How much rates vary
Facilitymedian $955 · 10th to 90th $427 to $2,188Professionalmedian $398 · 10th to 90th $263 to $741
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 $426.58 Median $1,412.54 Typical High $2,187.76 | Facility | None | $426.58 | $1,412.54 | $2,187.76 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $194.98 Median $302.00 Typical High $891.25 | Facility | TC · Technical part | $194.98 | $302.00 | $891.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $281.84 Median $426.58 Typical High $549.54 | Professional | None (both parts) | $281.84 | $426.58 | $549.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $125.89 Typical High $154.88 | Professional | 26 · Professional part | $83.18 | $125.89 | $154.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $302.00 Typical High $371.54 | Professional | TC · Technical part | $194.98 | $302.00 | $371.54 |
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 $263.03 Median $275.42 Typical High $758.58 | Professional | None (both parts) | $263.03 | $275.42 | $758.58 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $85.11 Typical High $169.82 | Professional | 26 · Professional part | $81.28 | $85.11 | $169.82 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $190.55 Typical High $588.84 | Professional | TC · Technical part | $181.97 | $190.55 | $588.84 |
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 $234.42 Median $426.58 Typical High $812.83 | Professional | None (both parts) | $234.42 | $426.58 | $812.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $89.13 Typical High $158.49 | Professional | 26 · Professional part | $52.48 | $89.13 | $158.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $354.81 Typical High $645.65 | Professional | TC · Technical part | $162.18 | $354.81 | $645.65 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $323.59 Median $380.19 Typical High $478.63 | Professional | None (both parts) | $323.59 | $380.19 | $478.63 |
Geisinger Setting Facility Modifier None Typical Low $691.83 Median $758.58 Typical High $3,981.07 | Facility | None | $691.83 | $758.58 | $3,981.07 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $275.42 Median $426.58 Typical High $776.25 | Professional | None (both parts) | $275.42 | $426.58 | $776.25 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $95.50 Typical High $173.78 | Professional | 26 · Professional part | $70.79 | $95.50 | $173.78 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $323.59 Typical High $602.56 | Professional | TC · Technical part | $190.55 | $323.59 | $602.56 |
Highmark BCBS Setting Facility Modifier None Typical Low $1,000.00 Median $1,995.26 Typical High $3,548.13 | Facility | None | $1,000.00 | $1,995.26 | $3,548.13 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $575.44 Median $575.44 Typical High $575.44 | Professional | None (both parts) | $575.44 | $575.44 | $575.44 |
Martin's Point Setting Facility Modifier None Typical Low $426.58 Median $1,479.11 Typical High $2,187.76 | Facility | None | $426.58 | $1,479.11 | $2,187.76 |
Martin's Point Setting Facility Modifier TC · Technical part Typical Low $194.98 Median $295.12 Typical High $933.25 | Facility | TC · Technical part | $194.98 | $295.12 | $933.25 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $281.84 Median $426.58 Typical High $549.54 | Professional | None (both parts) | $281.84 | $426.58 | $549.54 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $125.89 Typical High $154.88 | Professional | 26 · Professional part | $83.18 | $125.89 | $154.88 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $302.00 Typical High $371.54 | Professional | TC · Technical part | $194.98 | $302.00 | $371.54 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $85.11 Median $275.42 Typical High $707.95 | Professional | None (both parts) | $85.11 | $275.42 | $707.95 |
UPMC Health Plan Setting Facility Modifier None Typical Low $269.15 Median $954.99 Typical High $1,949.84 | Facility | None | $269.15 | $954.99 | $1,949.84 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $269.15 Median $575.44 Typical High $575.44 | Professional | None (both parts) | $269.15 | $575.44 | $575.44 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $91.20 Typical High $91.20 | Professional | 26 · Professional part | $81.28 | $91.20 | $91.20 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $478.63 Typical High $478.63 | Professional | TC · Technical part | $190.55 | $478.63 | $478.63 |
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 $269.15 Median $371.54 Typical High $691.83 | Professional | None (both parts) | $269.15 | $371.54 | $691.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $87.10 Typical High $162.18 | Professional | 26 · Professional part | $75.86 | $87.10 | $162.18 |
United Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $257.04 Typical High $562.34 | Professional | TC · Technical part | $190.55 | $257.04 | $562.34 |
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 $97.72 Median $141.25 Typical High $524.81 | Facility | 52 · Reduced service | $97.72 | $141.25 | $524.81 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $39.81 Median $56.23 Typical High $208.93 | Facility | 53 · Discontinued | $39.81 | $56.23 | $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 $56.23 Median $85.11 Typical High $85.11 | Professional | 53 · Discontinued | $56.23 | $85.11 | $85.11 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $223.87 Median $338.84 Typical High $338.84 | Professional | FX · Film X-ray | $223.87 | $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 $56.23 Median $85.11 Typical High $85.11 | Professional | 53 · Discontinued | $56.23 | $85.11 | $85.11 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $223.87 Median $338.84 Typical High $338.84 | Professional | FX · Film X-ray | $223.87 | $338.84 | $338.84 |
Where Pennsylvania sits
The same service costs 5.6 times more in Wyoming 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· 37th of 51
$407
WY $1,072TX $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.