How much rates vary
Facilitymedian $851 · 10th to 90th $417 to $2,512Professionalmedian $427 · 10th to 90th $331 to $1,023
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 $354.81 Median $794.33 Typical High $2,041.74 | Facility | None | $354.81 | $794.33 | $2,041.74 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $109.65 Median $138.04 Typical High $281.84 | Facility | 26 · Professional part | $109.65 | $138.04 | $281.84 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $223.87 Median $302.00 Typical High $1,000.00 | Facility | TC · Technical part | $223.87 | $302.00 | $1,000.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $331.13 Median $426.58 Typical High $588.84 | Professional | None (both parts) | $331.13 | $426.58 | $588.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $125.89 Typical High $169.82 | Professional | 26 · Professional part | $109.65 | $125.89 | $169.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $302.00 Typical High $389.05 | Professional | TC · Technical part | $223.87 | $302.00 | $389.05 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $213.80 Median $251.19 Typical High $380.19 | Professional | None (both parts) | $213.80 | $251.19 | $380.19 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $112.20 Typical High $177.83 | Professional | 26 · Professional part | $87.10 | $112.20 | $177.83 |
AmeriHealth Setting Facility Modifier None Typical Low $5,128.61 Median $5,128.61 Typical High $6,025.60 | Facility | None | $5,128.61 | $5,128.61 | $6,025.60 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $446.68 Median $446.68 Typical High $562.34 | Professional | None (both parts) | $446.68 | $446.68 | $562.34 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $134.90 Typical High $177.83 | Professional | 26 · Professional part | $134.90 | $134.90 | $177.83 |
Capital Blue Cross Setting Facility Modifier None Typical Low $1,905.46 Median $5,011.87 Typical High $5,011.87 | Facility | None | $1,905.46 | $5,011.87 | $5,011.87 |
Capital Blue Cross Setting Facility Modifier TC · Technical part Typical Low $2,884.03 Median $3,630.78 Typical High $5,011.87 | Facility | TC · Technical part | $2,884.03 | $3,630.78 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $346.74 Median $575.44 Typical High $1,202.26 | Professional | None (both parts) | $346.74 | $575.44 | $1,202.26 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $186.21 Typical High $281.84 | Professional | 26 · Professional part | $120.23 | $186.21 | $281.84 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $389.05 Typical High $1,071.52 | Professional | TC · Technical part | $223.87 | $389.05 | $1,071.52 |
Cigna Setting Facility Modifier None Typical Low $478.63 Median $741.31 Typical High $1,778.28 | Facility | None | $478.63 | $741.31 | $1,778.28 |
Cigna Setting Professional Modifier None (both parts) Typical Low $275.42 Median $549.54 Typical High $1,122.02 | Professional | None (both parts) | $275.42 | $549.54 | $1,122.02 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $117.49 Typical High $208.93 | Professional | 26 · Professional part | $72.44 | $117.49 | $208.93 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $371.54 Typical High $912.01 | Professional | TC · Technical part | $186.21 | $371.54 | $912.01 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $380.19 Median $537.03 Typical High $1,513.56 | Professional | None (both parts) | $380.19 | $537.03 | $1,513.56 |
Geisinger Setting Facility Modifier None Typical Low $912.01 Median $1,479.11 Typical High $3,981.07 | Facility | None | $912.01 | $1,479.11 | $3,981.07 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $331.13 Median $537.03 Typical High $1,023.29 | Professional | None (both parts) | $331.13 | $537.03 | $1,023.29 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $128.82 Typical High $234.42 | Professional | 26 · Professional part | $95.50 | $128.82 | $234.42 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $416.87 Typical High $831.76 | Professional | TC · Technical part | $213.80 | $416.87 | $831.76 |
Highmark BCBS Setting Facility Modifier None Typical Low $537.03 Median $954.99 Typical High $2,238.72 | Facility | None | $537.03 | $954.99 | $2,238.72 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $338.84 Median $389.05 Typical High $691.83 | Professional | None (both parts) | $338.84 | $389.05 | $691.83 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $125.89 Typical High $186.21 | Professional | 26 · Professional part | $114.82 | $125.89 | $186.21 |
Independence Blue Cross Setting Facility Modifier None Typical Low $354.81 Median $5,128.61 Typical High $8,317.64 | Facility | None | $354.81 | $5,128.61 | $8,317.64 |
Independence Blue Cross Setting Professional Modifier None (both parts) Typical Low $295.12 Median $446.68 Typical High $2,089.30 | Professional | None (both parts) | $295.12 | $446.68 | $2,089.30 |
Independence Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $134.90 Typical High $177.83 | Professional | 26 · Professional part | $134.90 | $134.90 | $177.83 |
Martin's Point Setting Facility Modifier None Typical Low $363.08 Median $794.33 Typical High $2,041.74 | Facility | None | $363.08 | $794.33 | $2,041.74 |
Martin's Point Setting Facility Modifier 26 · Professional part Typical Low $109.65 Median $141.25 Typical High $257.04 | Facility | 26 · Professional part | $109.65 | $141.25 | $257.04 |
Martin's Point Setting Facility Modifier TC · Technical part Typical Low $223.87 Median $302.00 Typical High $1,000.00 | Facility | TC · Technical part | $223.87 | $302.00 | $1,000.00 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $331.13 Median $426.58 Typical High $588.84 | Professional | None (both parts) | $331.13 | $426.58 | $588.84 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $125.89 Typical High $165.96 | Professional | 26 · Professional part | $109.65 | $125.89 | $165.96 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $302.00 Typical High $389.05 | Professional | TC · Technical part | $223.87 | $302.00 | $389.05 |
Oscar Health Setting Facility Modifier None Typical Low $724.44 Median $977.24 Typical High $1,174.90 | Facility | None | $724.44 | $977.24 | $1,174.90 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $114.82 Median $316.23 Typical High $691.83 | Professional | None (both parts) | $114.82 | $316.23 | $691.83 |
UPMC Health Plan Setting Facility Modifier None Typical Low $323.59 Median $1,148.15 Typical High $4,073.80 | Facility | None | $323.59 | $1,148.15 | $4,073.80 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $323.59 Median $1,047.13 Typical High $1,047.13 | Professional | None (both parts) | $323.59 | $1,047.13 | $1,047.13 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $123.03 Typical High $123.03 | Professional | 26 · Professional part | $107.15 | $123.03 | $123.03 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $912.01 Typical High $912.01 | Professional | TC · Technical part | $213.80 | $912.01 | $912.01 |
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 $316.23 Median $436.52 Typical High $1,047.13 | Professional | None (both parts) | $316.23 | $436.52 | $1,047.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $114.82 Typical High $213.80 | Professional | 26 · Professional part | $100.00 | $114.82 | $213.80 |
United Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $288.40 Typical High $891.25 | Professional | TC · Technical part | $213.80 | $288.40 | $891.25 |
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 $109.65 Median $165.96 Typical High $524.81 | Facility | 52 · Reduced service | $109.65 | $165.96 | $524.81 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $44.67 Median $66.07 Typical High $208.93 | Facility | 53 · Discontinued | $44.67 | $66.07 | $208.93 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $165.96 Median $213.80 Typical High $213.80 | Professional | 52 · Reduced service | $165.96 | $213.80 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $85.11 Typical High $85.11 | Professional | 53 · Discontinued | $66.07 | $85.11 | $85.11 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $263.03 Median $338.84 Typical High $338.84 | Professional | FX · Film X-ray | $263.03 | $338.84 | $338.84 |
Highmark BCBS Setting Facility Modifier PN · Off-campus dept, non-excepted Typical Low $131.83 Median $436.52 Typical High $3,311.31 | Facility | PN · Off-campus dept, non-excepted | $131.83 | $436.52 | $3,311.31 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $165.96 Median $213.80 Typical High $213.80 | Professional | 52 · Reduced service | $165.96 | $213.80 | $213.80 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $85.11 Typical High $85.11 | Professional | 53 · Discontinued | $66.07 | $85.11 | $85.11 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $263.03 Median $338.84 Typical High $338.84 | Professional | FX · Film X-ray | $263.03 | $338.84 | $338.84 |
Where Pennsylvania sits
The same service costs 6.3 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
$468
WY $1,288UT $204
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.