How much rates vary
Facilitymedian $562 · 10th to 90th $234 to $1,820Professionalmedian $204 · 10th to 90th $191 to $407
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 $234.42 Median $489.78 Typical High $1,000.00 | Facility | None | $234.42 | $489.78 | $1,000.00 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $131.83 Median $169.82 Typical High $630.96 | Facility | TC · Technical part | $131.83 | $169.82 | $630.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $234.42 Typical High $363.08 | Professional | None (both parts) | $190.55 | $234.42 | $363.08 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $64.57 Typical High $67.61 | Professional | 26 · Professional part | $56.23 | $64.57 | $67.61 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $169.82 Typical High $302.00 | Professional | TC · Technical part | $131.83 | $169.82 | $302.00 |
Capital Blue Cross Setting Facility Modifier None Typical Low $1,202.26 Median $5,011.87 Typical High $5,011.87 | Facility | None | $1,202.26 | $5,011.87 | $5,011.87 |
Capital Blue Cross Setting Facility Modifier TC · Technical part Typical Low $1,819.70 Median $2,290.87 Typical High $5,011.87 | Facility | TC · Technical part | $1,819.70 | $2,290.87 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $194.98 Median $194.98 Typical High $199.53 | Professional | None (both parts) | $194.98 | $194.98 | $199.53 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $61.66 Typical High $125.89 | Professional | 26 · Professional part | $60.26 | $61.66 | $125.89 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $138.04 Typical High $380.19 | Professional | TC · Technical part | $134.90 | $138.04 | $380.19 |
Cigna Setting Facility Modifier None Typical Low $269.15 Median $478.63 Typical High $831.76 | Facility | None | $269.15 | $478.63 | $831.76 |
Cigna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $288.40 Typical High $549.54 | Professional | None (both parts) | $169.82 | $288.40 | $549.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $64.57 Typical High $114.82 | Professional | 26 · Professional part | $38.90 | $64.57 | $114.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $239.88 Typical High $446.68 | Professional | TC · Technical part | $120.23 | $239.88 | $446.68 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $234.42 Median $281.84 Typical High $354.81 | Professional | None (both parts) | $234.42 | $281.84 | $354.81 |
Geisinger Setting Facility Modifier None Typical Low $524.81 Median $524.81 Typical High $1,819.70 | Facility | None | $524.81 | $524.81 | $1,819.70 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $199.53 Median $309.03 Typical High $575.44 | Professional | None (both parts) | $199.53 | $309.03 | $575.44 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $70.79 Typical High $125.89 | Professional | 26 · Professional part | $51.29 | $70.79 | $125.89 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $239.88 Typical High $446.68 | Professional | TC · Technical part | $138.04 | $239.88 | $446.68 |
Highmark BCBS Setting Facility Modifier None Typical Low $851.14 Median $1,412.54 Typical High $2,398.83 | Facility | None | $851.14 | $1,412.54 | $2,398.83 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $67.61 Typical High $97.72 | Professional | 26 · Professional part | $64.57 | $67.61 | $97.72 |
Martin's Point Setting Facility Modifier None Typical Low $234.42 Median $489.78 Typical High $2,344.23 | Facility | None | $234.42 | $489.78 | $2,344.23 |
Martin's Point Setting Facility Modifier TC · Technical part Typical Low $131.83 Median $134.90 Typical High $630.96 | Facility | TC · Technical part | $131.83 | $134.90 | $630.96 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $190.55 Median $234.42 Typical High $354.81 | Professional | None (both parts) | $190.55 | $234.42 | $354.81 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $64.57 Typical High $67.61 | Professional | 26 · Professional part | $56.23 | $64.57 | $67.61 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $169.82 Typical High $245.47 | Professional | TC · Technical part | $131.83 | $169.82 | $245.47 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $63.10 Median $199.53 Typical High $389.05 | Professional | None (both parts) | $63.10 | $199.53 | $389.05 |
UPMC Health Plan Setting Facility Modifier None Typical Low $194.98 Median $691.83 Typical High $1,548.82 | Facility | None | $194.98 | $691.83 | $1,548.82 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $194.98 Median $407.38 Typical High $407.38 | Professional | None (both parts) | $194.98 | $407.38 | $407.38 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $67.61 Typical High $67.61 | Professional | 26 · Professional part | $58.88 | $67.61 | $67.61 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $338.84 Typical High $338.84 | Professional | TC · Technical part | $138.04 | $338.84 | $338.84 |
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 $199.53 Median $275.42 Typical High $467.74 | Professional | None (both parts) | $199.53 | $275.42 | $467.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $63.10 Typical High $117.49 | Professional | 26 · Professional part | $54.95 | $63.10 | $117.49 |
United Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $190.55 Typical High $380.19 | Professional | TC · Technical part | $141.25 | $190.55 | $380.19 |
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 $66.07 Median $95.50 Typical High $354.81 | Facility | 52 · Reduced service | $66.07 | $95.50 | $354.81 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $26.30 Median $38.02 Typical High $141.25 | Facility | 53 · Discontinued | $26.30 | $38.02 | $141.25 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $95.50 Median $117.49 Typical High $141.25 | Professional | 52 · Reduced service | $95.50 | $117.49 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $46.77 Typical High $56.23 | Professional | 53 · Discontinued | $38.02 | $46.77 | $56.23 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $162.18 Median $199.53 Typical High $199.53 | Professional | CT · Older CT scanner | $162.18 | $199.53 | $199.53 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $151.36 Median $190.55 Typical High $190.55 | Professional | FX · Film X-ray | $151.36 | $190.55 | $190.55 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $95.50 Median $117.49 Typical High $120.23 | Professional | 52 · Reduced service | $95.50 | $117.49 | $120.23 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $46.77 Typical High $47.86 | Professional | 53 · Discontinued | $38.02 | $46.77 | $47.86 |
Martin's Point Setting Professional Modifier CT · Older CT scanner Typical Low $162.18 Median $199.53 Typical High $199.53 | Professional | CT · Older CT scanner | $162.18 | $199.53 | $199.53 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $151.36 Median $190.55 Typical High $190.55 | Professional | FX · Film X-ray | $151.36 | $190.55 | $190.55 |
Where Pennsylvania sits
The same service costs 5.2 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· 48th of 51
$214
AK $794UT $151
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.