How much rates vary
Facilitymedian $166 · 10th to 90th $32 to $363Professionalmedian $32 · 10th to 90th $25 to $60
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 $28.84 Median $93.33 Typical High $316.23 | Facility | None | $28.84 | $93.33 | $316.23 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $7.24 Median $9.77 Typical High $19.05 | Facility | 26 · Professional part | $7.24 | $9.77 | $19.05 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $19.95 Median $26.92 Typical High $97.72 | Facility | TC · Technical part | $19.95 | $26.92 | $97.72 |
Aetna Setting Professional Modifier None (both parts) Typical Low $25.70 Median $30.20 Typical High $44.67 | Professional | None (both parts) | $25.70 | $30.20 | $44.67 |
Aetna 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 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $22.91 Typical High $33.11 | Professional | TC · Technical part | $18.62 | $22.91 | $33.11 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $20.89 Median $23.44 Typical High $28.84 | Professional | None (both parts) | $20.89 | $23.44 | $28.84 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $13.49 Typical High $15.49 | Professional | 26 · Professional part | $9.77 | $13.49 | $15.49 |
AmeriHealth Setting Facility Modifier None Typical Low $165.96 Median $165.96 Typical High $5,754.40 | Facility | None | $165.96 | $165.96 | $5,754.40 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $33.11 Median $38.90 Typical High $60.26 | Professional | None (both parts) | $33.11 | $38.90 | $60.26 |
AmeriHealth 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 |
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 $95.50 Median $117.49 Typical High $5,011.87 | Facility | TC · Technical part | $95.50 | $117.49 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $30.20 Median $42.66 Typical High $61.66 | Professional | None (both parts) | $30.20 | $42.66 | $61.66 |
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 $22.39 Median $30.20 Typical High $41.69 | Professional | TC · Technical part | $22.39 | $30.20 | $41.69 |
Cigna Setting Facility Modifier None Typical Low $28.84 Median $75.86 Typical High $363.08 | Facility | None | $28.84 | $75.86 | $363.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $18.20 Median $26.92 Typical High $52.48 | Professional | None (both parts) | $18.20 | $26.92 | $52.48 |
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 $13.18 Median $18.62 Typical High $38.90 | Professional | TC · Technical part | $13.18 | $18.62 | $38.90 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $32.36 Median $44.67 Typical High $56.23 | Professional | None (both parts) | $32.36 | $44.67 | $56.23 |
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 $33.11 Typical High $63.10 | Professional | None (both parts) | $20.42 | $33.11 | $63.10 |
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 $13.80 Median $24.55 Typical High $45.71 | Professional | TC · Technical part | $13.80 | $24.55 | $45.71 |
Highmark BCBS Setting Facility Modifier None Typical Low $97.72 Median $229.09 Typical High $371.54 | Facility | None | $97.72 | $229.09 | $371.54 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $31.62 Median $35.48 Typical High $43.65 | Professional | None (both parts) | $31.62 | $35.48 | $43.65 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $10.23 Typical High $20.42 | Professional | 26 · Professional part | $8.13 | $10.23 | $20.42 |
Independence Blue Cross Setting Facility Modifier None Typical Low $54.95 Median $83.18 Typical High $5,754.40 | Facility | None | $54.95 | $83.18 | $5,754.40 |
Independence Blue Cross Setting Professional Modifier None (both parts) Typical Low $35.48 Median $38.90 Typical High $50.12 | Professional | None (both parts) | $35.48 | $38.90 | $50.12 |
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 $28.84 Median $204.17 Typical High $323.59 | Facility | None | $28.84 | $204.17 | $323.59 |
Martin's Point Setting Facility Modifier 26 · Professional part Typical Low $7.24 Median $10.47 Typical High $16.22 | Facility | 26 · Professional part | $7.24 | $10.47 | $16.22 |
Martin's Point Setting Facility Modifier TC · Technical part Typical Low $19.95 Median $29.51 Typical High $181.97 | Facility | TC · Technical part | $19.95 | $29.51 | $181.97 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $25.70 Median $30.20 Typical High $44.67 | Professional | None (both parts) | $25.70 | $30.20 | $44.67 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $7.94 Typical High $11.48 | Professional | 26 · Professional part | $6.76 | $7.94 | $11.48 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $22.39 Typical High $33.11 | Professional | TC · Technical part | $18.62 | $22.39 | $33.11 |
Oscar Health Setting Facility Modifier None Typical Low $162.18 Median $218.78 Typical High $234.42 | Facility | None | $162.18 | $218.78 | $234.42 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $8.71 Median $31.62 Typical High $58.88 | Professional | None (both parts) | $8.71 | $31.62 | $58.88 |
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 $30.20 | Professional | None (both parts) | $28.18 | $28.18 | $30.20 |
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 $21.88 | Professional | TC · Technical part | $19.50 | $19.50 | $21.88 |
United Setting Facility Modifier None Typical Low $144.54 Median $309.03 Typical High $354.81 | Facility | None | $144.54 | $309.03 | $354.81 |
United Setting Professional Modifier None (both parts) Typical Low $23.99 Median $30.20 Typical High $53.70 | Professional | None (both parts) | $23.99 | $30.20 | $53.70 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $8.51 Typical High $15.85 | Professional | 26 · Professional part | $7.08 | $8.51 | $15.85 |
United Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $21.88 Typical High $38.90 | Professional | TC · Technical part | $16.98 | $21.88 | $38.90 |
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 Professional Modifier 52 · Reduced service Typical Low $12.88 Median $14.45 Typical High $15.85 | Professional | 52 · Reduced service | $12.88 | $14.45 | $15.85 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.13 Median $5.75 Typical High $6.31 | Professional | 53 · Discontinued | $5.13 | $5.75 | $6.31 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $20.42 Median $23.99 Typical High $25.12 | Professional | FX · Film X-ray | $20.42 | $23.99 | $25.12 |
Capital Blue Cross Setting Professional Modifier 50 · Both sides Typical Low $60.26 Median $85.11 Typical High $123.03 | Professional | 50 · Both sides | $60.26 | $85.11 | $123.03 |
Highmark BCBS Setting Facility Modifier 50 · Both sides Typical Low $131.83 Median $257.04 Typical High $380.19 | Facility | 50 · Both sides | $131.83 | $257.04 | $380.19 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $12.88 Median $14.79 Typical High $15.85 | Professional | 52 · Reduced service | $12.88 | $14.79 | $15.85 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $5.13 Median $5.89 Typical High $6.31 | Professional | 53 · Discontinued | $5.13 | $5.89 | $6.31 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $20.42 Median $23.99 Typical High $25.12 | Professional | FX · Film X-ray | $20.42 | $23.99 | $25.12 |
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· 35th of 51
$31.62
AK $91.20FL $24.55
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.