How much rates vary
Facilitymedian $162 · 10th to 90th $37 to $309Professionalmedian $37 · 10th to 90th $30 to $68
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 $173.78 Typical High $446.68 | Facility | None | $31.62 | $173.78 | $446.68 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $7.59 Median $10.47 Typical High $19.50 | Facility | 26 · Professional part | $7.59 | $10.47 | $19.50 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $24.55 Median $33.88 Typical High $323.59 | Facility | TC · Technical part | $24.55 | $33.88 | $323.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $30.20 Median $36.31 Typical High $56.23 | Professional | None (both parts) | $30.20 | $36.31 | $56.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $8.32 Typical High $12.88 | Professional | 26 · Professional part | $7.08 | $8.32 | $12.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $28.18 Typical High $41.69 | Professional | TC · Technical part | $22.91 | $28.18 | $41.69 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $26.92 Median $37.15 Typical High $57.54 | Professional | None (both parts) | $26.92 | $37.15 | $57.54 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $12.88 Typical High $16.98 | Professional | 26 · Professional part | $7.24 | $12.88 | $16.98 |
AmeriHealth Setting Facility Modifier None Typical Low $34.67 Median $79.43 Typical High $186.21 | Facility | None | $34.67 | $79.43 | $186.21 |
AmeriHealth Setting Facility Modifier TC · Technical part Typical Low $34.67 Median $83.18 Typical High $1,230.27 | Facility | TC · Technical part | $34.67 | $83.18 | $1,230.27 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $38.90 Median $45.71 Typical High $70.79 | Professional | None (both parts) | $38.90 | $45.71 | $70.79 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $10.47 Typical High $16.22 | Professional | 26 · Professional part | $10.47 | $10.47 | $16.22 |
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 $112.20 Median $138.04 Typical High $5,011.87 | Facility | TC · Technical part | $112.20 | $138.04 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $36.31 Median $50.12 Typical High $70.79 | Professional | None (both parts) | $36.31 | $50.12 | $70.79 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $14.45 Typical High $21.38 | Professional | 26 · Professional part | $8.32 | $14.45 | $21.38 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $36.31 Typical High $50.12 | Professional | TC · Technical part | $27.54 | $36.31 | $50.12 |
Cigna Setting Facility Modifier None Typical Low $35.48 Median $81.28 Typical High $269.15 | Facility | None | $35.48 | $81.28 | $269.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $20.42 Median $30.90 Typical High $61.66 | Professional | None (both parts) | $20.42 | $30.90 | $61.66 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $5.37 Median $8.91 Typical High $15.85 | Professional | 26 · Professional part | $5.37 | $8.91 | $15.85 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $15.14 Median $22.91 Typical High $47.86 | Professional | TC · Technical part | $15.14 | $22.91 | $47.86 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $45.71 Median $54.95 Typical High $67.61 | Professional | None (both parts) | $45.71 | $54.95 | $67.61 |
Geisinger Setting Facility Modifier None Typical Low $32.36 Median $32.36 Typical High $32.36 | Facility | None | $32.36 | $32.36 | $32.36 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $22.39 Median $39.81 Typical High $70.79 | Professional | None (both parts) | $22.39 | $39.81 | $70.79 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $10.00 Typical High $18.62 | Professional | 26 · Professional part | $7.08 | $10.00 | $18.62 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $15.14 Median $30.20 Typical High $52.48 | Professional | TC · Technical part | $15.14 | $30.20 | $52.48 |
Highmark BCBS Setting Facility Modifier None Typical Low $91.20 Median $186.21 Typical High $302.00 | Facility | None | $91.20 | $186.21 | $302.00 |
Highmark BCBS Setting Facility Modifier TC · Technical part Typical Low $154.88 Median $263.03 Typical High $426.58 | Facility | TC · Technical part | $154.88 | $263.03 | $426.58 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $20.89 Median $43.65 Typical High $57.54 | Professional | None (both parts) | $20.89 | $43.65 | $57.54 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $11.75 Typical High $18.62 | Professional | 26 · Professional part | $8.51 | $11.75 | $18.62 |
Independence Blue Cross Setting Facility Modifier None Typical Low $57.54 Median $83.18 Typical High $186.21 | Facility | None | $57.54 | $83.18 | $186.21 |
Independence Blue Cross Setting Facility Modifier TC · Technical part Typical Low $58.88 Median $85.11 Typical High $186.21 | Facility | TC · Technical part | $58.88 | $85.11 | $186.21 |
Independence Blue Cross Setting Professional Modifier None (both parts) Typical Low $38.90 Median $45.71 Typical High $60.26 | Professional | None (both parts) | $38.90 | $45.71 | $60.26 |
Independence Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $10.47 Typical High $19.95 | Professional | 26 · Professional part | $10.47 | $10.47 | $19.95 |
Independence Blue Cross Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $35.48 Typical High $42.66 | Professional | TC · Technical part | $33.88 | $35.48 | $42.66 |
Martin's Point Setting Facility Modifier None Typical Low $31.62 Median $173.78 Typical High $467.74 | Facility | None | $31.62 | $173.78 | $467.74 |
Martin's Point Setting Facility Modifier 26 · Professional part Typical Low $7.59 Median $10.00 Typical High $19.50 | Facility | 26 · Professional part | $7.59 | $10.00 | $19.50 |
Martin's Point Setting Facility Modifier TC · Technical part Typical Low $24.55 Median $36.31 Typical High $371.54 | Facility | TC · Technical part | $24.55 | $36.31 | $371.54 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $30.20 Median $35.48 Typical High $54.95 | Professional | None (both parts) | $30.20 | $35.48 | $54.95 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $8.32 Typical High $12.88 | Professional | 26 · Professional part | $7.08 | $8.32 | $12.88 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $27.54 Typical High $41.69 | Professional | TC · Technical part | $22.91 | $27.54 | $41.69 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $9.33 Median $36.31 Typical High $69.18 | Professional | None (both parts) | $9.33 | $36.31 | $69.18 |
UPMC Health Plan Setting Facility Modifier None Typical Low $30.20 Median $77.62 Typical High $104.71 | Facility | None | $30.20 | $77.62 | $104.71 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $30.20 Median $30.20 Typical High $35.48 | Professional | None (both parts) | $30.20 | $30.20 | $35.48 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $9.55 Typical High $9.55 | Professional | 26 · Professional part | $8.32 | $9.55 | $9.55 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $20.42 Typical High $26.92 | Professional | TC · Technical part | $20.42 | $20.42 | $26.92 |
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 $34.67 Typical High $63.10 | Professional | None (both parts) | $26.92 | $34.67 | $63.10 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $8.91 Typical High $16.60 | Professional | 26 · Professional part | $7.59 | $8.91 | $16.60 |
United Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $26.30 Typical High $46.77 | Professional | TC · Technical part | $19.50 | $26.30 | $46.77 |
10 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 $67.61 Median $194.98 Typical High $478.63 | Facility | 50 · Both sides | $67.61 | $194.98 | $478.63 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $15.14 Median $17.38 Typical High $18.62 | Professional | 52 · Reduced service | $15.14 | $17.38 | $18.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.03 Median $6.92 Typical High $7.41 | Professional | 53 · Discontinued | $6.03 | $6.92 | $7.41 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $23.99 Median $28.18 Typical High $29.51 | Professional | FX · Film X-ray | $23.99 | $28.18 | $29.51 |
Capital Blue Cross Setting Professional Modifier 50 · Both sides Typical Low $72.44 Median $100.00 Typical High $141.25 | Professional | 50 · Both sides | $72.44 | $100.00 | $141.25 |
Highmark BCBS Setting Facility Modifier 50 · Both sides Typical Low $112.20 Median $213.80 Typical High $457.09 | Facility | 50 · Both sides | $112.20 | $213.80 | $457.09 |
Martin's Point Setting Facility Modifier 50 · Both sides Typical Low $67.61 Median $194.98 Typical High $478.63 | Facility | 50 · Both sides | $67.61 | $194.98 | $478.63 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $15.14 Median $17.38 Typical High $18.62 | Professional | 52 · Reduced service | $15.14 | $17.38 | $18.62 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $6.03 Median $6.92 Typical High $7.41 | Professional | 53 · Discontinued | $6.03 | $6.92 | $7.41 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $23.99 Median $28.18 Typical High $29.51 | Professional | FX · Film X-ray | $23.99 | $28.18 | $29.51 |
Where Pennsylvania sits
The same service costs 13.5 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· 35th of 51
$38.02
VT $389FL $28.84
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.