How much rates vary
Facilitymedian $427 · 10th to 90th $117 to $2,570Professionalmedian $117 · 10th to 90th $95 to $229
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 $117.49 Median $251.19 Typical High $426.58 | Facility | None | $117.49 | $251.19 | $426.58 |
Aetna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $112.20 Typical High $117.49 | Professional | None (both parts) | $95.50 | $112.20 | $117.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $42.66 Typical High $43.65 | Professional | 26 · Professional part | $37.15 | $42.66 | $43.65 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $70.79 Typical High $74.13 | Professional | TC · Technical part | $58.88 | $70.79 | $74.13 |
Capital Blue Cross Setting Facility Modifier None Typical Low $4,265.80 Median $5,011.87 Typical High $8,709.64 | Facility | None | $4,265.80 | $5,011.87 | $8,709.64 |
Capital Blue Cross Setting Facility Modifier TC · Technical part Typical Low $588.84 Median $724.44 Typical High $5,011.87 | Facility | TC · Technical part | $588.84 | $724.44 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $162.18 Median $181.97 Typical High $199.53 | Professional | None (both parts) | $162.18 | $181.97 | $199.53 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $44.67 Typical High $89.13 | Professional | 26 · Professional part | $43.65 | $44.67 | $89.13 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $67.61 Typical High $120.23 | Professional | TC · Technical part | $64.57 | $67.61 | $120.23 |
Cigna Setting Facility Modifier None Typical Low $87.10 Median $229.09 Typical High $2,398.83 | Facility | None | $87.10 | $229.09 | $2,398.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $123.03 Typical High $251.19 | Professional | None (both parts) | $89.13 | $123.03 | $251.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $46.77 Typical High $83.18 | Professional | 26 · Professional part | $27.54 | $46.77 | $83.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $97.72 Typical High $173.78 | Professional | TC · Technical part | $48.98 | $97.72 | $173.78 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $134.90 Median $158.49 Typical High $199.53 | Professional | None (both parts) | $134.90 | $158.49 | $199.53 |
Geisinger Setting Facility Modifier None Typical Low $281.84 Median $281.84 Typical High $281.84 | Facility | None | $281.84 | $281.84 | $281.84 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $114.82 Median $169.82 Typical High $309.03 | Professional | None (both parts) | $114.82 | $169.82 | $309.03 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $50.12 Typical High $93.33 | Professional | 26 · Professional part | $36.31 | $50.12 | $93.33 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $112.20 Typical High $190.55 | Professional | TC · Technical part | $69.18 | $112.20 | $190.55 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $53.70 Typical High $64.57 | Professional | 26 · Professional part | $53.70 | $53.70 | $64.57 |
Martin's Point Setting Facility Modifier None Typical Low $117.49 Median $251.19 Typical High $426.58 | Facility | None | $117.49 | $251.19 | $426.58 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $95.50 Median $112.20 Typical High $117.49 | Professional | None (both parts) | $95.50 | $112.20 | $117.49 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $42.66 Typical High $43.65 | Professional | 26 · Professional part | $37.15 | $42.66 | $43.65 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $69.18 Typical High $74.13 | Professional | TC · Technical part | $58.88 | $69.18 | $74.13 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $46.77 Median $112.20 Typical High $281.84 | Professional | None (both parts) | $46.77 | $112.20 | $281.84 |
UPMC Health Plan Setting Facility Modifier None Typical Low $112.20 Median $524.81 Typical High $1,096.48 | Facility | None | $112.20 | $524.81 | $1,096.48 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $112.20 Median $229.09 Typical High $229.09 | Professional | None (both parts) | $112.20 | $229.09 | $229.09 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $48.98 Typical High $48.98 | Professional | 26 · Professional part | $43.65 | $48.98 | $48.98 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $181.97 Typical High $181.97 | Professional | TC · Technical part | $67.61 | $181.97 | $181.97 |
United Setting Facility Modifier None Typical Low $1,071.52 Median $2,290.87 Typical High $2,630.27 | Facility | None | $1,071.52 | $2,290.87 | $2,630.27 |
United Setting Professional Modifier None (both parts) Typical Low $97.72 Median $131.83 Typical High $229.09 | Professional | None (both parts) | $97.72 | $131.83 | $229.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $45.71 Typical High $85.11 | Professional | 26 · Professional part | $40.74 | $45.71 | $85.11 |
United Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $74.13 Typical High $177.83 | Professional | TC · Technical part | $56.23 | $74.13 | $177.83 |
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 $47.86 Median $56.23 Typical High $58.88 | Professional | 52 · Reduced service | $47.86 | $56.23 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $22.39 Typical High $23.44 | Professional | 53 · Discontinued | $19.05 | $22.39 | $23.44 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $77.62 Median $89.13 Typical High $93.33 | Professional | FX · Film X-ray | $77.62 | $89.13 | $93.33 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $47.86 Median $56.23 Typical High $58.88 | Professional | 52 · Reduced service | $47.86 | $56.23 | $58.88 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $22.39 Typical High $23.44 | Professional | 53 · Discontinued | $19.05 | $22.39 | $23.44 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $77.62 Median $89.13 Typical High $93.33 | Professional | FX · Film X-ray | $77.62 | $89.13 | $93.33 |
Where Pennsylvania sits
The same service costs 4.6 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· 45th of 51
$117
AK $347UT $75.86
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.