How much rates vary
Facilitymedian $79 · 10th to 90th $21 to $347Professionalmedian $23 · 10th to 90th $18 to $46
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 $21.38 Median $31.62 Typical High $173.78 | Facility | None | $21.38 | $31.62 | $173.78 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $7.24 Median $10.00 Typical High $17.38 | Facility | 26 · Professional part | $7.24 | $10.00 | $17.38 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $12.02 Median $18.20 Typical High $173.78 | Facility | TC · Technical part | $12.02 | $18.20 | $173.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $17.78 Median $21.38 Typical High $32.36 | Professional | None (both parts) | $17.78 | $21.38 | $32.36 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.31 Median $7.24 Typical High $10.96 | Professional | 26 · Professional part | $6.31 | $7.24 | $10.96 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $11.48 Median $14.45 Typical High $21.38 | Professional | TC · Technical part | $11.48 | $14.45 | $21.38 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $14.45 Median $37.15 Typical High $37.15 | Professional | None (both parts) | $14.45 | $37.15 | $37.15 |
AmeriHealth Setting Facility Modifier None Typical Low $36.31 Median $3,311.31 Typical High $5,623.41 | Facility | None | $36.31 | $3,311.31 | $5,623.41 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $26.92 Median $26.92 Typical High $34.67 | Professional | None (both parts) | $26.92 | $26.92 | $34.67 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $9.33 Typical High $14.79 | Professional | 26 · Professional part | $9.33 | $9.33 | $14.79 |
Capital Blue Cross Setting Facility Modifier None Typical Low $85.11 Median $104.71 Typical High $5,011.87 | Facility | None | $85.11 | $104.71 | $5,011.87 |
Capital Blue Cross Setting Facility Modifier TC · Technical part Typical Low $81.28 Median $100.00 Typical High $5,011.87 | Facility | TC · Technical part | $81.28 | $100.00 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $20.89 Median $33.88 Typical High $53.70 | Professional | None (both parts) | $20.89 | $33.88 | $53.70 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $12.88 Typical High $19.50 | Professional | 26 · Professional part | $7.41 | $12.88 | $19.50 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $13.80 Median $22.39 Typical High $33.88 | Professional | TC · Technical part | $13.80 | $22.39 | $33.88 |
Cigna Setting Facility Modifier None Typical Low $17.78 Median $45.71 Typical High $269.15 | Facility | None | $17.78 | $45.71 | $269.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $16.22 Median $22.39 Typical High $40.74 | Professional | None (both parts) | $16.22 | $22.39 | $40.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $4.57 Median $7.94 Typical High $14.13 | Professional | 26 · Professional part | $4.57 | $7.94 | $14.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $11.22 Median $14.45 Typical High $26.92 | Professional | TC · Technical part | $11.22 | $14.45 | $26.92 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $25.70 Median $30.90 Typical High $38.90 | Professional | None (both parts) | $25.70 | $30.90 | $38.90 |
Geisinger Setting Facility Modifier None Typical Low $28.18 Median $28.18 Typical High $28.18 | Facility | None | $28.18 | $28.18 | $28.18 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $19.50 Median $25.70 Typical High $48.98 | Professional | None (both parts) | $19.50 | $25.70 | $48.98 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $6.17 Median $8.51 Typical High $15.85 | Professional | 26 · Professional part | $6.17 | $8.51 | $15.85 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $12.88 Median $16.98 Typical High $33.11 | Professional | TC · Technical part | $12.88 | $16.98 | $33.11 |
Highmark BCBS Setting Facility Modifier None Typical Low $91.20 Median $169.82 Typical High $346.74 | Facility | None | $91.20 | $169.82 | $346.74 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $16.22 Median $26.30 Typical High $29.51 | Professional | None (both parts) | $16.22 | $26.30 | $29.51 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $8.71 Typical High $12.59 | Professional | 26 · Professional part | $7.59 | $8.71 | $12.59 |
Independence Blue Cross Setting Facility Modifier None Typical Low $36.31 Median $3,311.31 Typical High $5,623.41 | Facility | None | $36.31 | $3,311.31 | $5,623.41 |
Independence Blue Cross Setting Professional Modifier None (both parts) Typical Low $26.92 Median $26.92 Typical High $30.90 | Professional | None (both parts) | $26.92 | $26.92 | $30.90 |
Independence Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $9.33 Typical High $14.13 | Professional | 26 · Professional part | $9.33 | $9.33 | $14.13 |
Martin's Point Setting Facility Modifier None Typical Low $21.38 Median $32.36 Typical High $173.78 | Facility | None | $21.38 | $32.36 | $173.78 |
Martin's Point Setting Facility Modifier TC · Technical part Typical Low $12.02 Median $20.42 Typical High $173.78 | Facility | TC · Technical part | $12.02 | $20.42 | $173.78 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $17.78 Median $21.38 Typical High $31.62 | Professional | None (both parts) | $17.78 | $21.38 | $31.62 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $6.31 Median $7.24 Typical High $10.47 | Professional | 26 · Professional part | $6.31 | $7.24 | $10.47 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $11.48 Median $14.45 Typical High $20.89 | Professional | TC · Technical part | $11.48 | $14.45 | $20.89 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $7.94 Median $21.38 Typical High $42.66 | Professional | None (both parts) | $7.94 | $21.38 | $42.66 |
UPMC Health Plan Setting Facility Modifier None Typical Low $20.89 Median $66.07 Typical High $109.65 | Facility | None | $20.89 | $66.07 | $109.65 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $20.89 Median $26.30 Typical High $26.30 | Professional | None (both parts) | $20.89 | $26.30 | $26.30 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $7.94 Typical High $7.94 | Professional | 26 · Professional part | $7.24 | $7.94 | $7.94 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $13.49 Median $18.62 Typical High $18.62 | Professional | TC · Technical part | $13.49 | $18.62 | $18.62 |
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 $18.62 Median $22.91 Typical High $38.90 | Professional | None (both parts) | $18.62 | $22.91 | $38.90 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $7.76 Typical High $14.45 | Professional | 26 · Professional part | $6.76 | $7.76 | $14.45 |
United Setting Professional Modifier TC · Technical part Typical Low $11.48 Median $14.45 Typical High $25.12 | Professional | TC · Technical part | $11.48 | $14.45 | $25.12 |
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 $8.91 Median $10.23 Typical High $10.72 | Professional | 52 · Reduced service | $8.91 | $10.23 | $10.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.55 Median $4.17 Typical High $4.37 | Professional | 53 · Discontinued | $3.55 | $4.17 | $4.37 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $14.13 Median $16.60 Typical High $17.38 | Professional | FX · Film X-ray | $14.13 | $16.60 | $17.38 |
Capital Blue Cross Setting Professional Modifier 50 · Both sides Typical Low $41.69 Median $67.61 Typical High $107.15 | Professional | 50 · Both sides | $41.69 | $67.61 | $107.15 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $8.91 Median $10.23 Typical High $10.72 | Professional | 52 · Reduced service | $8.91 | $10.23 | $10.72 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $3.55 Median $4.17 Typical High $4.37 | Professional | 53 · Discontinued | $3.55 | $4.17 | $4.37 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $14.13 Median $16.60 Typical High $17.38 | Professional | FX · Film X-ray | $14.13 | $16.60 | $17.38 |
Where Pennsylvania sits
The same service costs 3.7 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· 39th of 51
$23.44
AK $64.57FL $17.38
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.