How much rates vary
Facilitymedian $1,738 · 10th to 90th $631 to $4,786Professionalmedian $692 · 10th to 90th $427 to $1,288
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 $426.58 Median $1,513.56 Typical High $2,187.76 | Facility | None | $426.58 | $1,513.56 | $2,187.76 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $302.00 Median $467.74 Typical High $977.24 | Facility | TC · Technical part | $302.00 | $467.74 | $977.24 |
Aetna Setting Professional Modifier None (both parts) Typical Low $426.58 Median $426.58 Typical High $537.03 | Professional | None (both parts) | $426.58 | $426.58 | $537.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $125.89 Typical High $158.49 | Professional | 26 · Professional part | $125.89 | $125.89 | $158.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $302.00 Typical High $467.74 | Professional | TC · Technical part | $302.00 | $302.00 | $467.74 |
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 $1,819.70 Median $2,238.72 Typical High $5,011.87 | Facility | TC · Technical part | $1,819.70 | $2,238.72 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $691.83 Median $707.95 Typical High $912.01 | Professional | None (both parts) | $691.83 | $707.95 | $912.01 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $151.36 Median $154.88 Typical High $295.12 | Professional | 26 · Professional part | $151.36 | $154.88 | $295.12 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $501.19 Median $537.03 Typical High $676.08 | Professional | TC · Technical part | $501.19 | $537.03 | $676.08 |
Cigna Setting Facility Modifier None Typical Low $1,412.54 Median $3,548.13 Typical High $5,754.40 | Facility | None | $1,412.54 | $3,548.13 | $5,754.40 |
Cigna Setting Professional Modifier None (both parts) Typical Low $933.25 Median $1,288.25 Typical High $2,570.40 | Professional | None (both parts) | $933.25 | $1,288.25 | $2,570.40 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $147.91 Typical High $295.12 | Professional | 26 · Professional part | $89.13 | $147.91 | $295.12 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $851.14 Median $1,148.15 Typical High $2,290.87 | Professional | TC · Technical part | $851.14 | $1,148.15 | $2,290.87 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $741.31 Median $1,023.29 Typical High $1,258.93 | Professional | None (both parts) | $741.31 | $1,023.29 | $1,258.93 |
Geisinger Setting Facility Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $3,981.07 | Facility | None | $1,513.56 | $1,513.56 | $3,981.07 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $389.05 Median $446.68 Typical High $954.99 | Professional | None (both parts) | $389.05 | $446.68 | $954.99 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $173.78 Typical High $331.13 | Professional | 26 · Professional part | $120.23 | $173.78 | $331.13 |
Martin's Point Setting Facility Modifier None Typical Low $426.58 Median $1,548.82 Typical High $2,570.40 | Facility | None | $426.58 | $1,548.82 | $2,570.40 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $426.58 Median $426.58 Typical High $524.81 | Professional | None (both parts) | $426.58 | $426.58 | $524.81 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $125.89 Typical High $158.49 | Professional | 26 · Professional part | $125.89 | $125.89 | $158.49 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $302.00 Typical High $467.74 | Professional | TC · Technical part | $302.00 | $302.00 | $467.74 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $158.49 Median $281.84 Typical High $3,090.30 | Professional | None (both parts) | $158.49 | $281.84 | $3,090.30 |
UPMC Health Plan Setting Facility Modifier None Typical Low $630.96 Median $707.95 Typical High $1,513.56 | Facility | None | $630.96 | $707.95 | $1,513.56 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $630.96 Median $630.96 Typical High $630.96 | Professional | None (both parts) | $630.96 | $630.96 | $630.96 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $154.88 Median $158.49 Typical High $158.49 | Professional | 26 · Professional part | $154.88 | $158.49 | $158.49 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $478.63 Typical High $478.63 | Professional | TC · Technical part | $302.00 | $478.63 | $478.63 |
United Setting Facility Modifier None Typical Low $758.58 Median $1,584.89 Typical High $1,862.09 | Facility | None | $758.58 | $1,584.89 | $1,862.09 |
United Setting Professional Modifier None (both parts) Typical Low $338.84 Median $602.56 Typical High $1,202.26 | Professional | None (both parts) | $338.84 | $602.56 | $1,202.26 |
United Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $162.18 Typical High $302.00 | Professional | 26 · Professional part | $128.82 | $162.18 | $302.00 |
United Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $457.09 Typical High $891.25 | Professional | TC · Technical part | $208.93 | $457.09 | $891.25 |
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 $213.80 Median $229.09 Typical High $707.95 | Facility | 52 · Reduced service | $213.80 | $229.09 | $707.95 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $85.11 Median $93.33 Typical High $281.84 | Facility | 53 · Discontinued | $85.11 | $93.33 | $281.84 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $213.80 Median $213.80 Typical High $257.04 | Professional | 52 · Reduced service | $213.80 | $213.80 | $257.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $85.11 Median $85.11 Typical High $104.71 | Professional | 53 · Discontinued | $85.11 | $85.11 | $104.71 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $338.84 Median $338.84 Typical High $416.87 | Professional | FX · Film X-ray | $338.84 | $338.84 | $416.87 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $213.80 Median $213.80 Typical High $257.04 | Professional | 52 · Reduced service | $213.80 | $213.80 | $257.04 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $85.11 Median $85.11 Typical High $104.71 | Professional | 53 · Discontinued | $85.11 | $85.11 | $104.71 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $338.84 Median $338.84 Typical High $416.87 | Professional | FX · Film X-ray | $338.84 | $338.84 | $416.87 |
Where Pennsylvania sits
The same service costs 12.3 times more in Wyoming than in Hawaii. 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· 32nd of 51
$692
WY $3,467HI $282
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.