How much rates vary
Facilitymedian $148 · 10th to 90th $40 to $347Professionalmedian $35 · 10th to 90th $28 to $66
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 $31.62 Median $91.20 Typical High $426.58 | Facility | None | $31.62 | $91.20 | $426.58 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $8.13 Median $10.96 Typical High $19.95 | Facility | 26 · Professional part | $8.13 | $10.96 | $19.95 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $21.88 Median $31.62 Typical High $323.59 | Facility | TC · Technical part | $21.88 | $31.62 | $323.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $28.18 Median $34.67 Typical High $52.48 | Professional | None (both parts) | $28.18 | $34.67 | $52.48 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $8.91 Typical High $13.80 | Professional | 26 · Professional part | $7.59 | $8.91 | $13.80 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $25.12 Typical High $38.02 | Professional | TC · Technical part | $20.89 | $25.12 | $38.02 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $26.30 Median $47.86 Typical High $61.66 | Professional | None (both parts) | $26.30 | $47.86 | $61.66 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $13.49 Typical High $15.49 | Professional | 26 · Professional part | $7.41 | $13.49 | $15.49 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $28.18 Typical High $40.74 | Professional | TC · Technical part | $18.20 | $28.18 | $40.74 |
AmeriHealth Setting Facility Modifier None Typical Low $37.15 Median $85.11 Typical High $199.53 | Facility | None | $37.15 | $85.11 | $199.53 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $36.31 Median $42.66 Typical High $67.61 | Professional | None (both parts) | $36.31 | $42.66 | $67.61 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $11.22 Typical High $19.95 | Professional | 26 · Professional part | $11.22 | $11.22 | $19.95 |
AmeriHealth Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $31.62 Typical High $38.02 | Professional | TC · Technical part | $30.90 | $31.62 | $38.02 |
Capital Blue Cross Setting Facility Modifier None Typical Low $19.50 Median $5,011.87 Typical High $8,709.64 | Facility | None | $19.50 | $5,011.87 | $8,709.64 |
Capital Blue Cross Setting Facility Modifier TC · Technical part Typical Low $107.15 Median $131.83 Typical High $5,011.87 | Facility | TC · Technical part | $107.15 | $131.83 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $33.88 Median $46.77 Typical High $69.18 | Professional | None (both parts) | $33.88 | $46.77 | $69.18 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $15.49 Typical High $22.91 | Professional | 26 · Professional part | $9.12 | $15.49 | $22.91 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $30.90 Typical High $45.71 | Professional | TC · Technical part | $23.99 | $30.90 | $45.71 |
Cigna Setting Facility Modifier None Typical Low $31.62 Median $79.43 Typical High $269.15 | Facility | None | $31.62 | $79.43 | $269.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $20.42 Median $29.51 Typical High $58.88 | Professional | None (both parts) | $20.42 | $29.51 | $58.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $5.62 Median $9.55 Typical High $17.38 | Professional | 26 · Professional part | $5.62 | $9.55 | $17.38 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $14.79 Median $20.42 Typical High $42.66 | Professional | TC · Technical part | $14.79 | $20.42 | $42.66 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $42.66 Median $51.29 Typical High $63.10 | Professional | None (both parts) | $42.66 | $51.29 | $63.10 |
Geisinger Setting Facility Modifier None Typical Low $33.88 Median $33.88 Typical High $33.88 | Facility | None | $33.88 | $33.88 | $33.88 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $23.99 Median $38.02 Typical High $72.44 | Professional | None (both parts) | $23.99 | $38.02 | $72.44 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $10.47 Typical High $19.50 | Professional | 26 · Professional part | $7.41 | $10.47 | $19.50 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $27.54 Typical High $52.48 | Professional | TC · Technical part | $15.85 | $27.54 | $52.48 |
Highmark BCBS Setting Facility Modifier None Typical Low $89.13 Median $190.55 Typical High $309.03 | Facility | None | $89.13 | $190.55 | $309.03 |
Highmark BCBS Setting Facility Modifier TC · Technical part Typical Low $120.23 Median $263.03 Typical High $426.58 | Facility | TC · Technical part | $120.23 | $263.03 | $426.58 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $34.67 Median $39.81 Typical High $47.86 | Professional | None (both parts) | $34.67 | $39.81 | $47.86 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $10.72 Typical High $16.60 | Professional | 26 · Professional part | $9.12 | $10.72 | $16.60 |
Independence Blue Cross Setting Facility Modifier None Typical Low $63.10 Median $89.13 Typical High $190.55 | Facility | None | $63.10 | $89.13 | $190.55 |
Independence Blue Cross Setting Professional Modifier None (both parts) Typical Low $36.31 Median $42.66 Typical High $63.10 | Professional | None (both parts) | $36.31 | $42.66 | $63.10 |
Independence Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $11.22 Typical High $79.43 | Professional | 26 · Professional part | $11.22 | $11.22 | $79.43 |
Independence Blue Cross Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $31.62 Typical High $36.31 | Professional | TC · Technical part | $30.90 | $31.62 | $36.31 |
Martin's Point Setting Facility Modifier None Typical Low $31.62 Median $123.03 Typical High $426.58 | Facility | None | $31.62 | $123.03 | $426.58 |
Martin's Point Setting Facility Modifier 26 · Professional part Typical Low $8.13 Median $10.96 Typical High $19.95 | Facility | 26 · Professional part | $8.13 | $10.96 | $19.95 |
Martin's Point Setting Facility Modifier TC · Technical part Typical Low $21.88 Median $37.15 Typical High $380.19 | Facility | TC · Technical part | $21.88 | $37.15 | $380.19 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $28.18 Median $33.88 Typical High $51.29 | Professional | None (both parts) | $28.18 | $33.88 | $51.29 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $8.91 Typical High $13.49 | Professional | 26 · Professional part | $7.59 | $8.91 | $13.49 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $25.12 Typical High $38.02 | Professional | TC · Technical part | $20.89 | $25.12 | $38.02 |
Oscar Health Setting Facility Modifier None Typical Low $645.65 Median $660.69 Typical High $1,096.48 | Facility | None | $645.65 | $660.69 | $1,096.48 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $9.77 Median $36.31 Typical High $66.07 | Professional | None (both parts) | $9.77 | $36.31 | $66.07 |
UPMC Health Plan Setting Facility Modifier None Typical Low $31.62 Median $69.18 Typical High $112.20 | Facility | None | $31.62 | $69.18 | $112.20 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $31.62 Median $31.62 Typical High $33.11 | Professional | None (both parts) | $31.62 | $31.62 | $33.11 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $10.00 Typical High $10.00 | Professional | 26 · Professional part | $8.91 | $10.00 | $10.00 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $21.38 Typical High $24.55 | Professional | TC · Technical part | $21.38 | $21.38 | $24.55 |
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 $26.92 Median $33.11 Typical High $60.26 | Professional | None (both parts) | $26.92 | $33.11 | $60.26 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $9.55 Typical High $17.78 | Professional | 26 · Professional part | $8.32 | $9.55 | $17.78 |
United Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $23.99 Typical High $41.69 | Professional | TC · Technical part | $19.05 | $23.99 | $41.69 |
9 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 Facility Modifier 50 · Both sides Typical Low $83.18 Median $190.55 Typical High $489.78 | Facility | 50 · Both sides | $83.18 | $190.55 | $489.78 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $14.13 Median $16.22 Typical High $17.38 | Professional | 52 · Reduced service | $14.13 | $16.22 | $17.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.62 Median $6.46 Typical High $6.92 | Professional | 53 · Discontinued | $5.62 | $6.46 | $6.92 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $22.91 Median $26.30 Typical High $28.18 | Professional | FX · Film X-ray | $22.91 | $26.30 | $28.18 |
Capital Blue Cross Setting Professional Modifier 50 · Both sides Typical Low $67.61 Median $93.33 Typical High $138.04 | Professional | 50 · Both sides | $67.61 | $93.33 | $138.04 |
Highmark BCBS Setting Facility Modifier 50 · Both sides Typical Low $114.82 Median $199.53 Typical High $446.68 | Facility | 50 · Both sides | $114.82 | $199.53 | $446.68 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $14.13 Median $16.22 Typical High $17.38 | Professional | 52 · Reduced service | $14.13 | $16.22 | $17.38 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $5.62 Median $6.46 Typical High $6.92 | Professional | 53 · Discontinued | $5.62 | $6.46 | $6.92 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $22.91 Median $26.30 Typical High $28.18 | Professional | FX · Film X-ray | $22.91 | $26.30 | $28.18 |
Where Pennsylvania sits
The same service costs 15.5 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· 34th of 51
$36.31
VT $427FL $27.54
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.