How much rates vary
Facilitymedian $955 · 10th to 90th $398 to $2,188Professionalmedian $398 · 10th to 90th $269 to $661
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 $323.59 Median $812.83 Typical High $2,041.74 | Facility | None | $323.59 | $812.83 | $2,041.74 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $100.00 Median $125.89 Typical High $309.03 | Facility | 26 · Professional part | $100.00 | $125.89 | $309.03 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $199.53 Median $281.84 Typical High $912.01 | Facility | TC · Technical part | $199.53 | $281.84 | $912.01 |
Aetna Setting Professional Modifier None (both parts) Typical Low $288.40 Median $426.58 Typical High $549.54 | Professional | None (both parts) | $288.40 | $426.58 | $549.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $125.89 Typical High $154.88 | Professional | 26 · Professional part | $85.11 | $125.89 | $154.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $302.00 Typical High $371.54 | Professional | TC · Technical part | $199.53 | $302.00 | $371.54 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $100.00 Typical High $912.01 | Professional | 26 · Professional part | $70.79 | $100.00 | $912.01 |
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 $269.15 Median $281.84 Typical High $691.83 | Professional | None (both parts) | $269.15 | $281.84 | $691.83 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $89.13 Typical High $177.83 | Professional | 26 · Professional part | $85.11 | $89.13 | $177.83 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $190.55 Typical High $537.03 | Professional | TC · Technical part | $186.21 | $190.55 | $537.03 |
Cigna Setting Facility Modifier None Typical Low $426.58 Median $691.83 Typical High $1,778.28 | Facility | None | $426.58 | $691.83 | $1,778.28 |
Cigna Setting Professional Modifier None (both parts) Typical Low $239.88 Median $436.52 Typical High $758.58 | Professional | None (both parts) | $239.88 | $436.52 | $758.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $91.20 Typical High $165.96 | Professional | 26 · Professional part | $58.88 | $91.20 | $165.96 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $323.59 Typical High $630.96 | Professional | TC · Technical part | $165.96 | $323.59 | $630.96 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $323.59 Median $389.05 Typical High $489.78 | Professional | None (both parts) | $323.59 | $389.05 | $489.78 |
Geisinger Setting Facility Modifier None Typical Low $707.95 Median $794.33 Typical High $3,981.07 | Facility | None | $707.95 | $794.33 | $3,981.07 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $281.84 Median $436.52 Typical High $794.33 | Professional | None (both parts) | $281.84 | $436.52 | $794.33 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $102.33 Typical High $181.97 | Professional | 26 · Professional part | $77.62 | $102.33 | $181.97 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $331.13 Typical High $602.56 | Professional | TC · Technical part | $194.98 | $331.13 | $602.56 |
Highmark BCBS Setting Facility Modifier None Typical Low $741.31 Median $1,202.26 Typical High $2,290.87 | Facility | None | $741.31 | $1,202.26 | $2,290.87 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $630.96 Median $630.96 Typical High $630.96 | Professional | None (both parts) | $630.96 | $630.96 | $630.96 |
Martin's Point Setting Facility Modifier None Typical Low $398.11 Median $1,412.54 Typical High $2,187.76 | Facility | None | $398.11 | $1,412.54 | $2,187.76 |
Martin's Point Setting Facility Modifier TC · Technical part Typical Low $199.53 Median $269.15 Typical High $954.99 | Facility | TC · Technical part | $199.53 | $269.15 | $954.99 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $288.40 Median $426.58 Typical High $549.54 | Professional | None (both parts) | $288.40 | $426.58 | $549.54 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $125.89 Typical High $154.88 | Professional | 26 · Professional part | $85.11 | $125.89 | $154.88 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $302.00 Typical High $371.54 | Professional | TC · Technical part | $199.53 | $302.00 | $371.54 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $89.13 Median $275.42 Typical High $602.56 | Professional | None (both parts) | $89.13 | $275.42 | $602.56 |
UPMC Health Plan Setting Facility Modifier None Typical Low $275.42 Median $954.99 Typical High $2,344.23 | Facility | None | $275.42 | $954.99 | $2,344.23 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $275.42 Median $588.84 Typical High $588.84 | Professional | None (both parts) | $275.42 | $588.84 | $588.84 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $100.00 Typical High $100.00 | Professional | 26 · Professional part | $85.11 | $100.00 | $100.00 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $489.78 Typical High $489.78 | Professional | TC · Technical part | $190.55 | $489.78 | $489.78 |
United Setting Facility Modifier None Typical Low $478.63 Median $1,023.29 Typical High $1,174.90 | Facility | None | $478.63 | $1,023.29 | $1,174.90 |
United Setting Professional Modifier None (both parts) Typical Low $275.42 Median $380.19 Typical High $724.44 | Professional | None (both parts) | $275.42 | $380.19 | $724.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $91.20 Typical High $169.82 | Professional | 26 · Professional part | $77.62 | $91.20 | $169.82 |
United Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $257.04 Typical High $575.44 | Professional | TC · Technical part | $194.98 | $257.04 | $575.44 |
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 $100.00 Median $141.25 Typical High $524.81 | Facility | 52 · Reduced service | $100.00 | $141.25 | $524.81 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $39.81 Median $57.54 Typical High $208.93 | Facility | 53 · Discontinued | $39.81 | $57.54 | $208.93 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $141.25 Median $213.80 Typical High $213.80 | Professional | 52 · Reduced service | $141.25 | $213.80 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $57.54 Median $85.11 Typical High $85.11 | Professional | 53 · Discontinued | $57.54 | $85.11 | $85.11 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $229.09 Median $338.84 Typical High $338.84 | Professional | FX · Film X-ray | $229.09 | $338.84 | $338.84 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $141.25 Median $213.80 Typical High $213.80 | Professional | 52 · Reduced service | $141.25 | $213.80 | $213.80 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $57.54 Median $85.11 Typical High $85.11 | Professional | 53 · Discontinued | $57.54 | $85.11 | $85.11 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $229.09 Median $338.84 Typical High $338.84 | Professional | FX · Film X-ray | $229.09 | $338.84 | $338.84 |
Where Pennsylvania sits
The same service costs 5.9 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· 35th of 51
$407
WY $1,122UT $191
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.