How much rates vary
Facilitymedian $537 · 10th to 90th $275 to $1,230Professionalmedian $302 · 10th to 90th $245 to $550
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 $281.84 Median $426.58 Typical High $977.24 | Facility | None | $281.84 | $426.58 | $977.24 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $83.18 Median $107.15 Typical High $213.80 | Facility | 26 · Professional part | $83.18 | $107.15 | $213.80 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $162.18 Median $229.09 Typical High $933.25 | Facility | TC · Technical part | $162.18 | $229.09 | $933.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $239.88 Median $302.00 Typical High $478.63 | Professional | None (both parts) | $239.88 | $302.00 | $478.63 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $95.50 Typical High $131.83 | Professional | 26 · Professional part | $81.28 | $95.50 | $131.83 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $204.17 Typical High $371.54 | Professional | TC · Technical part | $158.49 | $204.17 | $371.54 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $186.21 Median $245.47 Typical High $457.09 | Professional | None (both parts) | $186.21 | $245.47 | $457.09 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $89.13 Typical High $141.25 | Professional | 26 · Professional part | $69.18 | $89.13 | $141.25 |
AmeriHealth Setting Facility Modifier None Typical Low $575.44 Median $575.44 Typical High $7,585.78 | Facility | None | $575.44 | $575.44 | $7,585.78 |
AmeriHealth Setting Facility Modifier TC · Technical part Typical Low $467.74 Median $1,071.52 Typical High $2,511.89 | Facility | TC · Technical part | $467.74 | $1,071.52 | $2,511.89 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $436.52 Median $436.52 Typical High $1,148.15 | Professional | None (both parts) | $436.52 | $436.52 | $1,148.15 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $107.15 Typical High $165.96 | Professional | 26 · Professional part | $102.33 | $107.15 | $165.96 |
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 $1,862.09 Median $2,344.23 Typical High $5,011.87 | Facility | TC · Technical part | $1,862.09 | $2,344.23 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $269.15 Median $269.15 Typical High $269.15 | Professional | None (both parts) | $269.15 | $269.15 | $269.15 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $89.13 Typical High $194.98 | Professional | 26 · Professional part | $87.10 | $89.13 | $194.98 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $181.97 Typical High $478.63 | Professional | TC · Technical part | $173.78 | $181.97 | $478.63 |
Cigna Setting Facility Modifier None Typical Low $331.13 Median $602.56 Typical High $954.99 | Facility | None | $331.13 | $602.56 | $954.99 |
Cigna Setting Professional Modifier None (both parts) Typical Low $245.47 Median $371.54 Typical High $707.95 | Professional | None (both parts) | $245.47 | $371.54 | $707.95 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $93.33 Typical High $169.82 | Professional | 26 · Professional part | $58.88 | $93.33 | $169.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $302.00 Typical High $549.54 | Professional | TC · Technical part | $169.82 | $302.00 | $549.54 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $316.23 Median $371.54 Typical High $467.74 | Professional | None (both parts) | $316.23 | $371.54 | $467.74 |
Geisinger Setting Facility Modifier None Typical Low $512.86 Median $602.56 Typical High $1,819.70 | Facility | None | $512.86 | $602.56 | $1,819.70 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $269.15 Median $398.11 Typical High $724.44 | Professional | None (both parts) | $269.15 | $398.11 | $724.44 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $102.33 Typical High $181.97 | Professional | 26 · Professional part | $77.62 | $102.33 | $181.97 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $281.84 Typical High $524.81 | Professional | TC · Technical part | $181.97 | $281.84 | $524.81 |
Highmark BCBS Setting Facility Modifier None Typical Low $269.15 Median $501.19 Typical High $1,513.56 | Facility | None | $269.15 | $501.19 | $1,513.56 |
Highmark BCBS Setting Facility Modifier TC · Technical part Typical Low $309.03 Median $707.95 Typical High $1,412.54 | Facility | TC · Technical part | $309.03 | $707.95 | $1,412.54 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $302.00 Median $338.84 Typical High $407.38 | Professional | None (both parts) | $302.00 | $338.84 | $407.38 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $97.72 Typical High $147.91 | Professional | 26 · Professional part | $91.20 | $97.72 | $147.91 |
Independence Blue Cross Setting Facility Modifier None Typical Low $549.54 Median $7,585.78 Typical High $9,549.93 | Facility | None | $549.54 | $7,585.78 | $9,549.93 |
Independence Blue Cross Setting Facility Modifier TC · Technical part Typical Low $239.88 Median $1,023.29 Typical High $2,511.89 | Facility | TC · Technical part | $239.88 | $1,023.29 | $2,511.89 |
Independence Blue Cross Setting Professional Modifier None (both parts) Typical Low $426.58 Median $436.52 Typical High $1,148.15 | Professional | None (both parts) | $426.58 | $436.52 | $1,148.15 |
Independence Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $107.15 Typical High $144.54 | Professional | 26 · Professional part | $102.33 | $107.15 | $144.54 |
Martin's Point Setting Facility Modifier None Typical Low $275.42 Median $446.68 Typical High $1,000.00 | Facility | None | $275.42 | $446.68 | $1,000.00 |
Martin's Point Setting Facility Modifier 26 · Professional part Typical Low $83.18 Median $112.20 Typical High $194.98 | Facility | 26 · Professional part | $83.18 | $112.20 | $194.98 |
Martin's Point Setting Facility Modifier TC · Technical part Typical Low $158.49 Median $245.47 Typical High $1,000.00 | Facility | TC · Technical part | $158.49 | $245.47 | $1,000.00 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $239.88 Median $302.00 Typical High $478.63 | Professional | None (both parts) | $239.88 | $302.00 | $478.63 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $95.50 Typical High $125.89 | Professional | 26 · Professional part | $81.28 | $95.50 | $125.89 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $204.17 Typical High $363.08 | Professional | TC · Technical part | $158.49 | $204.17 | $363.08 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $91.20 Median $288.40 Typical High $562.34 | Professional | None (both parts) | $91.20 | $288.40 | $562.34 |
UPMC Health Plan Setting Facility Modifier None Typical Low $251.19 Median $660.69 Typical High $1,096.48 | Facility | None | $251.19 | $660.69 | $1,096.48 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $251.19 Median $398.11 Typical High $398.11 | Professional | None (both parts) | $251.19 | $398.11 | $398.11 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $100.00 Typical High $100.00 | Professional | 26 · Professional part | $85.11 | $100.00 | $100.00 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $302.00 Typical High $302.00 | Professional | TC · Technical part | $169.82 | $302.00 | $302.00 |
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 $263.03 Median $363.08 Typical High $602.56 | Professional | None (both parts) | $263.03 | $363.08 | $602.56 |
United Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $91.20 Typical High $169.82 | Professional | 26 · Professional part | $79.43 | $91.20 | $169.82 |
United Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $245.47 Typical High $467.74 | Professional | TC · Technical part | $181.97 | $245.47 | $467.74 |
10 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 $79.43 Median $120.23 Typical High $457.09 | Facility | 52 · Reduced service | $79.43 | $120.23 | $457.09 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $31.62 Median $47.86 Typical High $186.21 | Facility | 53 · Discontinued | $31.62 | $47.86 | $186.21 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $120.23 Median $144.54 Typical High $158.49 | Professional | 52 · Reduced service | $120.23 | $144.54 | $158.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $58.88 Typical High $63.10 | Professional | 53 · Discontinued | $47.86 | $58.88 | $63.10 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $204.17 Median $234.42 Typical High $251.19 | Professional | CT · Older CT scanner | $204.17 | $234.42 | $251.19 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $190.55 Median $218.78 Typical High $239.88 | Professional | FX · Film X-ray | $190.55 | $218.78 | $239.88 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $120.23 Median $138.04 Typical High $147.91 | Professional | 52 · Reduced service | $120.23 | $138.04 | $147.91 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $54.95 Typical High $60.26 | Professional | 53 · Discontinued | $47.86 | $54.95 | $60.26 |
Martin's Point Setting Professional Modifier CT · Older CT scanner Typical Low $204.17 Median $234.42 Typical High $251.19 | Professional | CT · Older CT scanner | $204.17 | $234.42 | $251.19 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $190.55 Median $218.78 Typical High $239.88 | Professional | FX · Film X-ray | $190.55 | $218.78 | $239.88 |
Where Pennsylvania sits
The same service costs 12.3 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· 43rd of 51
$302
VT $2,089UT $170
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.