How much rates vary
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 $245.47 Median $549.54 Typical High $1,258.93 | Facility | None | $245.47 | $549.54 | $1,258.93 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $158.49 Median $162.18 Typical High $758.58 | Facility | TC · Technical part | $158.49 | $162.18 | $758.58 |
Aetna Setting Professional Modifier None (both parts) Typical Low $239.88 Median $295.12 Typical High $446.68 | Professional | None (both parts) | $239.88 | $295.12 | $446.68 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $91.20 Typical High $93.33 | Professional | 26 · Professional part | $79.43 | $91.20 | $93.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $204.17 Typical High $354.81 | Professional | TC · Technical part | $158.49 | $204.17 | $354.81 |
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 26 · Professional part Typical Low $85.11 Median $147.91 Typical High $223.87 | Professional | 26 · Professional part | $85.11 | $147.91 | $223.87 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $281.84 Typical High $501.19 | Professional | TC · Technical part | $173.78 | $281.84 | $501.19 |
Cigna Setting Facility Modifier None Typical Low $331.13 Median $676.08 Typical High $1,071.52 | Facility | None | $331.13 | $676.08 | $1,071.52 |
Cigna Setting Professional Modifier None (both parts) Typical Low $263.03 Median $354.81 Typical High $707.95 | Professional | None (both parts) | $263.03 | $354.81 | $707.95 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $93.33 Typical High $165.96 | Professional | 26 · Professional part | $54.95 | $93.33 | $165.96 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $302.00 Typical High $537.03 | Professional | TC · Technical part | $190.55 | $302.00 | $537.03 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $309.03 Median $371.54 Typical High $467.74 | Professional | None (both parts) | $309.03 | $371.54 | $467.74 |
Geisinger Setting Facility Modifier None Typical Low $489.78 Median $562.34 Typical High $1,819.70 | Facility | None | $489.78 | $562.34 | $1,819.70 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $269.15 Median $389.05 Typical High $724.44 | Professional | None (both parts) | $269.15 | $389.05 | $724.44 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $100.00 Typical High $177.83 | Professional | 26 · Professional part | $74.13 | $100.00 | $177.83 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $281.84 Typical High $524.81 | Professional | TC · Technical part | $181.97 | $281.84 | $524.81 |
Highmark BCBS Setting Facility Modifier None Typical Low $338.84 Median $1,318.26 Typical High $1,949.84 | Facility | None | $338.84 | $1,318.26 | $1,949.84 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $354.81 Median $354.81 Typical High $354.81 | Professional | None (both parts) | $354.81 | $354.81 | $354.81 |
Martin's Point Setting Facility Modifier None Typical Low $245.47 Median $549.54 Typical High $2,344.23 | Facility | None | $245.47 | $549.54 | $2,344.23 |
Martin's Point Setting Facility Modifier TC · Technical part Typical Low $158.49 Median $162.18 Typical High $758.58 | Facility | TC · Technical part | $158.49 | $162.18 | $758.58 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $239.88 Median $295.12 Typical High $446.68 | Professional | None (both parts) | $239.88 | $295.12 | $446.68 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $91.20 Typical High $93.33 | Professional | 26 · Professional part | $79.43 | $91.20 | $93.33 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $204.17 Typical High $354.81 | Professional | TC · Technical part | $158.49 | $204.17 | $354.81 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $323.59 Median $323.59 Typical High $1,148.15 | Professional | None (both parts) | $323.59 | $323.59 | $1,148.15 |
UPMC Health Plan Setting Facility Modifier None Typical Low $251.19 Median $707.95 Typical High $1,288.25 | Facility | None | $251.19 | $707.95 | $1,288.25 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $251.19 Median $380.19 Typical High $380.19 | Professional | None (both parts) | $251.19 | $380.19 | $380.19 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $93.33 Typical High $93.33 | Professional | 26 · Professional part | $83.18 | $93.33 | $93.33 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $288.40 Typical High $288.40 | Professional | TC · Technical part | $169.82 | $288.40 | $288.40 |
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 $281.84 Median $389.05 Typical High $616.60 | Professional | None (both parts) | $281.84 | $389.05 | $616.60 |
United Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $89.13 Typical High $165.96 | Professional | 26 · Professional part | $77.62 | $89.13 | $165.96 |
United Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $263.03 Typical High $478.63 | Professional | TC · Technical part | $199.53 | $263.03 | $478.63 |
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 $79.43 Median $120.23 Typical High $467.74 | Facility | 52 · Reduced service | $79.43 | $120.23 | $467.74 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $31.62 Median $47.86 Typical High $190.55 | Facility | 53 · Discontinued | $31.62 | $47.86 | $190.55 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $120.23 Median $144.54 Typical High $158.49 | Professional | 52 · Reduced service | $120.23 | $144.54 | $158.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $57.54 Typical High $63.10 | Professional | 53 · Discontinued | $47.86 | $57.54 | $63.10 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $204.17 Median $234.42 Typical High $251.19 | Professional | CT · Older CT scanner | $204.17 | $234.42 | $251.19 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $190.55 Median $218.78 Typical High $239.88 | Professional | FX · Film X-ray | $190.55 | $218.78 | $239.88 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $120.23 Median $138.04 Typical High $147.91 | Professional | 52 · Reduced service | $120.23 | $138.04 | $147.91 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $54.95 Typical High $58.88 | Professional | 53 · Discontinued | $47.86 | $54.95 | $58.88 |
Martin's Point Setting Professional Modifier CT · Older CT scanner Typical Low $204.17 Median $234.42 Typical High $251.19 | Professional | CT · Older CT scanner | $204.17 | $234.42 | $251.19 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $190.55 Median $218.78 Typical High $239.88 | Professional | FX · Film X-ray | $190.55 | $218.78 | $239.88 |
Where Pennsylvania sits
The same service costs 5.8 times more in Alaska than in Texas. 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· 43rd of 51
$324
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.