 | $208.93 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $371.54 Typical High $912.01 | Professional | TC · Technical part | $181.97 | $371.54 | $912.01 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $380.19 Median $537.03 Typical High $1,548.82 | Professional | None (both parts) | $380.19 | $537.03 | $1,548.82 |
Geisinger Setting Facility Modifier None Typical Low $912.01 Median $1,479.11 Typical High $3,981.07 | Facility | None | $912.01 | $1,479.11 | $3,981.07 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $295.12 Median $537.03 Typical High $1,023.29 | Professional | None (both parts) | $295.12 | $537.03 | $1,023.29 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $128.82 Typical High $229.09 | Professional | 26 · Professional part | $95.50 | $128.82 | $229.09 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $371.54 Typical High $831.76 | Professional | TC · Technical part | $194.98 | $371.54 | $831.76 |
Highmark BCBS Setting Facility Modifier None Typical Low $478.63 Median $977.24 Typical High $2,344.23 | Facility | None | $478.63 | $977.24 | $2,344.23 |
Highmark BCBS Setting Facility Modifier TC · Technical part Typical Low $660.69 Median $1,318.26 Typical High $2,137.96 | Facility | TC · Technical part | $660.69 | $1,318.26 | $2,137.96 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $338.84 Median $380.19 Typical High $660.69 | Professional | None (both parts) | $338.84 | $380.19 | $660.69 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $128.82 Typical High $190.55 | Professional | 26 · Professional part | $114.82 | $128.82 | $190.55 |
Independence Blue Cross Setting Facility Modifier None Typical Low $354.81 Median $354.81 Typical High $354.81 | Facility | None | $354.81 | $354.81 | $354.81 |
Independence Blue Cross Setting Facility Modifier TC · Technical part Typical Low $512.86 Median $1,995.26 Typical High $4,786.30 | Facility | TC · Technical part | $512.86 | $1,995.26 | $4,786.30 |
Independence Blue Cross Setting Professional Modifier None (both parts) Typical Low $363.08 Median $489.78 Typical High $3,388.44 | Professional | None (both parts) | $363.08 | $489.78 | $3,388.44 |
Independence Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $134.90 Typical High $208.93 | Professional | 26 · Professional part | $128.82 | $134.90 | $208.93 |
Independence Blue Cross Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $309.03 Typical High $398.11 | Professional | TC · Technical part | $309.03 | $309.03 | $398.11 |
Martin's Point Setting Facility Modifier None Typical Low $380.19 Median $812.83 Typical High $2,818.38 | Facility | None | $380.19 | $812.83 | $2,818.38 |
Martin's Point Setting Facility Modifier 26 · Professional part Typical Low $109.65 Median $141.25 Typical High $257.04 | Facility | 26 · Professional part | $109.65 | $141.25 | $257.04 |
Martin's Point Setting Facility Modifier TC · Technical part Typical Low $218.78 Median $302.00 Typical High $2,137.96 | Facility | TC · Technical part | $218.78 | $302.00 | $2,137.96 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $331.13 Median $426.58 Typical High $588.84 | Professional | None (both parts) | $331.13 | $426.58 | $588.84 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $125.89 Typical High $165.96 | Professional | 26 · Professional part | $109.65 | $125.89 | $165.96 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $302.00 Typical High $389.05 | Professional | TC · Technical part | $218.78 | $302.00 | $389.05 |
Oscar Health Setting Facility Modifier None Typical Low $562.34 Median $758.58 Typical High $912.01 | Facility | None | $562.34 | $758.58 | $912.01 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $114.82 Median $323.59 Typical High $707.95 | Professional | None (both parts) | $114.82 | $323.59 | $707.95 |
UPMC Health Plan Setting Facility Modifier None Typical Low $323.59 Median $1,148.15 Typical High $4,168.69 | Facility | None | $323.59 | $1,148.15 | $4,168.69 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $323.59 Median $1,047.13 Typical High $1,047.13 | Professional | None (both parts) | $323.59 | $1,047.13 | $1,047.13 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $123.03 Typical High $123.03 | Professional | 26 · Professional part | $107.15 | $123.03 | $123.03 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $912.01 Typical High $912.01 | Professional | TC · Technical part | $213.80 | $912.01 | $912.01 |
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 $316.23 Median $436.52 Typical High $1,071.52 | Professional | None (both parts) | $316.23 | $436.52 | $1,071.52 |
United Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $114.82 Typical High $213.80 | Professional | 26 · Professional part | $100.00 | $114.82 | $213.80 |
United Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $281.84 Typical High $891.25 | Professional | TC · Technical part | $213.80 | $281.84 | $891.25 |
9 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 $109.65 Median $165.96 Typical High $575.44 | Facility | 52 · Reduced service | $109.65 | $165.96 | $575.44 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $43.65 Median $66.07 Typical High $208.93 | Facility | 53 · Discontinued | $43.65 | $66.07 | $208.93 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $165.96 Median $213.80 Typical High $213.80 | Professional | 52 · Reduced service | $165.96 | $213.80 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $85.11 Typical High $85.11 | Professional | 53 · Discontinued | $66.07 | $85.11 | $85.11 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $263.03 Median $338.84 Typical High $338.84 | Professional | FX · Film X-ray | $263.03 | $338.84 | $338.84 |
Highmark BCBS Setting Facility Modifier PN · Off-campus dept, non-excepted Typical Low $131.83 Median $416.87 Typical High $2,238.72 | Facility | PN · Off-campus dept, non-excepted | $131.83 | $416.87 | $2,238.72 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $165.96 Median $213.80 Typical High $213.80 | Professional | 52 · Reduced service | $165.96 | $213.80 | $213.80 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $85.11 Typical High $85.11 | Professional | 53 · Discontinued | $66.07 | $85.11 | $85.11 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $263.03 Median $338.84 Typical High $338.84 | Professional | FX · Film X-ray | $263.03 | $338.84 | $338.84 |
Where Pennsylvania sits
The same service costs 6.6 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· 27th of 51
$525
VT $1,349UT $204
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.