How much rates vary
Facilitymedian $209 · 10th to 90th $54 to $398Professionalmedian $54 · 10th to 90th $44 to $105
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 $48.98 Median $112.20 Typical High $501.19 | Facility | None | $48.98 | $112.20 | $501.19 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $11.75 Median $15.85 Typical High $30.90 | Facility | 26 · Professional part | $11.75 | $15.85 | $30.90 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $34.67 Median $47.86 Typical High $316.23 | Facility | TC · Technical part | $34.67 | $47.86 | $316.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $43.65 Median $53.70 Typical High $81.28 | Professional | None (both parts) | $43.65 | $53.70 | $81.28 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $12.88 Typical High $19.95 | Professional | 26 · Professional part | $11.22 | $12.88 | $19.95 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $40.74 Typical High $58.88 | Professional | TC · Technical part | $33.11 | $40.74 | $58.88 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $37.15 Median $66.07 Typical High $83.18 | Professional | None (both parts) | $37.15 | $66.07 | $83.18 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $13.80 Typical High $22.39 | Professional | 26 · Professional part | $10.72 | $13.80 | $22.39 |
AmeriHealth Setting Facility Modifier None Typical Low $302.00 Median $302.00 Typical High $4,265.80 | Facility | None | $302.00 | $302.00 | $4,265.80 |
AmeriHealth Setting Facility Modifier TC · Technical part Typical Low $58.88 Median $131.83 Typical High $676.08 | Facility | TC · Technical part | $58.88 | $131.83 | $676.08 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $56.23 Median $66.07 Typical High $87.10 | Professional | None (both parts) | $56.23 | $66.07 | $87.10 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $16.22 Typical High $21.38 | Professional | 26 · Professional part | $16.22 | $16.22 | $21.38 |
Capital Blue Cross Setting Facility Modifier None Typical Low $4,265.80 Median $5,011.87 Typical High $8,709.64 | Facility | None | $4,265.80 | $5,011.87 | $8,709.64 |
Capital Blue Cross Setting Facility Modifier TC · Technical part Typical Low $190.55 Median $234.42 Typical High $5,011.87 | Facility | TC · Technical part | $190.55 | $234.42 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $52.48 Median $74.13 Typical High $107.15 | Professional | None (both parts) | $52.48 | $74.13 | $107.15 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $22.39 Typical High $38.02 | Professional | 26 · Professional part | $13.18 | $22.39 | $38.02 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $51.29 Typical High $69.18 | Professional | TC · Technical part | $38.90 | $51.29 | $69.18 |
Cigna Setting Facility Modifier None Typical Low $48.98 Median $114.82 Typical High $363.08 | Facility | None | $48.98 | $114.82 | $363.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $34.67 Median $48.98 Typical High $95.50 | Professional | None (both parts) | $34.67 | $48.98 | $95.50 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $15.85 Typical High $26.30 | Professional | 26 · Professional part | $9.12 | $15.85 | $26.30 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $33.11 Typical High $67.61 | Professional | TC · Technical part | $25.70 | $33.11 | $67.61 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $57.54 Median $79.43 Typical High $97.72 | Professional | None (both parts) | $57.54 | $79.43 | $97.72 |
Geisinger Setting Facility Modifier None Typical Low $52.48 Median $52.48 Typical High $52.48 | Facility | None | $52.48 | $52.48 | $52.48 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $38.90 Median $58.88 Typical High $109.65 | Professional | None (both parts) | $38.90 | $58.88 | $109.65 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $16.98 Typical High $30.90 | Professional | 26 · Professional part | $12.30 | $16.98 | $30.90 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $43.65 Typical High $85.11 | Professional | TC · Technical part | $26.30 | $43.65 | $85.11 |
Highmark BCBS Setting Facility Modifier None Typical Low $138.04 Median $239.88 Typical High $389.05 | Facility | None | $138.04 | $239.88 | $389.05 |
Highmark BCBS Setting Facility Modifier TC · Technical part Typical Low $186.21 Median $331.13 Typical High $512.86 | Facility | TC · Technical part | $186.21 | $331.13 | $512.86 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $56.23 Median $64.57 Typical High $87.10 | Professional | None (both parts) | $56.23 | $64.57 | $87.10 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $14.79 Typical High $22.39 | Professional | 26 · Professional part | $13.18 | $14.79 | $22.39 |
Independence Blue Cross Setting Facility Modifier None Typical Low $104.71 Median $131.83 Typical High $323.59 | Facility | None | $104.71 | $131.83 | $323.59 |
Independence Blue Cross Setting Facility Modifier TC · Technical part Typical Low $100.00 Median $134.90 Typical High $316.23 | Facility | TC · Technical part | $100.00 | $134.90 | $316.23 |
Independence Blue Cross Setting Professional Modifier None (both parts) Typical Low $56.23 Median $66.07 Typical High $89.13 | Professional | None (both parts) | $56.23 | $66.07 | $89.13 |
Independence Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $16.22 Typical High $28.84 | Professional | 26 · Professional part | $16.22 | $16.22 | $28.84 |
Martin's Point Setting Facility Modifier None Typical Low $48.98 Median $123.03 Typical High $537.03 | Facility | None | $48.98 | $123.03 | $537.03 |
Martin's Point Setting Facility Modifier 26 · Professional part Typical Low $11.75 Median $16.22 Typical High $30.90 | Facility | 26 · Professional part | $11.75 | $16.22 | $30.90 |
Martin's Point Setting Facility Modifier TC · Technical part Typical Low $34.67 Median $50.12 Typical High $239.88 | Facility | TC · Technical part | $34.67 | $50.12 | $239.88 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $43.65 Median $53.70 Typical High $79.43 | Professional | None (both parts) | $43.65 | $53.70 | $79.43 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $12.88 Typical High $19.95 | Professional | 26 · Professional part | $11.22 | $12.88 | $19.95 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $40.74 Typical High $58.88 | Professional | TC · Technical part | $33.11 | $40.74 | $58.88 |
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 $14.45 Median $56.23 Typical High $109.65 | Professional | None (both parts) | $14.45 | $56.23 | $109.65 |
UPMC Health Plan Setting Facility Modifier None Typical Low $51.29 Median $109.65 Typical High $186.21 | Facility | None | $51.29 | $109.65 | $186.21 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | None (both parts) | $51.29 | $51.29 | $51.29 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $16.60 Typical High $16.60 | Professional | 26 · Professional part | $12.88 | $16.60 | $16.60 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $34.67 Typical High $38.02 | Professional | TC · Technical part | $34.67 | $34.67 | $38.02 |
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 $43.65 Median $51.29 Typical High $91.20 | Professional | None (both parts) | $43.65 | $51.29 | $91.20 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $14.45 Typical High $25.70 | Professional | 26 · Professional part | $12.30 | $14.45 | $25.70 |
United Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $37.15 Typical High $66.07 | Professional | TC · Technical part | $31.62 | $37.15 | $66.07 |
7 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 $21.88 Median $25.12 Typical High $26.92 | Professional | 52 · Reduced service | $21.88 | $25.12 | $26.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.71 Median $10.23 Typical High $10.72 | Professional | 53 · Discontinued | $8.71 | $10.23 | $10.72 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $35.48 Median $40.74 Typical High $42.66 | Professional | FX · Film X-ray | $35.48 | $40.74 | $42.66 |
Highmark BCBS Setting Facility Modifier PN · Off-campus dept, non-excepted Typical Low $41.69 Median $107.15 Typical High $309.03 | Facility | PN · Off-campus dept, non-excepted | $41.69 | $107.15 | $309.03 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $21.88 Median $25.12 Typical High $26.92 | Professional | 52 · Reduced service | $21.88 | $25.12 | $26.92 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $8.71 Median $10.23 Typical High $10.72 | Professional | 53 · Discontinued | $8.71 | $10.23 | $10.72 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $35.48 Median $40.74 Typical High $42.66 | Professional | FX · Film X-ray | $35.48 | $40.74 | $42.66 |
Where Pennsylvania sits
The same service costs 4.8 times more in Alaska 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
$56.23
AK $158UT $33.11
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.