How much rates vary
Facilitymedian $120 · 10th to 90th $34 to $295Professionalmedian $34 · 10th to 90th $28 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 $30.90 Median $61.66 Typical High $208.93 | Facility | None | $30.90 | $61.66 | $208.93 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $7.24 Median $10.47 Typical High $20.89 | Facility | 26 · Professional part | $7.24 | $10.47 | $20.89 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $22.39 Median $30.20 Typical High $109.65 | Facility | TC · Technical part | $22.39 | $30.20 | $109.65 |
Aetna Setting Professional Modifier None (both parts) Typical Low $27.54 Median $33.88 Typical High $50.12 | Professional | None (both parts) | $27.54 | $33.88 | $50.12 |
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 $20.89 Median $25.70 Typical High $38.02 | Professional | TC · Technical part | $20.89 | $25.70 | $38.02 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $24.55 Median $29.51 Typical High $52.48 | Professional | None (both parts) | $24.55 | $29.51 | $52.48 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $12.59 Typical High $14.13 | Professional | 26 · Professional part | $6.92 | $12.59 | $14.13 |
AmeriHealth Setting Facility Modifier None Typical Low $1,548.82 Median $1,548.82 Typical High $1,548.82 | Facility | None | $1,548.82 | $1,548.82 | $1,548.82 |
AmeriHealth Setting Facility Modifier TC · Technical part Typical Low $32.36 Median $77.62 Typical High $380.19 | Facility | TC · Technical part | $32.36 | $77.62 | $380.19 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $41.69 Median $42.66 Typical High $54.95 | Professional | None (both parts) | $41.69 | $42.66 | $54.95 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $10.00 Typical High $14.79 | Professional | 26 · Professional part | $10.00 | $10.00 | $14.79 |
Capital Blue Cross Setting Facility Modifier None Typical Low $123.03 Median $131.83 Typical High $5,011.87 | Facility | None | $123.03 | $131.83 | $5,011.87 |
Capital Blue Cross Setting Facility Modifier TC · Technical part Typical Low $102.33 Median $125.89 Typical High $5,011.87 | Facility | TC · Technical part | $102.33 | $125.89 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $32.36 Median $46.77 Typical High $67.61 | Professional | None (both parts) | $32.36 | $46.77 | $67.61 |
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 $24.55 Median $33.11 Typical High $46.77 | Professional | TC · Technical part | $24.55 | $33.11 | $46.77 |
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 $18.62 Median $28.84 Typical High $58.88 | Professional | None (both parts) | $18.62 | $28.84 | $58.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $4.79 Median $8.51 Typical High $15.49 | Professional | 26 · Professional part | $4.79 | $8.51 | $15.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $13.80 Median $20.42 Typical High $42.66 | Professional | TC · Technical part | $13.80 | $20.42 | $42.66 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $41.69 Median $48.98 Typical High $61.66 | Professional | None (both parts) | $41.69 | $48.98 | $61.66 |
Geisinger Setting Facility Modifier None Typical Low $28.84 Median $28.84 Typical High $28.84 | Facility | None | $28.84 | $28.84 | $28.84 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $20.42 Median $35.48 Typical High $66.07 | Professional | None (both parts) | $20.42 | $35.48 | $66.07 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $9.55 Typical High $17.78 | Professional | 26 · Professional part | $6.76 | $9.55 | $17.78 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $14.13 Median $26.92 Typical High $47.86 | Professional | TC · Technical part | $14.13 | $26.92 | $47.86 |
Highmark BCBS Setting Facility Modifier None Typical Low $104.71 Median $204.17 Typical High $363.08 | Facility | None | $104.71 | $204.17 | $363.08 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $34.67 Median $37.15 Typical High $46.77 | Professional | None (both parts) | $34.67 | $37.15 | $46.77 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $9.33 Typical High $15.14 | Professional | 26 · Professional part | $8.13 | $9.33 | $15.14 |
Independence Blue Cross Setting Facility Modifier None Typical Low $32.36 Median $74.13 Typical High $1,548.82 | Facility | None | $32.36 | $74.13 | $1,548.82 |
Independence Blue Cross Setting Facility Modifier TC · Technical part Typical Low $54.95 Median $79.43 Typical High $173.78 | Facility | TC · Technical part | $54.95 | $79.43 | $173.78 |
Independence Blue Cross Setting Professional Modifier None (both parts) Typical Low $41.69 Median $42.66 Typical High $54.95 | Professional | None (both parts) | $41.69 | $42.66 | $54.95 |
Independence Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $10.00 Typical High $13.18 | Professional | 26 · Professional part | $10.00 | $10.00 | $13.18 |
Martin's Point Setting Facility Modifier None Typical Low $30.90 Median $72.44 Typical High $251.19 | Facility | None | $30.90 | $72.44 | $251.19 |
Martin's Point Setting Facility Modifier 26 · Professional part Typical Low $7.24 Median $10.47 Typical High $17.78 | Facility | 26 · Professional part | $7.24 | $10.47 | $17.78 |
Martin's Point Setting Facility Modifier TC · Technical part Typical Low $22.39 Median $33.11 Typical High $109.65 | Facility | TC · Technical part | $22.39 | $33.11 | $109.65 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $27.54 Median $33.88 Typical High $48.98 | Professional | None (both parts) | $27.54 | $33.88 | $48.98 |
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 $20.89 Median $25.12 Typical High $37.15 | Professional | TC · Technical part | $20.89 | $25.12 | $37.15 |
Oscar Health Setting Facility Modifier None Typical Low $812.83 Median $1,000.00 Typical High $2,511.89 | Facility | None | $812.83 | $1,000.00 | $2,511.89 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $8.91 Median $34.67 Typical High $63.10 | Professional | None (both parts) | $8.91 | $34.67 | $63.10 |
UPMC Health Plan Setting Facility Modifier None Typical Low $28.18 Median $69.18 Typical High $114.82 | Facility | None | $28.18 | $69.18 | $114.82 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $28.18 Median $28.18 Typical High $32.36 | Professional | None (both parts) | $28.18 | $28.18 | $32.36 |
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 $19.50 Median $19.50 Typical High $24.55 | Professional | TC · Technical part | $19.50 | $19.50 | $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 $25.12 Median $33.11 Typical High $58.88 | Professional | None (both parts) | $25.12 | $33.11 | $58.88 |
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 $18.20 Median $24.55 Typical High $42.66 | Professional | TC · Technical part | $18.20 | $24.55 | $42.66 |
8 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 52 · Reduced service Typical Low $11.22 Median $16.98 Typical High $95.50 | Facility | 52 · Reduced service | $11.22 | $16.98 | $95.50 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $13.80 Median $16.22 Typical High $16.98 | Professional | 52 · Reduced service | $13.80 | $16.22 | $16.98 |
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 $22.39 Median $25.70 Typical High $27.54 | Professional | FX · Film X-ray | $22.39 | $25.70 | $27.54 |
Capital Blue Cross Setting Professional Modifier 50 · Both sides Typical Low $64.57 Median $93.33 Typical High $134.90 | Professional | 50 · Both sides | $64.57 | $93.33 | $134.90 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $13.80 Median $16.22 Typical High $16.98 | Professional | 52 · Reduced service | $13.80 | $16.22 | $16.98 |
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 $22.39 Median $25.70 Typical High $27.54 | Professional | FX · Film X-ray | $22.39 | $25.70 | $27.54 |
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· 37th of 51
$33.88
AK $100FL $26.92
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.