How much rates vary
Facilitymedian $550 · 10th to 90th $112 to $6,026Professionalmedian $112 · 10th to 90th $93 to $269
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 $112.20 Median $190.55 Typical High $331.13 | Facility | None | $112.20 | $190.55 | $331.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $109.65 Typical High $112.20 | Professional | None (both parts) | $93.33 | $109.65 | $112.20 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $38.90 Typical High $40.74 | Professional | 26 · Professional part | $33.88 | $38.90 | $40.74 |
Aetna 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 |
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 $630.96 Median $776.25 Typical High $5,011.87 | Facility | TC · Technical part | $630.96 | $776.25 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $154.88 Median $177.83 Typical High $194.98 | Professional | None (both parts) | $154.88 | $177.83 | $194.98 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $69.18 Typical High $104.71 | Professional | 26 · Professional part | $39.81 | $69.18 | $104.71 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $87.10 Typical High $125.89 | Professional | TC · Technical part | $67.61 | $87.10 | $125.89 |
Cigna Setting Facility Modifier None Typical Low $87.10 Median $239.88 Typical High $5,888.44 | Facility | None | $87.10 | $239.88 | $5,888.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $151.36 Typical High $275.42 | Professional | None (both parts) | $89.13 | $151.36 | $275.42 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $44.67 Typical High $77.62 | Professional | 26 · Professional part | $25.70 | $44.67 | $77.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $97.72 Typical High $194.98 | Professional | TC · Technical part | $52.48 | $97.72 | $194.98 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $144.54 Median $173.78 Typical High $218.78 | Professional | None (both parts) | $144.54 | $173.78 | $218.78 |
Geisinger Setting Facility Modifier None Typical Low $467.74 Median $467.74 Typical High $467.74 | Facility | None | $467.74 | $467.74 | $467.74 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $125.89 Median $213.80 Typical High $354.81 | Professional | None (both parts) | $125.89 | $213.80 | $354.81 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $46.77 Typical High $87.10 | Professional | 26 · Professional part | $33.88 | $46.77 | $87.10 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $144.54 Typical High $288.40 | Professional | TC · Technical part | $83.18 | $144.54 | $288.40 |
Highmark BCBS Setting Facility Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $4,677.35 | Facility | None | $1,584.89 | $1,584.89 | $4,677.35 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | 26 · Professional part | $51.29 | $51.29 | $51.29 |
Martin's Point Setting Facility Modifier None Typical Low $112.20 Median $190.55 Typical High $331.13 | Facility | None | $112.20 | $190.55 | $331.13 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $93.33 Median $109.65 Typical High $112.20 | Professional | None (both parts) | $93.33 | $109.65 | $112.20 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $38.90 Typical High $39.81 | Professional | 26 · Professional part | $33.88 | $38.90 | $39.81 |
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 $44.67 Median $125.89 Typical High $354.81 | Professional | None (both parts) | $44.67 | $125.89 | $354.81 |
UPMC Health Plan Setting Facility Modifier None Typical Low $107.15 Median $794.33 Typical High $3,630.78 | Facility | None | $107.15 | $794.33 | $3,630.78 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $107.15 Median $346.74 Typical High $346.74 | Professional | None (both parts) | $107.15 | $346.74 | $346.74 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $44.67 Typical High $44.67 | Professional | 26 · Professional part | $38.90 | $44.67 | $44.67 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $302.00 Typical High $302.00 | Professional | TC · Technical part | $67.61 | $302.00 | $302.00 |
United Setting Facility Modifier None Typical Low $2,691.53 Median $5,754.40 Typical High $6,606.93 | Facility | None | $2,691.53 | $5,754.40 | $6,606.93 |
United Setting Professional Modifier None (both parts) Typical Low $93.33 Median $128.82 Typical High $331.13 | Professional | None (both parts) | $93.33 | $128.82 | $331.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $42.66 Typical High $79.43 | Professional | 26 · Professional part | $37.15 | $42.66 | $79.43 |
United Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $75.86 Typical High $245.47 | Professional | TC · Technical part | $54.95 | $75.86 | $245.47 |
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 $46.77 Median $52.48 Typical High $56.23 | Professional | 52 · Reduced service | $46.77 | $52.48 | $56.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $21.38 Typical High $22.39 | Professional | 53 · Discontinued | $18.62 | $21.38 | $22.39 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $74.13 Median $87.10 Typical High $91.20 | Professional | FX · Film X-ray | $74.13 | $87.10 | $91.20 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $46.77 Median $52.48 Typical High $56.23 | Professional | 52 · Reduced service | $46.77 | $52.48 | $56.23 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $21.38 Typical High $22.39 | Professional | 53 · Discontinued | $18.62 | $21.38 | $22.39 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $74.13 Median $87.10 Typical High $91.20 | Professional | FX · Film X-ray | $74.13 | $87.10 | $91.20 |
Where Pennsylvania sits
The same service costs 4.0 times more in Alaska than in Florida. 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· 46th of 51
$115
AK $339FL $85.11
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.