How much rates vary
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 $64.57 Median $109.65 Typical High $323.59 | Facility | None | $64.57 | $109.65 | $323.59 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $13.49 Median $19.05 Typical High $30.90 | Facility | 26 · Professional part | $13.49 | $19.05 | $30.90 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $47.86 Median $64.57 Typical High $239.88 | Facility | TC · Technical part | $47.86 | $64.57 | $239.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $57.54 Median $67.61 Typical High $100.00 | Professional | None (both parts) | $57.54 | $67.61 | $100.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $14.79 Typical High $21.88 | Professional | 26 · Professional part | $12.88 | $14.79 | $21.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $53.70 Typical High $79.43 | Professional | TC · Technical part | $44.67 | $53.70 | $79.43 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $45.71 Median $64.57 Typical High $97.72 | Professional | None (both parts) | $45.71 | $64.57 | $97.72 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $25.12 Typical High $29.51 | Professional | 26 · Professional part | $21.88 | $25.12 | $29.51 |
AmeriHealth Setting Facility Modifier None Typical Low $208.93 Median $208.93 Typical High $2,454.71 | Facility | None | $208.93 | $208.93 | $2,454.71 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $97.72 Median $97.72 Typical High $109.65 | Professional | None (both parts) | $97.72 | $97.72 | $109.65 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $15.49 Typical High $29.51 | Professional | 26 · Professional part | $15.49 | $15.49 | $29.51 |
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 $239.88 Median $295.12 Typical High $5,011.87 | Facility | TC · Technical part | $239.88 | $295.12 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $67.61 Median $97.72 Typical High $144.54 | Professional | None (both parts) | $67.61 | $97.72 | $144.54 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $26.30 Typical High $38.90 | Professional | 26 · Professional part | $15.14 | $26.30 | $38.90 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $74.13 Typical High $104.71 | Professional | TC · Technical part | $52.48 | $74.13 | $104.71 |
Cigna Setting Facility Modifier None Typical Low $69.18 Median $158.49 Typical High $363.08 | Facility | None | $69.18 | $158.49 | $363.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $43.65 Median $61.66 Typical High $120.23 | Professional | None (both parts) | $43.65 | $61.66 | $120.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $16.60 Typical High $29.51 | Professional | 26 · Professional part | $11.22 | $16.60 | $29.51 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $45.71 Typical High $91.20 | Professional | TC · Technical part | $32.36 | $45.71 | $91.20 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $85.11 Median $102.33 Typical High $128.82 | Professional | None (both parts) | $85.11 | $102.33 | $128.82 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $46.77 Median $74.13 Typical High $138.04 | Professional | None (both parts) | $46.77 | $74.13 | $138.04 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $17.38 Typical High $32.36 | Professional | 26 · Professional part | $12.88 | $17.38 | $32.36 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $58.88 Typical High $112.20 | Professional | TC · Technical part | $34.67 | $58.88 | $112.20 |
Highmark BCBS Setting Facility Modifier None Typical Low $100.00 Median $269.15 Typical High $457.09 | Facility | None | $100.00 | $269.15 | $457.09 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $72.44 Median $89.13 Typical High $97.72 | Professional | None (both parts) | $72.44 | $89.13 | $97.72 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $17.78 Typical High $26.30 | Professional | 26 · Professional part | $15.49 | $17.78 | $26.30 |
Independence Blue Cross Setting Facility Modifier None Typical Low $79.43 Median $102.33 Typical High $223.87 | Facility | None | $79.43 | $102.33 | $223.87 |
Independence Blue Cross Setting Professional Modifier None (both parts) Typical Low $93.33 Median $97.72 Typical High $109.65 | Professional | None (both parts) | $93.33 | $97.72 | $109.65 |
Independence Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $15.49 Typical High $26.30 | Professional | 26 · Professional part | $15.49 | $15.49 | $26.30 |
Martin's Point Setting Facility Modifier None Typical Low $63.10 Median $131.83 Typical High $575.44 | Facility | None | $63.10 | $131.83 | $575.44 |
Martin's Point Setting Facility Modifier 26 · Professional part Typical Low $13.49 Median $19.50 Typical High $30.90 | Facility | 26 · Professional part | $13.49 | $19.50 | $30.90 |
Martin's Point Setting Facility Modifier TC · Technical part Typical Low $47.86 Median $70.79 Typical High $239.88 | Facility | TC · Technical part | $47.86 | $70.79 | $239.88 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $57.54 Median $67.61 Typical High $91.20 | Professional | None (both parts) | $57.54 | $67.61 | $91.20 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $14.79 Typical High $20.89 | Professional | 26 · Professional part | $12.88 | $14.79 | $20.89 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $52.48 Typical High $72.44 | Professional | TC · Technical part | $44.67 | $52.48 | $72.44 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $16.22 Median $70.79 Typical High $131.83 | Professional | None (both parts) | $16.22 | $70.79 | $131.83 |
UPMC Health Plan Setting Facility Modifier None Typical Low $64.57 Median $239.88 Typical High $380.19 | Facility | None | $64.57 | $239.88 | $380.19 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $64.57 Median $64.57 Typical High $67.61 | Professional | None (both parts) | $64.57 | $64.57 | $67.61 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $17.78 Typical High $17.78 | Professional | 26 · Professional part | $14.79 | $17.78 | $17.78 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $46.77 Typical High $52.48 | Professional | TC · Technical part | $46.77 | $46.77 | $52.48 |
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 $56.23 Median $67.61 Typical High $123.03 | Professional | None (both parts) | $56.23 | $67.61 | $123.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $16.22 Typical High $30.20 | Professional | 26 · Professional part | $14.45 | $16.22 | $30.20 |
United Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $51.29 Typical High $91.20 | Professional | TC · Technical part | $41.69 | $51.29 | $91.20 |
2 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 FX · Film X-ray Typical Low $46.77 Median $53.70 Typical High $57.54 | Professional | FX · Film X-ray | $46.77 | $53.70 | $57.54 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $46.77 Median $53.70 Typical High $57.54 | Professional | FX · Film X-ray | $46.77 | $53.70 | $57.54 |
Where Pennsylvania sits
The same service costs 3.6 times more in Alaska than in Florida. 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
$70.79
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.