How much rates vary
Facilitymedian $100 · 10th to 90th $40 to $363Professionalmedian $43 · 10th to 90th $35 to $74
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 $37.15 Median $56.23 Typical High $234.42 | Facility | None | $37.15 | $56.23 | $234.42 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $10.96 Median $15.14 Typical High $24.55 | Facility | 26 · Professional part | $10.96 | $15.14 | $24.55 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $26.30 Median $33.88 Typical High $79.43 | Facility | TC · Technical part | $26.30 | $33.88 | $79.43 |
Aetna Setting Professional Modifier None (both parts) Typical Low $34.67 Median $42.66 Typical High $63.10 | Professional | None (both parts) | $34.67 | $42.66 | $63.10 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $11.75 Typical High $18.20 | Professional | 26 · Professional part | $10.23 | $11.75 | $18.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $30.90 Typical High $44.67 | Professional | TC · Technical part | $24.55 | $30.90 | $44.67 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $28.84 Median $66.07 Typical High $66.07 | Professional | None (both parts) | $28.84 | $66.07 | $66.07 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $18.62 Typical High $20.89 | Professional | 26 · Professional part | $10.23 | $18.62 | $20.89 |
AmeriHealth Setting Facility Modifier None Typical Low $42.66 Median $95.50 Typical High $912.01 | Facility | None | $42.66 | $95.50 | $912.01 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $52.48 Median $52.48 Typical High $67.61 | Professional | None (both parts) | $52.48 | $52.48 | $67.61 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $15.14 Typical High $19.95 | Professional | 26 · Professional part | $15.14 | $15.14 | $19.95 |
Capital Blue Cross Setting Facility Modifier None Typical Low $27.54 Median $5,011.87 Typical High $8,709.64 | Facility | None | $27.54 | $5,011.87 | $8,709.64 |
Capital Blue Cross Setting Facility Modifier TC · Technical part Typical Low $147.91 Median $181.97 Typical High $5,011.87 | Facility | TC · Technical part | $147.91 | $181.97 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $40.74 Median $60.26 Typical High $87.10 | Professional | None (both parts) | $40.74 | $60.26 | $87.10 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $17.78 Typical High $26.30 | Professional | 26 · Professional part | $12.02 | $17.78 | $26.30 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $42.66 Typical High $61.66 | Professional | TC · Technical part | $28.84 | $42.66 | $61.66 |
Cigna Setting Facility Modifier None Typical Low $37.15 Median $85.11 Typical High $363.08 | Facility | None | $37.15 | $85.11 | $363.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $25.70 Median $38.02 Typical High $75.86 | Professional | None (both parts) | $25.70 | $38.02 | $75.86 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.31 Median $10.96 Typical High $21.88 | Professional | 26 · Professional part | $6.31 | $10.96 | $21.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $26.92 Typical High $53.70 | Professional | TC · Technical part | $19.50 | $26.92 | $53.70 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $52.48 Median $61.66 Typical High $77.62 | Professional | None (both parts) | $52.48 | $61.66 | $77.62 |
Geisinger Setting Facility Modifier None Typical Low $38.90 Median $38.90 Typical High $38.90 | Facility | None | $38.90 | $38.90 | $38.90 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $28.18 Median $45.71 Typical High $89.13 | Professional | None (both parts) | $28.18 | $45.71 | $89.13 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $13.18 Typical High $23.99 | Professional | 26 · Professional part | $8.51 | $13.18 | $23.99 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $33.11 Typical High $63.10 | Professional | TC · Technical part | $19.50 | $33.11 | $63.10 |
Highmark BCBS Setting Facility Modifier None Typical Low $134.90 Median $245.47 Typical High $398.11 | Facility | None | $134.90 | $245.47 | $398.11 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $44.67 Median $53.70 Typical High $58.88 | Professional | None (both parts) | $44.67 | $53.70 | $58.88 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $14.13 Typical High $20.89 | Professional | 26 · Professional part | $12.59 | $14.13 | $20.89 |
Independence Blue Cross Setting Facility Modifier None Typical Low $72.44 Median $97.72 Typical High $575.44 | Facility | None | $72.44 | $97.72 | $575.44 |
Independence Blue Cross Setting Professional Modifier None (both parts) Typical Low $50.12 Median $63.10 Typical High $371.54 | Professional | None (both parts) | $50.12 | $63.10 | $371.54 |
Independence Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $15.14 Typical High $19.50 | Professional | 26 · Professional part | $15.14 | $15.14 | $19.50 |
Martin's Point Setting Facility Modifier None Typical Low $37.15 Median $63.10 Typical High $234.42 | Facility | None | $37.15 | $63.10 | $234.42 |
Martin's Point Setting Facility Modifier 26 · Professional part Typical Low $10.96 Median $15.85 Typical High $24.55 | Facility | 26 · Professional part | $10.96 | $15.85 | $24.55 |
Martin's Point Setting Facility Modifier TC · Technical part Typical Low $26.30 Median $30.90 Typical High $107.15 | Facility | TC · Technical part | $26.30 | $30.90 | $107.15 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $34.67 Median $42.66 Typical High $60.26 | Professional | None (both parts) | $34.67 | $42.66 | $60.26 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $11.75 Typical High $17.38 | Professional | 26 · Professional part | $10.23 | $11.75 | $17.38 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $30.90 Typical High $43.65 | Professional | TC · Technical part | $24.55 | $30.90 | $43.65 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $13.49 Median $44.67 Typical High $87.10 | Professional | None (both parts) | $13.49 | $44.67 | $87.10 |
UPMC Health Plan Setting Facility Modifier None Typical Low $38.90 Median $89.13 Typical High $151.36 | Facility | None | $38.90 | $89.13 | $151.36 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $38.90 Median $38.90 Typical High $40.74 | Professional | None (both parts) | $38.90 | $38.90 | $40.74 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $11.48 Typical High $12.02 | Professional | 26 · Professional part | $11.48 | $11.48 | $12.02 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $26.92 Typical High $28.84 | Professional | TC · Technical part | $26.92 | $26.92 | $28.84 |
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 $33.88 Median $40.74 Typical High $74.13 | Professional | None (both parts) | $33.88 | $40.74 | $74.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $12.59 Typical High $23.44 | Professional | 26 · Professional part | $9.77 | $12.59 | $23.44 |
United Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $28.18 Typical High $51.29 | Professional | TC · Technical part | $23.99 | $28.18 | $51.29 |
6 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 52 · Reduced service Typical Low $17.38 Median $20.42 Typical High $21.38 | Professional | 52 · Reduced service | $17.38 | $20.42 | $21.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.92 Median $8.13 Typical High $8.51 | Professional | 53 · Discontinued | $6.92 | $8.13 | $8.51 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $27.54 Median $32.36 Typical High $33.88 | Professional | FX · Film X-ray | $27.54 | $32.36 | $33.88 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $17.38 Median $20.42 Typical High $21.38 | Professional | 52 · Reduced service | $17.38 | $20.42 | $21.38 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $6.92 Median $8.13 Typical High $8.51 | Professional | 53 · Discontinued | $6.92 | $8.13 | $8.51 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $27.54 Median $32.36 Typical High $33.88 | Professional | FX · Film X-ray | $27.54 | $32.36 | $33.88 |
Where Pennsylvania sits
The same service costs 3.7 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· 39th of 51
$42.66
AK $123UT $33.11
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.