How much rates vary
Facilitymedian $117 · 10th to 90th $47 to $339Professionalmedian $45 · 10th to 90th $36 to $78
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 $40.74 Median $66.07 Typical High $245.47 | Facility | None | $40.74 | $66.07 | $245.47 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $10.47 Median $14.45 Typical High $26.92 | Facility | 26 · Professional part | $10.47 | $14.45 | $26.92 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $28.18 Median $37.15 Typical High $114.82 | Facility | TC · Technical part | $28.18 | $37.15 | $114.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $36.31 Median $44.67 Typical High $56.23 | Professional | None (both parts) | $36.31 | $44.67 | $56.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $11.48 Typical High $15.14 | Professional | 26 · Professional part | $10.00 | $11.48 | $15.14 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $33.11 Typical High $43.65 | Professional | TC · Technical part | $26.92 | $33.11 | $43.65 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $29.51 Median $29.51 Typical High $52.48 | Professional | None (both parts) | $29.51 | $29.51 | $52.48 |
AmeriHealth Setting Facility Modifier None Typical Low $53.70 Median $123.03 Typical High $588.84 | Facility | None | $53.70 | $123.03 | $588.84 |
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 $177.83 Median $218.78 Typical High $5,011.87 | Facility | TC · Technical part | $177.83 | $218.78 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $43.65 Median $44.67 Typical High $77.62 | Professional | None (both parts) | $43.65 | $44.67 | $77.62 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $12.30 Typical High $21.38 | Professional | 26 · Professional part | $11.75 | $12.30 | $21.38 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $32.36 Typical High $56.23 | Professional | TC · Technical part | $31.62 | $32.36 | $56.23 |
Cigna Setting Facility Modifier None Typical Low $40.74 Median $107.15 Typical High $363.08 | Facility | None | $40.74 | $107.15 | $363.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $30.90 Median $43.65 Typical High $81.28 | Professional | None (both parts) | $30.90 | $43.65 | $81.28 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.46 Median $11.22 Typical High $21.88 | Professional | 26 · Professional part | $6.46 | $11.22 | $21.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $31.62 Typical High $58.88 | Professional | TC · Technical part | $24.55 | $31.62 | $58.88 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $52.48 Median $63.10 Typical High $79.43 | Professional | None (both parts) | $52.48 | $63.10 | $79.43 |
Geisinger Setting Facility Modifier None Typical Low $53.70 Median $53.70 Typical High $53.70 | Facility | None | $53.70 | $53.70 | $53.70 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $35.48 Median $48.98 Typical High $91.20 | Professional | None (both parts) | $35.48 | $48.98 | $91.20 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $12.88 Typical High $23.99 | Professional | 26 · Professional part | $8.91 | $12.88 | $23.99 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $36.31 Typical High $69.18 | Professional | TC · Technical part | $25.70 | $36.31 | $69.18 |
Highmark BCBS Setting Facility Modifier None Typical Low $70.79 Median $218.78 Typical High $524.81 | Facility | None | $70.79 | $218.78 | $524.81 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $44.67 Median $48.98 Typical High $56.23 | Professional | None (both parts) | $44.67 | $48.98 | $56.23 |
Independence Blue Cross Setting Facility Modifier None Typical Low $66.07 Median $123.03 Typical High $295.12 | Facility | None | $66.07 | $123.03 | $295.12 |
Martin's Point Setting Facility Modifier None Typical Low $40.74 Median $67.61 Typical High $245.47 | Facility | None | $40.74 | $67.61 | $245.47 |
Martin's Point Setting Facility Modifier TC · Technical part Typical Low $28.18 Median $46.77 Typical High $114.82 | Facility | TC · Technical part | $28.18 | $46.77 | $114.82 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $36.31 Median $44.67 Typical High $54.95 | Professional | None (both parts) | $36.31 | $44.67 | $54.95 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $11.48 Typical High $14.45 | Professional | 26 · Professional part | $10.00 | $11.48 | $14.45 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $33.11 Typical High $41.69 | Professional | TC · Technical part | $26.92 | $33.11 | $41.69 |
Oscar Health Setting Facility Modifier None Typical Low $162.18 Median $218.78 Typical High $234.42 | Facility | None | $162.18 | $218.78 | $234.42 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $12.30 Median $45.71 Typical High $89.13 | Professional | None (both parts) | $12.30 | $45.71 | $89.13 |
UPMC Health Plan Setting Facility Modifier None Typical Low $42.66 Median $95.50 Typical High $186.21 | Facility | None | $42.66 | $95.50 | $186.21 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $42.66 Median $46.77 Typical High $46.77 | Professional | None (both parts) | $42.66 | $46.77 | $46.77 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $12.02 Typical High $12.02 | Professional | 26 · Professional part | $11.75 | $12.02 | $12.02 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $34.67 Typical High $34.67 | Professional | TC · Technical part | $30.90 | $34.67 | $34.67 |
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 $37.15 Median $43.65 Typical High $77.62 | Professional | None (both parts) | $37.15 | $43.65 | $77.62 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $12.30 Typical High $22.91 | Professional | 26 · Professional part | $10.00 | $12.30 | $22.91 |
United Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $31.62 Typical High $56.23 | Professional | TC · Technical part | $26.30 | $31.62 | $56.23 |
6 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 $18.20 Median $21.38 Typical High $22.39 | Professional | 52 · Reduced service | $18.20 | $21.38 | $22.39 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.41 Median $8.51 Typical High $8.91 | Professional | 53 · Discontinued | $7.41 | $8.51 | $8.91 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $29.51 Median $33.88 Typical High $36.31 | Professional | FX · Film X-ray | $29.51 | $33.88 | $36.31 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $18.20 Median $21.38 Typical High $22.39 | Professional | 52 · Reduced service | $18.20 | $21.38 | $22.39 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $7.41 Median $8.51 Typical High $8.91 | Professional | 53 · Discontinued | $7.41 | $8.51 | $8.91 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $29.51 Median $33.88 Typical High $36.31 | Professional | FX · Film X-ray | $29.51 | $33.88 | $36.31 |
Where Pennsylvania sits
The same service costs 3.9 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· 41st of 51
$44.67
AK $129UT $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.