How much rates vary
Facilitymedian $1,445 · 10th to 90th $501 to $4,266Professionalmedian $427 · 10th to 90th $363 to $832
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 $309.03 Typical High $977.24 | Facility | TC · Technical part | $302.00 | $309.03 | $977.24 |
Aetna Setting Professional Modifier None (both parts) Typical Low $389.05 Median $426.58 Typical High $549.54 | Professional | None (both parts) | $389.05 | $426.58 | $549.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $125.89 Typical High $141.25 | Professional | 26 · Professional part | $83.18 | $125.89 | $141.25 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $309.03 Typical High $389.05 | Professional | TC · Technical part | $302.00 | $309.03 | $389.05 |
Capital Blue Cross Setting Facility Modifier None Typical Low $1,513.56 Median $5,011.87 Typical High $5,011.87 | Facility | None | $1,513.56 | $5,011.87 | $5,011.87 |
Capital Blue Cross Setting Facility Modifier TC · Technical part Typical Low $2,290.87 Median $2,884.03 Typical High $5,011.87 | Facility | TC · Technical part | $2,290.87 | $2,884.03 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $363.08 Median $380.19 Typical High $851.14 | Professional | None (both parts) | $363.08 | $380.19 | $851.14 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $85.11 Typical High $169.82 | Professional | 26 · Professional part | $81.28 | $85.11 | $169.82 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $295.12 Typical High $676.08 | Professional | TC · Technical part | $281.84 | $295.12 | $676.08 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $1,047.13 Typical High $2,398.83 | Facility | None | $691.83 | $1,047.13 | $2,398.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $323.59 Median $457.09 Typical High $912.01 | Professional | None (both parts) | $323.59 | $457.09 | $912.01 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $89.13 Typical High $158.49 | Professional | 26 · Professional part | $52.48 | $89.13 | $158.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $407.38 Typical High $724.44 | Professional | TC · Technical part | $251.19 | $407.38 | $724.44 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $446.68 Median $537.03 Typical High $660.69 | Professional | None (both parts) | $446.68 | $537.03 | $660.69 |
Geisinger Setting Facility Modifier None Typical Low $776.25 Median $1,949.84 Typical High $3,981.07 | Facility | None | $776.25 | $1,949.84 | $3,981.07 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $354.81 Median $478.63 Typical High $933.25 | Professional | None (both parts) | $354.81 | $478.63 | $933.25 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $95.50 Typical High $173.78 | Professional | 26 · Professional part | $70.79 | $95.50 | $173.78 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $380.19 Typical High $758.58 | Professional | TC · Technical part | $269.15 | $380.19 | $758.58 |
Highmark BCBS Setting Facility Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $1,659.59 | Facility | None | $1,659.59 | $1,659.59 | $1,659.59 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $93.33 Typical High $95.50 | Professional | 26 · Professional part | $93.33 | $93.33 | $95.50 |
Martin's Point Setting Facility Modifier None Typical Low $426.58 Median $1,513.56 Typical High $2,570.40 | Facility | None | $426.58 | $1,513.56 | $2,570.40 |
Martin's Point Setting Facility Modifier TC · Technical part Typical Low $309.03 Median $309.03 Typical High $977.24 | Facility | TC · Technical part | $309.03 | $309.03 | $977.24 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $389.05 Median $426.58 Typical High $549.54 | Professional | None (both parts) | $389.05 | $426.58 | $549.54 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $125.89 Typical High $141.25 | Professional | 26 · Professional part | $83.18 | $125.89 | $141.25 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $309.03 Typical High $371.54 | Professional | TC · Technical part | $302.00 | $309.03 | $371.54 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $457.09 Median $707.95 Typical High $1,584.89 | Professional | None (both parts) | $457.09 | $707.95 | $1,584.89 |
UPMC Health Plan Setting Facility Modifier None Typical Low $371.54 Median $954.99 Typical High $6,760.83 | Facility | None | $371.54 | $954.99 | $6,760.83 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $371.54 Median $588.84 Typical High $588.84 | Professional | None (both parts) | $371.54 | $588.84 | $588.84 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $89.13 Typical High $89.13 | Professional | 26 · Professional part | $81.28 | $89.13 | $89.13 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $501.19 Typical High $501.19 | Professional | TC · Technical part | $295.12 | $501.19 | $501.19 |
United Setting Facility Modifier None Typical Low $1,071.52 Median $2,290.87 Typical High $2,630.27 | Facility | None | $1,071.52 | $2,290.87 | $2,630.27 |
United Setting Professional Modifier None (both parts) Typical Low $380.19 Median $501.19 Typical High $831.76 | Professional | None (both parts) | $380.19 | $501.19 | $831.76 |
United Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $87.10 Typical High $162.18 | Professional | 26 · Professional part | $75.86 | $87.10 | $162.18 |
United Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $389.05 Typical High $676.08 | Professional | TC · Technical part | $295.12 | $389.05 | $676.08 |
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 $154.88 Median $194.98 Typical High $707.95 | Facility | 52 · Reduced service | $154.88 | $194.98 | $707.95 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $61.66 Median $77.62 Typical High $281.84 | Facility | 53 · Discontinued | $61.66 | $77.62 | $281.84 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $194.98 Median $213.80 Typical High $213.80 | Professional | 52 · Reduced service | $194.98 | $213.80 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $77.62 Median $85.11 Typical High $85.11 | Professional | 53 · Discontinued | $77.62 | $85.11 | $85.11 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $316.23 Median $338.84 Typical High $338.84 | Professional | FX · Film X-ray | $316.23 | $338.84 | $338.84 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $194.98 Median $213.80 Typical High $213.80 | Professional | 52 · Reduced service | $194.98 | $213.80 | $213.80 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $77.62 Median $85.11 Typical High $85.11 | Professional | 53 · Discontinued | $77.62 | $85.11 | $85.11 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $316.23 Median $338.84 Typical High $338.84 | Professional | FX · Film X-ray | $316.23 | $338.84 | $338.84 |
Where Pennsylvania sits
The same service costs 5.5 times more in Wyoming 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· 44th of 51
$427
WY $1,514UT $275
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.