How much rates vary
Facilitymedian $603 · 10th to 90th $257 to $1,950Professionalmedian $339 · 10th to 90th $200 to $589
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 $223.87 Median $512.86 Typical High $1,949.84 | Facility | None | $223.87 | $512.86 | $1,949.84 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $70.79 Median $102.33 Typical High $281.84 | Facility | 26 · Professional part | $70.79 | $102.33 | $281.84 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $125.89 Median $173.78 Typical High $741.31 | Facility | TC · Technical part | $125.89 | $173.78 | $741.31 |
Aetna Setting Professional Modifier None (both parts) Typical Low $199.53 Median $398.11 Typical High $549.54 | Professional | None (both parts) | $199.53 | $398.11 | $549.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $120.23 Typical High $154.88 | Professional | 26 · Professional part | $70.79 | $120.23 | $154.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $263.03 Typical High $371.54 | Professional | TC · Technical part | $125.89 | $263.03 | $371.54 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $64.57 Median $144.54 Typical High $165.96 | Professional | None (both parts) | $64.57 | $144.54 | $165.96 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $107.15 Typical High $114.82 | Professional | 26 · Professional part | $63.10 | $107.15 | $114.82 |
AmeriHealth Setting Facility Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $1,479.11 | Facility | None | $1,479.11 | $1,479.11 | $1,479.11 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $199.53 Median $263.03 Typical High $933.25 | Professional | None (both parts) | $199.53 | $263.03 | $933.25 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $87.10 Typical High $120.23 | Professional | 26 · Professional part | $83.18 | $87.10 | $120.23 |
Capital Blue Cross Setting Facility Modifier None Typical Low $1,230.27 Median $5,011.87 Typical High $5,011.87 | Facility | None | $1,230.27 | $5,011.87 | $5,011.87 |
Capital Blue Cross Setting Facility Modifier TC · Technical part Typical Low $1,862.09 Median $2,344.23 Typical High $5,011.87 | Facility | TC · Technical part | $1,862.09 | $2,344.23 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $199.53 Median $338.84 Typical High $630.96 | Professional | None (both parts) | $199.53 | $338.84 | $630.96 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $120.23 Typical High $181.97 | Professional | 26 · Professional part | $74.13 | $120.23 | $181.97 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $218.78 Typical High $537.03 | Professional | TC · Technical part | $125.89 | $218.78 | $537.03 |
Cigna Setting Facility Modifier None Typical Low $275.42 Median $446.68 Typical High $1,071.52 | Facility | None | $275.42 | $446.68 | $1,071.52 |
Cigna Setting Professional Modifier None (both parts) Typical Low $165.96 Median $346.74 Typical High $645.65 | Professional | None (both parts) | $165.96 | $346.74 | $645.65 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $75.86 Typical High $138.04 | Professional | 26 · Professional part | $48.98 | $75.86 | $138.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $229.09 Typical High $537.03 | Professional | TC · Technical part | $104.71 | $229.09 | $537.03 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $229.09 Median $323.59 Typical High $1,000.00 | Professional | None (both parts) | $229.09 | $323.59 | $1,000.00 |
Geisinger Setting Facility Modifier None Typical Low $645.65 Median $741.31 Typical High $3,981.07 | Facility | None | $645.65 | $741.31 | $3,981.07 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $194.98 Median $354.81 Typical High $645.65 | Professional | None (both parts) | $194.98 | $354.81 | $645.65 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $85.11 Typical High $151.36 | Professional | 26 · Professional part | $64.57 | $85.11 | $151.36 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $251.19 Typical High $512.86 | Professional | TC · Technical part | $123.03 | $251.19 | $512.86 |
Highmark BCBS Setting Facility Modifier None Typical Low $426.58 Median $812.83 Typical High $1,905.46 | Facility | None | $426.58 | $812.83 | $1,905.46 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $204.17 Median $229.09 Typical High $407.38 | Professional | None (both parts) | $204.17 | $229.09 | $407.38 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $85.11 Typical High $125.89 | Professional | 26 · Professional part | $74.13 | $85.11 | $125.89 |
Independence Blue Cross Setting Facility Modifier None Typical Low $549.54 Median $616.60 Typical High $1,479.11 | Facility | None | $549.54 | $616.60 | $1,479.11 |
Independence Blue Cross Setting Professional Modifier None (both parts) Typical Low $338.84 Median $346.74 Typical High $1,148.15 | Professional | None (both parts) | $338.84 | $346.74 | $1,148.15 |
Independence Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $87.10 Typical High $112.20 | Professional | 26 · Professional part | $83.18 | $87.10 | $112.20 |
Martin's Point Setting Facility Modifier None Typical Low $223.87 Median $512.86 Typical High $2,187.76 | Facility | None | $223.87 | $512.86 | $2,187.76 |
Martin's Point Setting Facility Modifier 26 · Professional part Typical Low $70.79 Median $102.33 Typical High $257.04 | Facility | 26 · Professional part | $70.79 | $102.33 | $257.04 |
Martin's Point Setting Facility Modifier TC · Technical part Typical Low $125.89 Median $173.78 Typical High $676.08 | Facility | TC · Technical part | $125.89 | $173.78 | $676.08 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $199.53 Median $426.58 Typical High $549.54 | Professional | None (both parts) | $199.53 | $426.58 | $549.54 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $125.89 Typical High $154.88 | Professional | 26 · Professional part | $70.79 | $125.89 | $154.88 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $281.84 Typical High $371.54 | Professional | TC · Technical part | $125.89 | $281.84 | $371.54 |
Oscar Health Setting Facility Modifier None Typical Low $851.14 Median $1,122.02 Typical High $1,230.27 | Facility | None | $851.14 | $1,122.02 | $1,230.27 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $74.13 Median $190.55 Typical High $416.87 | Professional | None (both parts) | $74.13 | $190.55 | $416.87 |
UPMC Health Plan Setting Facility Modifier None Typical Low $190.55 Median $724.44 Typical High $2,137.96 | Facility | None | $190.55 | $724.44 | $2,137.96 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $190.55 Median $562.34 Typical High $562.34 | Professional | None (both parts) | $190.55 | $562.34 | $562.34 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $87.10 Typical High $87.10 | Professional | 26 · Professional part | $69.18 | $87.10 | $87.10 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $467.74 Typical High $467.74 | Professional | TC · Technical part | $120.23 | $467.74 | $467.74 |
United Setting Facility Modifier None Typical Low $331.13 Median $691.83 Typical High $812.83 | Facility | None | $331.13 | $691.83 | $812.83 |
United Setting Professional Modifier None (both parts) Typical Low $190.55 Median $257.04 Typical High $602.56 | Professional | None (both parts) | $190.55 | $257.04 | $602.56 |
United Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $75.86 Typical High $141.25 | Professional | 26 · Professional part | $64.57 | $75.86 | $141.25 |
United Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $162.18 Typical High $478.63 | Professional | TC · Technical part | $123.03 | $162.18 | $478.63 |
9 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 $63.10 Median $95.50 Typical High $524.81 | Facility | 52 · Reduced service | $63.10 | $95.50 | $524.81 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $25.12 Median $38.02 Typical High $208.93 | Facility | 53 · Discontinued | $25.12 | $38.02 | $208.93 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $97.72 Median $213.80 Typical High $213.80 | Professional | 52 · Reduced service | $97.72 | $213.80 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $85.11 Typical High $85.11 | Professional | 53 · Discontinued | $39.81 | $85.11 | $85.11 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $158.49 Median $338.84 Typical High $338.84 | Professional | FX · Film X-ray | $158.49 | $338.84 | $338.84 |
Highmark BCBS Setting Facility Modifier PN · Off-campus dept, non-excepted Typical Low $123.03 Median $371.54 Typical High $2,041.74 | Facility | PN · Off-campus dept, non-excepted | $123.03 | $371.54 | $2,041.74 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $97.72 Median $213.80 Typical High $213.80 | Professional | 52 · Reduced service | $97.72 | $213.80 | $213.80 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $85.11 Typical High $85.11 | Professional | 53 · Discontinued | $39.81 | $85.11 | $85.11 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $158.49 Median $338.84 Typical High $338.84 | Professional | FX · Film X-ray | $158.49 | $338.84 | $338.84 |
Where Pennsylvania sits
The same service costs 6.5 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· 29th of 51
$355
AK $794UT $123
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.