How much rates vary
Facilitymedian $363 · 10th to 90th $129 to $1,230Professionalmedian $132 · 10th to 90th $98 to $224
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 $141.25 Median $371.54 Typical High $794.33 | Facility | None | $141.25 | $371.54 | $794.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $120.23 Typical High $141.25 | Professional | None (both parts) | $109.65 | $120.23 | $141.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $26.92 Typical High $28.18 | Professional | 26 · Professional part | $22.91 | $26.92 | $28.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $97.72 Typical High $112.20 | Professional | TC · Technical part | $85.11 | $97.72 | $112.20 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $75.86 Median $75.86 Typical High $89.13 | Professional | None (both parts) | $75.86 | $75.86 | $89.13 |
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 $389.05 Median $478.63 Typical High $5,011.87 | Facility | TC · Technical part | $389.05 | $478.63 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $125.89 Median $131.83 Typical High $234.42 | Professional | None (both parts) | $125.89 | $131.83 | $234.42 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $28.18 Typical High $56.23 | Professional | 26 · Professional part | $26.92 | $28.18 | $56.23 |
Capital Blue Cross Setting Professional Modifier 50 · Both sides Typical Low $251.19 Median $263.03 Typical High $467.74 | Professional | 50 · Both sides | $251.19 | $263.03 | $467.74 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $102.33 Typical High $177.83 | Professional | TC · Technical part | $100.00 | $102.33 | $177.83 |
Cigna Setting Facility Modifier None Typical Low $128.82 Median $316.23 Typical High $1,230.27 | Facility | None | $128.82 | $316.23 | $1,230.27 |
Cigna Setting Professional Modifier None (both parts) Typical Low $66.07 Median $107.15 Typical High $223.87 | Professional | None (both parts) | $66.07 | $107.15 | $223.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $28.84 Typical High $51.29 | Professional | 26 · Professional part | $16.22 | $28.84 | $51.29 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $85.11 Typical High $169.82 | Professional | TC · Technical part | $50.12 | $85.11 | $169.82 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $158.49 Median $190.55 Typical High $239.88 | Professional | None (both parts) | $158.49 | $190.55 | $239.88 |
Geisinger Setting Facility Modifier None Typical Low $93.33 Median $93.33 Typical High $93.33 | Facility | None | $93.33 | $93.33 | $93.33 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $69.18 Median $138.04 Typical High $234.42 | Professional | None (both parts) | $69.18 | $138.04 | $234.42 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $31.62 Typical High $57.54 | Professional | 26 · Professional part | $21.88 | $31.62 | $57.54 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $107.15 Typical High $186.21 | Professional | TC · Technical part | $46.77 | $107.15 | $186.21 |
Highmark BCBS Setting Facility Modifier None Typical Low $338.84 Median $338.84 Typical High $776.25 | Facility | None | $338.84 | $338.84 | $776.25 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | 26 · Professional part | $28.84 | $28.84 | $28.84 |
Martin's Point Setting Facility Modifier None Typical Low $141.25 Median $741.31 Typical High $794.33 | Facility | None | $141.25 | $741.31 | $794.33 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $114.82 Median $120.23 Typical High $141.25 | Professional | None (both parts) | $114.82 | $120.23 | $141.25 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $26.92 Typical High $26.92 | Professional | 26 · Professional part | $22.91 | $26.92 | $26.92 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $97.72 Typical High $112.20 | Professional | TC · Technical part | $87.10 | $97.72 | $112.20 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $29.51 Median $123.03 Typical High $239.88 | Professional | None (both parts) | $29.51 | $123.03 | $239.88 |
UPMC Health Plan Setting Facility Modifier None Typical Low $89.13 Median $263.03 Typical High $630.96 | Facility | None | $89.13 | $263.03 | $630.96 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $89.13 Median $89.13 Typical High $128.82 | Professional | None (both parts) | $89.13 | $89.13 | $128.82 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $29.51 Typical High $29.51 | Professional | 26 · Professional part | $26.92 | $29.51 | $29.51 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $60.26 Typical High $102.33 | Professional | TC · Technical part | $60.26 | $60.26 | $102.33 |
United Setting Facility Modifier None Typical Low $478.63 Median $1,023.29 Typical High $1,174.90 | Facility | None | $478.63 | $1,023.29 | $1,174.90 |
United Setting Professional Modifier None (both parts) Typical Low $87.10 Median $125.89 Typical High $229.09 | Professional | None (both parts) | $87.10 | $125.89 | $229.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $28.18 Typical High $52.48 | Professional | 26 · Professional part | $23.99 | $28.18 | $52.48 |
United Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $100.00 Typical High $173.78 | Professional | TC · Technical part | $64.57 | $100.00 | $173.78 |
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 $56.23 Median $60.26 Typical High $70.79 | Professional | 52 · Reduced service | $56.23 | $60.26 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $23.99 Typical High $28.18 | Professional | 53 · Discontinued | $22.91 | $23.99 | $28.18 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $91.20 Median $104.71 Typical High $112.20 | Professional | FX · Film X-ray | $91.20 | $104.71 | $112.20 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $56.23 Median $61.66 Typical High $70.79 | Professional | 52 · Reduced service | $56.23 | $61.66 | $70.79 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $25.12 Typical High $28.18 | Professional | 53 · Discontinued | $22.91 | $25.12 | $28.18 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $91.20 Median $104.71 Typical High $112.20 | Professional | FX · Film X-ray | $91.20 | $104.71 | $112.20 |
Where Pennsylvania sits
The same service costs 4.2 times more in Alaska than in New York. 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· 36th of 51
$132
AK $398NY $95.50
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.