How much rates vary
Facilitymedian $1,047 · 10th to 90th $427 to $2,455Professionalmedian $427 · 10th to 90th $331 to $933
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 $1,513.56 Typical High $2,187.76 | Facility | None | $426.58 | $1,513.56 | $2,187.76 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $263.03 Median $263.03 Typical High $977.24 | Facility | TC · Technical part | $263.03 | $263.03 | $977.24 |
Aetna Setting Professional Modifier None (both parts) Typical Low $346.74 Median $426.58 Typical High $524.81 | Professional | None (both parts) | $346.74 | $426.58 | $524.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $125.89 Typical High $141.25 | Professional | 26 · Professional part | $85.11 | $125.89 | $141.25 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $302.00 Typical High $371.54 | Professional | TC · Technical part | $263.03 | $302.00 | $371.54 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | 26 · Professional part | $100.00 | $100.00 | $100.00 |
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 $331.13 Median $588.84 Typical High $933.25 | Professional | None (both parts) | $331.13 | $588.84 | $933.25 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $144.54 Typical High $223.87 | Professional | 26 · Professional part | $85.11 | $144.54 | $223.87 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $457.09 Typical High $724.44 | Professional | TC · Technical part | $245.47 | $457.09 | $724.44 |
Cigna Setting Facility Modifier None Typical Low $489.78 Median $870.96 Typical High $1,348.96 | Facility | None | $489.78 | $870.96 | $1,348.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $295.12 Median $398.11 Typical High $794.33 | Professional | None (both parts) | $295.12 | $398.11 | $794.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $91.20 Typical High $162.18 | Professional | 26 · Professional part | $54.95 | $91.20 | $162.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $346.74 Typical High $616.60 | Professional | TC · Technical part | $218.78 | $346.74 | $616.60 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $398.11 Median $478.63 Typical High $602.56 | Professional | None (both parts) | $398.11 | $478.63 | $602.56 |
Geisinger Setting Facility Modifier None Typical Low $831.76 Median $1,949.84 Typical High $3,981.07 | Facility | None | $831.76 | $1,949.84 | $3,981.07 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $346.74 Median $467.74 Typical High $891.25 | Professional | None (both parts) | $346.74 | $467.74 | $891.25 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $100.00 Typical High $181.97 | Professional | 26 · Professional part | $72.44 | $100.00 | $181.97 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $354.81 Typical High $691.83 | Professional | TC · Technical part | $257.04 | $354.81 | $691.83 |
Highmark BCBS Setting Facility Modifier None Typical Low $1,905.46 Median $1,905.46 Typical High $1,949.84 | Facility | None | $1,905.46 | $1,905.46 | $1,949.84 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $707.95 Median $707.95 Typical High $741.31 | Professional | None (both parts) | $707.95 | $707.95 | $741.31 |
Martin's Point Setting Facility Modifier None Typical Low $426.58 Median $1,548.82 Typical High $2,570.40 | Facility | None | $426.58 | $1,548.82 | $2,570.40 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $346.74 Median $426.58 Typical High $524.81 | Professional | None (both parts) | $346.74 | $426.58 | $524.81 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $125.89 Typical High $141.25 | Professional | 26 · Professional part | $85.11 | $125.89 | $141.25 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $302.00 Typical High $354.81 | Professional | TC · Technical part | $263.03 | $302.00 | $354.81 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $89.13 Median $338.84 Typical High $676.08 | Professional | None (both parts) | $89.13 | $338.84 | $676.08 |
UPMC Health Plan Setting Facility Modifier None Typical Low $338.84 Median $954.99 Typical High $1,995.26 | Facility | None | $338.84 | $954.99 | $1,995.26 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $338.84 Median $537.03 Typical High $537.03 | Professional | None (both parts) | $338.84 | $537.03 | $537.03 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $100.00 Typical High $100.00 | Professional | 26 · Professional part | $83.18 | $100.00 | $100.00 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $436.52 Typical High $436.52 | Professional | TC · Technical part | $257.04 | $436.52 | $436.52 |
United Setting Professional Modifier None (both parts) Typical Low $295.12 Median $436.52 Typical High $724.44 | Professional | None (both parts) | $295.12 | $436.52 | $724.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $89.13 Typical High $165.96 | Professional | 26 · Professional part | $70.79 | $89.13 | $165.96 |
United Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $331.13 Typical High $575.44 | Professional | TC · Technical part | $223.87 | $331.13 | $575.44 |
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 $131.83 Median $173.78 Typical High $630.96 | Facility | 52 · Reduced service | $131.83 | $173.78 | $630.96 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $52.48 Median $69.18 Typical High $251.19 | Facility | 53 · Discontinued | $52.48 | $69.18 | $251.19 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $173.78 Median $213.80 Typical High $213.80 | Professional | 52 · Reduced service | $173.78 | $213.80 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $69.18 Median $85.11 Typical High $85.11 | Professional | 53 · Discontinued | $69.18 | $85.11 | $85.11 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $275.42 Median $338.84 Typical High $338.84 | Professional | FX · Film X-ray | $275.42 | $338.84 | $338.84 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $173.78 Median $213.80 Typical High $213.80 | Professional | 52 · Reduced service | $173.78 | $213.80 | $213.80 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $69.18 Median $85.11 Typical High $85.11 | Professional | 53 · Discontinued | $69.18 | $85.11 | $85.11 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $275.42 Median $338.84 Typical High $338.84 | Professional | FX · Film X-ray | $275.42 | $338.84 | $338.84 |
Where Pennsylvania sits
The same service costs 5.6 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· 42nd of 51
$427
WY $1,380UT $245
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.