How much rates vary
Facilitymedian $759 · 10th to 90th $240 to $1,549Professionalmedian $214 · 10th to 90th $158 to $417
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 $194.98 Median $537.03 Typical High $1,023.29 | Facility | None | $194.98 | $537.03 | $1,023.29 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $52.48 Median $66.07 Typical High $138.04 | Facility | 26 · Professional part | $52.48 | $66.07 | $138.04 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $109.65 Median $158.49 Typical High $933.25 | Facility | TC · Technical part | $109.65 | $158.49 | $933.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $199.53 Typical High $346.74 | Professional | None (both parts) | $158.49 | $199.53 | $346.74 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $60.26 Typical High $85.11 | Professional | 26 · Professional part | $51.29 | $60.26 | $85.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $138.04 Typical High $269.15 | Professional | TC · Technical part | $107.15 | $138.04 | $269.15 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $56.23 Median $125.89 Typical High $199.53 | Professional | None (both parts) | $56.23 | $125.89 | $199.53 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $75.86 Typical High $91.20 | Professional | 26 · Professional part | $44.67 | $75.86 | $91.20 |
AmeriHealth Setting Facility Modifier None Typical Low $380.19 Median $870.96 Typical High $1,513.56 | Facility | None | $380.19 | $870.96 | $1,513.56 |
AmeriHealth Setting Facility Modifier TC · Technical part Typical Low $389.05 Median $870.96 Typical High $1,584.89 | Facility | TC · Technical part | $389.05 | $870.96 | $1,584.89 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $107.15 Median $302.00 Typical High $691.83 | Professional | None (both parts) | $107.15 | $302.00 | $691.83 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $69.18 Typical High $107.15 | Professional | 26 · Professional part | $64.57 | $69.18 | $107.15 |
AmeriHealth Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $158.49 Typical High $204.17 | Professional | TC · Technical part | $158.49 | $158.49 | $204.17 |
Capital Blue Cross Setting Facility Modifier None Typical Low $977.24 Median $5,011.87 Typical High $5,011.87 | Facility | None | $977.24 | $5,011.87 | $5,011.87 |
Capital Blue Cross Setting Facility Modifier TC · Technical part Typical Low $1,479.11 Median $1,862.09 Typical High $5,011.87 | Facility | TC · Technical part | $1,479.11 | $1,862.09 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $169.82 Median $269.15 Typical High $426.58 | Professional | None (both parts) | $169.82 | $269.15 | $426.58 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $95.50 Typical High $154.88 | Professional | 26 · Professional part | $54.95 | $95.50 | $154.88 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $239.88 Typical High $389.05 | Professional | TC · Technical part | $109.65 | $239.88 | $389.05 |
Cigna Setting Facility Modifier None Typical Low $218.78 Median $389.05 Typical High $831.76 | Facility | None | $218.78 | $389.05 | $831.76 |
Cigna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $234.42 Typical High $457.09 | Professional | None (both parts) | $144.54 | $234.42 | $457.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $63.10 Typical High $107.15 | Professional | 26 · Professional part | $38.02 | $63.10 | $107.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $194.98 Typical High $354.81 | Professional | TC · Technical part | $97.72 | $194.98 | $354.81 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $199.53 Median $234.42 Typical High $295.12 | Professional | None (both parts) | $199.53 | $234.42 | $295.12 |
Geisinger Setting Facility Modifier None Typical Low $416.87 Median $467.74 Typical High $1,819.70 | Facility | None | $416.87 | $467.74 | $1,819.70 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $173.78 Median $257.04 Typical High $489.78 | Professional | None (both parts) | $173.78 | $257.04 | $489.78 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $67.61 Typical High $128.82 | Professional | 26 · Professional part | $50.12 | $67.61 | $128.82 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $190.55 Typical High $363.08 | Professional | TC · Technical part | $114.82 | $190.55 | $363.08 |
Highmark BCBS Setting Facility Modifier None Typical Low $338.84 Median $758.58 Typical High $1,513.56 | Facility | None | $338.84 | $758.58 | $1,513.56 |
Highmark BCBS Setting Facility Modifier TC · Technical part Typical Low $478.63 Median $1,071.52 Typical High $1,995.26 | Facility | TC · Technical part | $478.63 | $1,071.52 | $1,995.26 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $181.97 Median $218.78 Typical High $245.47 | Professional | None (both parts) | $181.97 | $218.78 | $245.47 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $66.07 Typical High $95.50 | Professional | 26 · Professional part | $57.54 | $66.07 | $95.50 |
Independence Blue Cross Setting Facility Modifier None Typical Low $380.19 Median $870.96 Typical High $2,089.30 | Facility | None | $380.19 | $870.96 | $2,089.30 |
Independence Blue Cross Setting Facility Modifier TC · Technical part Typical Low $354.81 Median $870.96 Typical High $2,089.30 | Facility | TC · Technical part | $354.81 | $870.96 | $2,089.30 |
Independence Blue Cross Setting Professional Modifier None (both parts) Typical Low $107.15 Median $288.40 Typical High $691.83 | Professional | None (both parts) | $107.15 | $288.40 | $691.83 |
Independence Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $69.18 Typical High $109.65 | Professional | 26 · Professional part | $64.57 | $69.18 | $109.65 |
Independence Blue Cross Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $158.49 Typical High $204.17 | Professional | TC · Technical part | $158.49 | $158.49 | $204.17 |
Martin's Point Setting Facility Modifier None Typical Low $199.53 Median $812.83 Typical High $1,122.02 | Facility | None | $199.53 | $812.83 | $1,122.02 |
Martin's Point Setting Facility Modifier 26 · Professional part Typical Low $52.48 Median $67.61 Typical High $125.89 | Facility | 26 · Professional part | $52.48 | $67.61 | $125.89 |
Martin's Point Setting Facility Modifier TC · Technical part Typical Low $109.65 Median $158.49 Typical High $933.25 | Facility | TC · Technical part | $109.65 | $158.49 | $933.25 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $158.49 Median $199.53 Typical High $338.84 | Professional | None (both parts) | $158.49 | $199.53 | $338.84 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $60.26 Typical High $81.28 | Professional | 26 · Professional part | $51.29 | $60.26 | $81.28 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $138.04 Typical High $269.15 | Professional | TC · Technical part | $107.15 | $138.04 | $269.15 |
Oscar Health Setting Facility Modifier None Typical Low $1,659.59 Median $2,137.96 Typical High $2,454.71 | Facility | None | $1,659.59 | $2,137.96 | $2,454.71 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $58.88 Median $169.82 Typical High $338.84 | Professional | None (both parts) | $58.88 | $169.82 | $338.84 |
UPMC Health Plan Setting Facility Modifier None Typical Low $165.96 Median $630.96 Typical High $1,288.25 | Facility | None | $165.96 | $630.96 | $1,288.25 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $165.96 Median $338.84 Typical High $338.84 | Professional | None (both parts) | $165.96 | $338.84 | $338.84 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $66.07 Typical High $66.07 | Professional | 26 · Professional part | $54.95 | $66.07 | $66.07 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $269.15 Typical High $269.15 | Professional | TC · Technical part | $112.20 | $269.15 | $269.15 |
United Setting Facility Modifier None Typical Low $239.88 Median $512.86 Typical High $588.84 | Facility | None | $239.88 | $512.86 | $588.84 |
United Setting Professional Modifier None (both parts) Typical Low $169.82 Median $234.42 Typical High $389.05 | Professional | None (both parts) | $169.82 | $234.42 | $389.05 |
United Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $63.10 Typical High $114.82 | Professional | 26 · Professional part | $53.70 | $63.10 | $114.82 |
United Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $151.36 Typical High $295.12 | Professional | TC · Technical part | $114.82 | $151.36 | $295.12 |
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 $53.70 Median $79.43 Typical High $295.12 | Facility | 52 · Reduced service | $53.70 | $79.43 | $295.12 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $21.38 Median $31.62 Typical High $117.49 | Facility | 53 · Discontinued | $21.38 | $31.62 | $117.49 |
Aetna Setting Facility Modifier CT · Older CT scanner Typical Low $91.20 Median $165.96 Typical High $436.52 | Facility | CT · Older CT scanner | $91.20 | $165.96 | $436.52 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $79.43 Median $97.72 Typical High $123.03 | Professional | 52 · Reduced service | $79.43 | $97.72 | $123.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $39.81 Typical High $48.98 | Professional | 53 · Discontinued | $31.62 | $39.81 | $48.98 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $134.90 Median $165.96 Typical High $165.96 | Professional | CT · Older CT scanner | $134.90 | $165.96 | $165.96 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $125.89 Median $158.49 Typical High $158.49 | Professional | FX · Film X-ray | $125.89 | $158.49 | $158.49 |
Highmark BCBS Setting Facility Modifier PN · Off-campus dept, non-excepted Typical Low $93.33 Median $323.59 Typical High $1,819.70 | Facility | PN · Off-campus dept, non-excepted | $93.33 | $323.59 | $1,819.70 |
Martin's Point Setting Facility Modifier CT · Older CT scanner Typical Low $91.20 Median $165.96 Typical High $436.52 | Facility | CT · Older CT scanner | $91.20 | $165.96 | $436.52 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $79.43 Median $97.72 Typical High $97.72 | Professional | 52 · Reduced service | $79.43 | $97.72 | $97.72 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $39.81 Typical High $39.81 | Professional | 53 · Discontinued | $31.62 | $39.81 | $39.81 |
Martin's Point Setting Professional Modifier CT · Older CT scanner Typical Low $134.90 Median $165.96 Typical High $165.96 | Professional | CT · Older CT scanner | $134.90 | $165.96 | $165.96 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $125.89 Median $158.49 Typical High $158.49 | Professional | FX · Film X-ray | $125.89 | $158.49 | $158.49 |
Where Pennsylvania sits
The same service costs 5.9 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· 39th of 51
$240
VT $741UT $126
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.