How much rates vary
Facilitymedian $407 · 10th to 90th $117 to $2,570Professionalmedian $107 · 10th to 90th $98 to $204
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 $120.23 Median $239.88 Typical High $407.38 | Facility | None | $120.23 | $239.88 | $407.38 |
Aetna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $114.82 Typical High $120.23 | Professional | None (both parts) | $97.72 | $114.82 | $120.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $43.65 Typical High $43.65 | Professional | 26 · Professional part | $38.02 | $43.65 | $43.65 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $70.79 Typical High $75.86 | Professional | TC · Technical part | $60.26 | $70.79 | $75.86 |
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 $524.81 Median $645.65 Typical High $5,011.87 | Facility | TC · Technical part | $524.81 | $645.65 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $102.33 Median $107.15 Typical High $177.83 | Professional | None (both parts) | $102.33 | $107.15 | $177.83 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $44.67 Typical High $91.20 | Professional | 26 · Professional part | $42.66 | $44.67 | $91.20 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $63.10 Typical High $117.49 | Professional | TC · Technical part | $60.26 | $63.10 | $117.49 |
Cigna Setting Facility Modifier None Typical Low $81.28 Median $218.78 Typical High $2,398.83 | Facility | None | $81.28 | $218.78 | $2,398.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $114.82 Typical High $239.88 | Professional | None (both parts) | $87.10 | $114.82 | $239.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $46.77 Typical High $85.11 | Professional | 26 · Professional part | $26.92 | $46.77 | $85.11 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $87.10 Typical High $158.49 | Professional | TC · Technical part | $47.86 | $87.10 | $158.49 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $123.03 Median $147.91 Typical High $186.21 | Professional | None (both parts) | $123.03 | $147.91 | $186.21 |
Geisinger Setting Facility Modifier None Typical Low $257.04 Median $257.04 Typical High $257.04 | Facility | None | $257.04 | $257.04 | $257.04 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $107.15 Median $158.49 Typical High $288.40 | Professional | None (both parts) | $107.15 | $158.49 | $288.40 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $48.98 Typical High $91.20 | Professional | 26 · Professional part | $36.31 | $48.98 | $91.20 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $107.15 Typical High $177.83 | Professional | TC · Technical part | $63.10 | $107.15 | $177.83 |
Martin's Point Setting Facility Modifier None Typical Low $120.23 Median $239.88 Typical High $407.38 | Facility | None | $120.23 | $239.88 | $407.38 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $97.72 Median $114.82 Typical High $120.23 | Professional | None (both parts) | $97.72 | $114.82 | $120.23 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $43.65 Typical High $43.65 | Professional | 26 · Professional part | $38.02 | $43.65 | $43.65 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $70.79 Typical High $75.86 | Professional | TC · Technical part | $60.26 | $70.79 | $75.86 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $45.71 Median $100.00 Typical High $263.03 | Professional | None (both parts) | $45.71 | $100.00 | $263.03 |
UPMC Health Plan Setting Facility Modifier None Typical Low $114.82 Median $489.78 Typical High $1,071.52 | Facility | None | $114.82 | $489.78 | $1,071.52 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $114.82 Median $213.80 Typical High $213.80 | Professional | None (both parts) | $114.82 | $213.80 | $213.80 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $48.98 Typical High $48.98 | Professional | 26 · Professional part | $45.71 | $48.98 | $48.98 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $165.96 Typical High $165.96 | Professional | TC · Technical part | $70.79 | $165.96 | $165.96 |
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 $100.00 Median $125.89 Typical High $218.78 | Professional | None (both parts) | $100.00 | $125.89 | $218.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $47.86 Typical High $89.13 | Professional | 26 · Professional part | $39.81 | $47.86 | $89.13 |
United Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $72.44 Typical High $162.18 | Professional | TC · Technical part | $56.23 | $72.44 | $162.18 |
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 $48.98 Median $57.54 Typical High $60.26 | Professional | 52 · Reduced service | $48.98 | $57.54 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $22.91 Typical High $23.99 | Professional | 53 · Discontinued | $19.50 | $22.91 | $23.99 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $77.62 Median $91.20 Typical High $95.50 | Professional | FX · Film X-ray | $77.62 | $91.20 | $95.50 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $48.98 Median $57.54 Typical High $58.88 | Professional | 52 · Reduced service | $48.98 | $57.54 | $58.88 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $22.91 Typical High $23.99 | Professional | 53 · Discontinued | $19.50 | $22.91 | $23.99 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $77.62 Median $91.20 Typical High $95.50 | Professional | FX · Film X-ray | $77.62 | $91.20 | $95.50 |
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· 47th of 51
$107
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.