How much rates vary
Facilitymedian $100 · 10th to 90th $32 to $372Professionalmedian $33 · 10th to 90th $26 to $63
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 $29.51 Median $66.07 Typical High $426.58 | Facility | None | $29.51 | $66.07 | $426.58 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $7.24 Median $9.77 Typical High $16.22 | Facility | 26 · Professional part | $7.24 | $9.77 | $16.22 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $20.89 Median $27.54 Typical High $69.18 | Facility | TC · Technical part | $20.89 | $27.54 | $69.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $26.30 Median $32.36 Typical High $47.86 | Professional | None (both parts) | $26.30 | $32.36 | $47.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $7.94 Typical High $12.30 | Professional | 26 · Professional part | $6.76 | $7.94 | $12.30 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $23.99 Typical High $35.48 | Professional | TC · Technical part | $19.50 | $23.99 | $35.48 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $22.39 Median $35.48 Typical High $46.77 | Professional | None (both parts) | $22.39 | $35.48 | $46.77 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $6.61 Median $13.18 Typical High $15.49 | Professional | 26 · Professional part | $6.61 | $13.18 | $15.49 |
AmeriHealth Setting Facility Modifier None Typical Low $33.88 Median $81.28 Typical High $2,089.30 | Facility | None | $33.88 | $81.28 | $2,089.30 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $39.81 Median $40.74 Typical High $48.98 | Professional | None (both parts) | $39.81 | $40.74 | $48.98 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $10.00 Typical High $12.88 | Professional | 26 · Professional part | $10.00 | $10.00 | $12.88 |
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 $97.72 Median $120.23 Typical High $5,011.87 | Facility | TC · Technical part | $97.72 | $120.23 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $31.62 Median $44.67 Typical High $64.57 | Professional | None (both parts) | $31.62 | $44.67 | $64.57 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $13.80 Typical High $20.42 | Professional | 26 · Professional part | $7.94 | $13.80 | $20.42 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $30.90 Typical High $44.67 | Professional | TC · Technical part | $23.44 | $30.90 | $44.67 |
Cigna Setting Facility Modifier None Typical Low $30.20 Median $79.43 Typical High $269.15 | Facility | None | $30.20 | $79.43 | $269.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $18.20 Median $28.18 Typical High $53.70 | Professional | None (both parts) | $18.20 | $28.18 | $53.70 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $4.79 Median $8.51 Typical High $15.14 | Professional | 26 · Professional part | $4.79 | $8.51 | $15.14 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $13.49 Median $19.50 Typical High $40.74 | Professional | TC · Technical part | $13.49 | $19.50 | $40.74 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $39.81 Median $47.86 Typical High $58.88 | Professional | None (both parts) | $39.81 | $47.86 | $58.88 |
Geisinger Setting Facility Modifier None Typical Low $30.90 Median $30.90 Typical High $30.90 | Facility | None | $30.90 | $30.90 | $30.90 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $21.38 Median $34.67 Typical High $66.07 | Professional | None (both parts) | $21.38 | $34.67 | $66.07 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $6.46 Median $9.12 Typical High $16.98 | Professional | 26 · Professional part | $6.46 | $9.12 | $16.98 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $14.45 Median $26.30 Typical High $46.77 | Professional | TC · Technical part | $14.45 | $26.30 | $46.77 |
Highmark BCBS Setting Facility Modifier None Typical Low $89.13 Median $199.53 Typical High $363.08 | Facility | None | $89.13 | $199.53 | $363.08 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $31.62 Median $38.02 Typical High $45.71 | Professional | None (both parts) | $31.62 | $38.02 | $45.71 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $9.12 Typical High $14.13 | Professional | 26 · Professional part | $8.13 | $9.12 | $14.13 |
Independence Blue Cross Setting Facility Modifier None Typical Low $56.23 Median $85.11 Typical High $3,019.95 | Facility | None | $56.23 | $85.11 | $3,019.95 |
Independence Blue Cross Setting Professional Modifier None (both parts) Typical Low $38.90 Median $40.74 Typical High $43.65 | Professional | None (both parts) | $38.90 | $40.74 | $43.65 |
Independence Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $10.00 Typical High $14.13 | Professional | 26 · Professional part | $10.00 | $10.00 | $14.13 |
Martin's Point Setting Facility Modifier None Typical Low $29.51 Median $67.61 Typical High $436.52 | Facility | None | $29.51 | $67.61 | $436.52 |
Martin's Point Setting Facility Modifier 26 · Professional part Typical Low $7.24 Median $9.77 Typical High $16.22 | Facility | 26 · Professional part | $7.24 | $9.77 | $16.22 |
Martin's Point Setting Facility Modifier TC · Technical part Typical Low $20.89 Median $26.92 Typical High $89.13 | Facility | TC · Technical part | $20.89 | $26.92 | $89.13 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $26.30 Median $31.62 Typical High $47.86 | Professional | None (both parts) | $26.30 | $31.62 | $47.86 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $7.94 Typical High $12.02 | Professional | 26 · Professional part | $6.76 | $7.94 | $12.02 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $23.44 Typical High $35.48 | Professional | TC · Technical part | $19.50 | $23.44 | $35.48 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $8.91 Median $35.48 Typical High $61.66 | Professional | None (both parts) | $8.91 | $35.48 | $61.66 |
UPMC Health Plan Setting Facility Modifier None Typical Low $28.18 Median $74.13 Typical High $117.49 | Facility | None | $28.18 | $74.13 | $117.49 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $28.18 Median $28.18 Typical High $30.90 | Professional | None (both parts) | $28.18 | $28.18 | $30.90 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $8.51 Typical High $8.51 | Professional | 26 · Professional part | $7.94 | $8.51 | $8.51 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $19.95 Typical High $22.91 | Professional | TC · Technical part | $19.95 | $19.95 | $22.91 |
United Setting Facility Modifier None Typical Low $120.23 Median $257.04 Typical High $295.12 | Facility | None | $120.23 | $257.04 | $295.12 |
United Setting Professional Modifier None (both parts) Typical Low $24.55 Median $31.62 Typical High $56.23 | Professional | None (both parts) | $24.55 | $31.62 | $56.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $8.51 Typical High $15.85 | Professional | 26 · Professional part | $7.41 | $8.51 | $15.85 |
United Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $22.91 Typical High $40.74 | Professional | TC · Technical part | $17.78 | $22.91 | $40.74 |
7 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 $13.18 Median $15.14 Typical High $16.22 | Professional | 52 · Reduced service | $13.18 | $15.14 | $16.22 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.25 Median $6.03 Typical High $6.46 | Professional | 53 · Discontinued | $5.25 | $6.03 | $6.46 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $21.38 Median $24.55 Typical High $26.30 | Professional | FX · Film X-ray | $21.38 | $24.55 | $26.30 |
Capital Blue Cross Setting Professional Modifier 50 · Both sides Typical Low $63.10 Median $89.13 Typical High $131.83 | Professional | 50 · Both sides | $63.10 | $89.13 | $131.83 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $13.18 Median $15.14 Typical High $16.22 | Professional | 52 · Reduced service | $13.18 | $15.14 | $16.22 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $5.25 Median $6.17 Typical High $6.46 | Professional | 53 · Discontinued | $5.25 | $6.17 | $6.46 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $21.38 Median $24.55 Typical High $26.30 | Professional | FX · Film X-ray | $21.38 | $24.55 | $26.30 |
Where Pennsylvania sits
The same service costs 6.0 times more in Vermont 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· 37th of 51
$33.11
VT $155FL $25.70
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.