How much rates vary
Facilitymedian $282 · 10th to 90th $112 to $871Professionalmedian $174 · 10th to 90th $126 to $380
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 $100.00 Median $239.88 Typical High $707.95 | Facility | None | $100.00 | $239.88 | $707.95 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $48.98 Median $63.10 Typical High $112.20 | Facility | 26 · Professional part | $48.98 | $63.10 | $112.20 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $77.62 Median $109.65 Typical High $562.34 | Facility | TC · Technical part | $77.62 | $109.65 | $562.34 |
Aetna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $154.88 Typical High $275.42 | Professional | None (both parts) | $125.89 | $154.88 | $275.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $54.95 Typical High $79.43 | Professional | 26 · Professional part | $47.86 | $54.95 | $79.43 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $100.00 Typical High $208.93 | Professional | TC · Technical part | $77.62 | $100.00 | $208.93 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $79.43 Median $109.65 Typical High $181.97 | Professional | None (both parts) | $79.43 | $109.65 | $181.97 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $72.44 Typical High $83.18 | Professional | 26 · Professional part | $45.71 | $72.44 | $83.18 |
AmeriHealth Setting Facility Modifier None Typical Low $407.38 Median $1,737.80 Typical High $7,244.36 | Facility | None | $407.38 | $1,737.80 | $7,244.36 |
AmeriHealth Setting Facility Modifier TC · Technical part Typical Low $331.13 Median $741.31 Typical High $1,288.25 | Facility | TC · Technical part | $331.13 | $741.31 | $1,288.25 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $138.04 Median $177.83 Typical High $323.59 | Professional | None (both parts) | $138.04 | $177.83 | $323.59 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $63.10 Typical High $79.43 | Professional | 26 · Professional part | $60.26 | $63.10 | $79.43 |
AmeriHealth Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $114.82 Typical High $147.91 | Professional | TC · Technical part | $114.82 | $114.82 | $147.91 |
Capital Blue Cross Setting Facility Modifier None Typical Low $691.83 Median $5,011.87 Typical High $5,011.87 | Facility | None | $691.83 | $5,011.87 | $5,011.87 |
Capital Blue Cross Setting Facility Modifier TC · Technical part Typical Low $1,047.13 Median $1,318.26 Typical High $5,011.87 | Facility | TC · Technical part | $1,047.13 | $1,318.26 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $169.82 Median $512.86 Typical High $512.86 | Professional | None (both parts) | $169.82 | $512.86 | $512.86 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $85.11 Typical High $125.89 | Professional | 26 · Professional part | $51.29 | $85.11 | $125.89 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $147.91 Typical High $302.00 | Professional | TC · Technical part | $81.28 | $147.91 | $302.00 |
Cigna Setting Facility Modifier None Typical Low $162.18 Median $281.84 Typical High $512.86 | Facility | None | $162.18 | $281.84 | $512.86 |
Cigna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $194.98 Typical High $371.54 | Professional | None (both parts) | $114.82 | $194.98 | $371.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $52.48 Typical High $100.00 | Professional | 26 · Professional part | $35.48 | $52.48 | $100.00 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $154.88 Typical High $281.84 | Professional | TC · Technical part | $70.79 | $154.88 | $281.84 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $158.49 Median $186.21 Typical High $239.88 | Professional | None (both parts) | $158.49 | $186.21 | $239.88 |
Geisinger Setting Facility Modifier None Typical Low $346.74 Median $371.54 Typical High $1,819.70 | Facility | None | $346.74 | $371.54 | $1,819.70 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $138.04 Median $213.80 Typical High $380.19 | Professional | None (both parts) | $138.04 | $213.80 | $380.19 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $61.66 Typical High $109.65 | Professional | 26 · Professional part | $46.77 | $61.66 | $109.65 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $147.91 Typical High $288.40 | Professional | TC · Technical part | $83.18 | $147.91 | $288.40 |
Highmark BCBS Setting Facility Modifier None Typical Low $158.49 Median $275.42 Typical High $758.58 | Facility | None | $158.49 | $275.42 | $758.58 |
Highmark BCBS Setting Facility Modifier TC · Technical part Typical Low $186.21 Median $389.05 Typical High $1,318.26 | Facility | TC · Technical part | $186.21 | $389.05 | $1,318.26 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $141.25 Median $154.88 Typical High $186.21 | Professional | None (both parts) | $141.25 | $154.88 | $186.21 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $58.88 Typical High $89.13 | Professional | 26 · Professional part | $53.70 | $58.88 | $89.13 |
Independence Blue Cross Setting Facility Modifier None Typical Low $107.15 Median $741.31 Typical High $7,244.36 | Facility | None | $107.15 | $741.31 | $7,244.36 |
Independence Blue Cross Setting Facility Modifier TC · Technical part Typical Low $302.00 Median $758.58 Typical High $1,819.70 | Facility | TC · Technical part | $302.00 | $758.58 | $1,819.70 |
Independence Blue Cross Setting Professional Modifier None (both parts) Typical Low $151.36 Median $177.83 Typical High $234.42 | Professional | None (both parts) | $151.36 | $177.83 | $234.42 |
Independence Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $63.10 Typical High $93.33 | Professional | 26 · Professional part | $60.26 | $63.10 | $93.33 |
Martin's Point Setting Facility Modifier None Typical Low $100.00 Median $263.03 Typical High $870.96 | Facility | None | $100.00 | $263.03 | $870.96 |
Martin's Point Setting Facility Modifier 26 · Professional part Typical Low $48.98 Median $63.10 Typical High $112.20 | Facility | 26 · Professional part | $48.98 | $63.10 | $112.20 |
Martin's Point Setting Facility Modifier TC · Technical part Typical Low $77.62 Median $104.71 Typical High $562.34 | Facility | TC · Technical part | $77.62 | $104.71 | $562.34 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $125.89 Median $154.88 Typical High $275.42 | Professional | None (both parts) | $125.89 | $154.88 | $275.42 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $53.70 Typical High $74.13 | Professional | 26 · Professional part | $47.86 | $53.70 | $74.13 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $100.00 Typical High $208.93 | Professional | TC · Technical part | $77.62 | $100.00 | $208.93 |
Oscar Health Setting Facility Modifier None Typical Low $158.49 Median $213.80 Typical High $229.09 | Facility | None | $158.49 | $213.80 | $229.09 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $53.70 Median $134.90 Typical High $323.59 | Professional | None (both parts) | $53.70 | $134.90 | $323.59 |
UPMC Health Plan Setting Facility Modifier None Typical Low $131.83 Median $371.54 Typical High $1,122.02 | Facility | None | $131.83 | $371.54 | $1,122.02 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $131.83 Median $288.40 Typical High $288.40 | Professional | None (both parts) | $131.83 | $288.40 | $288.40 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $61.66 Typical High $61.66 | Professional | 26 · Professional part | $51.29 | $61.66 | $61.66 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $229.09 Typical High $229.09 | Professional | TC · Technical part | $81.28 | $229.09 | $229.09 |
United Setting Facility Modifier None Typical Low $144.54 Median $309.03 Typical High $354.81 | Facility | None | $144.54 | $309.03 | $354.81 |
United Setting Professional Modifier None (both parts) Typical Low $138.04 Median $190.55 Typical High $323.59 | Professional | None (both parts) | $138.04 | $190.55 | $323.59 |
United Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $57.54 Typical High $107.15 | Professional | 26 · Professional part | $48.98 | $57.54 | $107.15 |
United Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $112.20 Typical High $234.42 | Professional | TC · Technical part | $83.18 | $112.20 | $234.42 |
13 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 $38.90 Median $60.26 Typical High $218.78 | Facility | 52 · Reduced service | $38.90 | $60.26 | $218.78 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $15.49 Median $23.99 Typical High $87.10 | Facility | 53 · Discontinued | $15.49 | $23.99 | $87.10 |
Aetna Setting Facility Modifier CT · Older CT scanner Typical Low $66.07 Median $87.10 Typical High $316.23 | Facility | CT · Older CT scanner | $66.07 | $87.10 | $316.23 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $63.10 Median $77.62 Typical High $91.20 | Professional | 52 · Reduced service | $63.10 | $77.62 | $91.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $31.62 Typical High $36.31 | Professional | 53 · Discontinued | $25.12 | $31.62 | $36.31 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $107.15 Median $131.83 Typical High $134.90 | Professional | CT · Older CT scanner | $107.15 | $131.83 | $134.90 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $100.00 Median $125.89 Typical High $128.82 | Professional | FX · Film X-ray | $100.00 | $125.89 | $128.82 |
Highmark BCBS Setting Facility Modifier PN · Off-campus dept, non-excepted Typical Low $33.88 Median $79.43 Typical High $1,513.56 | Facility | PN · Off-campus dept, non-excepted | $33.88 | $79.43 | $1,513.56 |
Martin's Point Setting Facility Modifier CT · Older CT scanner Typical Low $66.07 Median $87.10 Typical High $316.23 | Facility | CT · Older CT scanner | $66.07 | $87.10 | $316.23 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $63.10 Median $77.62 Typical High $81.28 | Professional | 52 · Reduced service | $63.10 | $77.62 | $81.28 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $31.62 Typical High $32.36 | Professional | 53 · Discontinued | $25.12 | $31.62 | $32.36 |
Martin's Point Setting Professional Modifier CT · Older CT scanner Typical Low $107.15 Median $131.83 Typical High $131.83 | Professional | CT · Older CT scanner | $107.15 | $131.83 | $131.83 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $100.00 Median $125.89 Typical High $125.89 | Professional | FX · Film X-ray | $100.00 | $125.89 | $125.89 |
Where Pennsylvania sits
The same service costs 6.2 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
$186
VT $617UT $100
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.