How much rates vary
Facilitymedian $91 · 10th to 90th $34 to $309Professionalmedian $34 · 10th to 90th $28 to $68
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 $30.90 Median $50.12 Typical High $199.53 | Facility | None | $30.90 | $50.12 | $199.53 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $8.51 Median $12.59 Typical High $22.91 | Facility | 26 · Professional part | $8.51 | $12.59 | $22.91 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $20.89 Median $27.54 Typical High $74.13 | Facility | TC · Technical part | $20.89 | $27.54 | $74.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $28.18 Median $33.88 Typical High $48.98 | Professional | None (both parts) | $28.18 | $33.88 | $48.98 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $9.12 Typical High $14.45 | Professional | 26 · Professional part | $7.94 | $9.12 | $14.45 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $25.12 Typical High $35.48 | Professional | TC · Technical part | $19.95 | $25.12 | $35.48 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | None (both parts) | $45.71 | $45.71 | $45.71 |
AmeriHealth Setting Facility Modifier None Typical Low $50.12 Median $724.44 Typical High $1,230.27 | Facility | None | $50.12 | $724.44 | $1,230.27 |
Capital Blue Cross Setting Facility Modifier None Typical Low $21.88 Median $5,011.87 Typical High $8,709.64 | Facility | None | $21.88 | $5,011.87 | $8,709.64 |
Capital Blue Cross Setting Facility Modifier TC · Technical part Typical Low $117.49 Median $144.54 Typical High $5,011.87 | Facility | TC · Technical part | $117.49 | $144.54 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $32.36 Median $47.86 Typical High $69.18 | Professional | None (both parts) | $32.36 | $47.86 | $69.18 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $16.22 Typical High $24.55 | Professional | 26 · Professional part | $9.33 | $16.22 | $24.55 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $30.90 Typical High $44.67 | Professional | TC · Technical part | $22.91 | $30.90 | $44.67 |
Cigna Setting Facility Modifier None Typical Low $29.51 Median $79.43 Typical High $269.15 | Facility | None | $29.51 | $79.43 | $269.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $22.91 Median $31.62 Typical High $60.26 | Professional | None (both parts) | $22.91 | $31.62 | $60.26 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.31 Median $10.47 Typical High $18.20 | Professional | 26 · Professional part | $6.31 | $10.47 | $18.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $21.38 Typical High $40.74 | Professional | TC · Technical part | $16.60 | $21.38 | $40.74 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $39.81 Median $46.77 Typical High $58.88 | Professional | None (both parts) | $39.81 | $46.77 | $58.88 |
Geisinger Setting Facility Modifier None Typical Low $38.02 Median $38.02 Typical High $38.02 | Facility | None | $38.02 | $38.02 | $38.02 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $26.92 Median $37.15 Typical High $69.18 | Professional | None (both parts) | $26.92 | $37.15 | $69.18 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $11.22 Typical High $20.42 | Professional | 26 · Professional part | $8.13 | $11.22 | $20.42 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $26.30 Typical High $47.86 | Professional | TC · Technical part | $17.78 | $26.30 | $47.86 |
Highmark BCBS Setting Facility Modifier None Typical Low $102.33 Median $181.97 Typical High $309.03 | Facility | None | $102.33 | $181.97 | $309.03 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $36.31 Median $37.15 Typical High $43.65 | Professional | None (both parts) | $36.31 | $37.15 | $43.65 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $10.96 Typical High $16.60 | Professional | 26 · Professional part | $9.55 | $10.96 | $16.60 |
Independence Blue Cross Setting Facility Modifier None Typical Low $47.86 Median $91.20 Typical High $724.44 | Facility | None | $47.86 | $91.20 | $724.44 |
Martin's Point Setting Facility Modifier None Typical Low $30.90 Median $61.66 Typical High $199.53 | Facility | None | $30.90 | $61.66 | $199.53 |
Martin's Point Setting Facility Modifier 26 · Professional part Typical Low $8.51 Median $14.13 Typical High $22.91 | Facility | 26 · Professional part | $8.51 | $14.13 | $22.91 |
Martin's Point Setting Facility Modifier TC · Technical part Typical Low $20.89 Median $29.51 Typical High $74.13 | Facility | TC · Technical part | $20.89 | $29.51 | $74.13 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $28.18 Median $33.88 Typical High $47.86 | Professional | None (both parts) | $28.18 | $33.88 | $47.86 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $9.12 Typical High $14.13 | Professional | 26 · Professional part | $7.94 | $9.12 | $14.13 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $25.12 Typical High $33.88 | Professional | TC · Technical part | $19.95 | $25.12 | $33.88 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $39.81 Median $46.77 Typical High $72.44 | Professional | None (both parts) | $39.81 | $46.77 | $72.44 |
UPMC Health Plan Setting Facility Modifier None Typical Low $32.36 Median $74.13 Typical High $125.89 | Facility | None | $32.36 | $74.13 | $125.89 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $32.36 Median $35.48 Typical High $35.48 | Professional | None (both parts) | $32.36 | $35.48 | $35.48 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $10.96 Typical High $10.96 | Professional | 26 · Professional part | $9.33 | $10.96 | $10.96 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $24.55 Typical High $24.55 | Professional | TC · Technical part | $22.91 | $24.55 | $24.55 |
United Setting Facility Modifier None Typical Low $120.23 Median $257.04 Typical High $295.12 | Facility | None | $120.23 | $257.04 | $295.12 |
United Setting Professional Modifier None (both parts) Typical Low $28.18 Median $33.11 Typical High $58.88 | Professional | None (both parts) | $28.18 | $33.11 | $58.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $10.23 Typical High $19.05 | Professional | 26 · Professional part | $8.91 | $10.23 | $19.05 |
United Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $22.91 Typical High $39.81 | Professional | TC · Technical part | $19.05 | $22.91 | $39.81 |
6 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 Professional Modifier 52 · Reduced service Typical Low $13.80 Median $16.22 Typical High $16.98 | Professional | 52 · Reduced service | $13.80 | $16.22 | $16.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.62 Median $6.46 Typical High $6.76 | Professional | 53 · Discontinued | $5.62 | $6.46 | $6.76 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $22.39 Median $26.30 Typical High $27.54 | Professional | FX · Film X-ray | $22.39 | $26.30 | $27.54 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $13.80 Median $16.22 Typical High $16.98 | Professional | 52 · Reduced service | $13.80 | $16.22 | $16.98 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $5.62 Median $6.46 Typical High $6.76 | Professional | 53 · Discontinued | $5.62 | $6.46 | $6.76 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $22.39 Median $26.30 Typical High $27.54 | Professional | FX · Film X-ray | $22.39 | $26.30 | $27.54 |
Where Pennsylvania sits
The same service costs 3.5 times more in Alaska than in Florida. 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· 41st of 51
$33.88
AK $95.50FL $26.92
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.