How much rates vary
Facilitymedian $135 · 10th to 90th $40 to $309Professionalmedian $38 · 10th to 90th $28 to $65
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 $33.88 Median $134.90 Typical High $380.19 | Facility | None | $33.88 | $134.90 | $380.19 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $6.03 Median $8.13 Typical High $13.49 | Facility | 26 · Professional part | $6.03 | $8.13 | $13.49 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $26.30 Median $37.15 Typical High $177.83 | Facility | TC · Technical part | $26.30 | $37.15 | $177.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $30.90 Median $37.15 Typical High $56.23 | Professional | None (both parts) | $30.90 | $37.15 | $56.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $5.62 Median $6.61 Typical High $10.23 | Professional | 26 · Professional part | $5.62 | $6.61 | $10.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $30.20 Typical High $45.71 | Professional | TC · Technical part | $25.12 | $30.20 | $45.71 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $28.18 Median $50.12 Typical High $61.66 | Professional | None (both parts) | $28.18 | $50.12 | $61.66 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $6.17 Median $10.00 Typical High $11.48 | Professional | 26 · Professional part | $6.17 | $10.00 | $11.48 |
AmeriHealth Setting Facility Modifier None Typical Low $26.30 Median $63.10 Typical High $1,584.89 | Facility | None | $26.30 | $63.10 | $1,584.89 |
AmeriHealth Setting Facility Modifier TC · Technical part Typical Low $26.30 Median $63.10 Typical High $933.25 | Facility | TC · Technical part | $26.30 | $63.10 | $933.25 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $39.81 Median $46.77 Typical High $51.29 | Professional | None (both parts) | $39.81 | $46.77 | $51.29 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $8.51 Typical High $12.59 | Professional | 26 · Professional part | $8.51 | $8.51 | $12.59 |
Capital Blue Cross Setting Facility Modifier None Typical Low $20.42 Median $5,011.87 Typical High $5,011.87 | Facility | None | $20.42 | $5,011.87 | $5,011.87 |
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 $37.15 Median $51.29 Typical High $72.44 | Professional | None (both parts) | $37.15 | $51.29 | $72.44 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $6.61 Median $11.48 Typical High $16.98 | Professional | 26 · Professional part | $6.61 | $11.48 | $16.98 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $38.02 Typical High $56.23 | Professional | TC · Technical part | $30.20 | $38.02 | $56.23 |
Cigna Setting Facility Modifier None Typical Low $38.90 Median $89.13 Typical High $269.15 | Facility | None | $38.90 | $89.13 | $269.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $17.78 Median $30.20 Typical High $63.10 | Professional | None (both parts) | $17.78 | $30.20 | $63.10 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $3.89 Median $7.08 Typical High $12.59 | Professional | 26 · Professional part | $3.89 | $7.08 | $12.59 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $14.13 Median $25.12 Typical High $52.48 | Professional | TC · Technical part | $14.13 | $25.12 | $52.48 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $47.86 Median $56.23 Typical High $70.79 | Professional | None (both parts) | $47.86 | $56.23 | $70.79 |
Geisinger Setting Facility Modifier None Typical Low $25.12 Median $25.12 Typical High $25.12 | Facility | None | $25.12 | $25.12 | $25.12 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $17.38 Median $39.81 Typical High $69.18 | Professional | None (both parts) | $17.38 | $39.81 | $69.18 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $5.25 Median $7.76 Typical High $14.45 | Professional | 26 · Professional part | $5.25 | $7.76 | $14.45 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $12.30 Median $33.11 Typical High $57.54 | Professional | TC · Technical part | $12.30 | $33.11 | $57.54 |
Highmark BCBS Setting Facility Modifier None Typical Low $83.18 Median $190.55 Typical High $316.23 | Facility | None | $83.18 | $190.55 | $316.23 |
Highmark BCBS Setting Facility Modifier TC · Technical part Typical Low $125.89 Median $275.42 Typical High $446.68 | Facility | TC · Technical part | $125.89 | $275.42 | $446.68 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $9.33 Median $44.67 Typical High $54.95 | Professional | None (both parts) | $9.33 | $44.67 | $54.95 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $7.59 Typical High $11.48 | Professional | 26 · Professional part | $6.76 | $7.59 | $11.48 |
Independence Blue Cross Setting Facility Modifier None Typical Low $44.67 Median $64.57 Typical High $141.25 | Facility | None | $44.67 | $64.57 | $141.25 |
Independence Blue Cross Setting Facility Modifier TC · Technical part Typical Low $44.67 Median $64.57 Typical High $141.25 | Facility | TC · Technical part | $44.67 | $64.57 | $141.25 |
Independence Blue Cross Setting Professional Modifier None (both parts) Typical Low $39.81 Median $46.77 Typical High $60.26 | Professional | None (both parts) | $39.81 | $46.77 | $60.26 |
Independence Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $8.51 Typical High $14.79 | Professional | 26 · Professional part | $8.51 | $8.51 | $14.79 |
Martin's Point Setting Facility Modifier None Typical Low $33.88 Median $151.36 Typical High $446.68 | Facility | None | $33.88 | $151.36 | $446.68 |
Martin's Point Setting Facility Modifier 26 · Professional part Typical Low $6.03 Median $8.13 Typical High $13.49 | Facility | 26 · Professional part | $6.03 | $8.13 | $13.49 |
Martin's Point Setting Facility Modifier TC · Technical part Typical Low $26.30 Median $38.90 Typical High $199.53 | Facility | TC · Technical part | $26.30 | $38.90 | $199.53 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $30.90 Median $36.31 Typical High $56.23 | Professional | None (both parts) | $30.90 | $36.31 | $56.23 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $5.62 Median $6.61 Typical High $10.00 | Professional | 26 · Professional part | $5.62 | $6.61 | $10.00 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $30.20 Typical High $45.71 | Professional | TC · Technical part | $25.12 | $30.20 | $45.71 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $7.59 Median $36.31 Typical High $70.79 | Professional | None (both parts) | $7.59 | $36.31 | $70.79 |
UPMC Health Plan Setting Facility Modifier None Typical Low $28.18 Median $74.13 Typical High $102.33 | Facility | None | $28.18 | $74.13 | $102.33 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $28.18 Median $28.18 Typical High $36.31 | Professional | None (both parts) | $28.18 | $28.18 | $36.31 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $6.61 Median $7.59 Typical High $7.59 | Professional | 26 · Professional part | $6.61 | $7.59 | $7.59 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $20.42 Typical High $29.51 | Professional | TC · Technical part | $20.42 | $20.42 | $29.51 |
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 $23.44 Median $35.48 Typical High $64.57 | Professional | None (both parts) | $23.44 | $35.48 | $64.57 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.03 Median $7.08 Typical High $13.18 | Professional | 26 · Professional part | $6.03 | $7.08 | $13.18 |
United Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $28.84 Typical High $50.12 | Professional | TC · Technical part | $18.20 | $28.84 | $50.12 |
7 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 $15.49 Median $17.38 Typical High $19.05 | Professional | 52 · Reduced service | $15.49 | $17.38 | $19.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.17 Median $6.92 Typical High $7.59 | Professional | 53 · Discontinued | $6.17 | $6.92 | $7.59 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $24.55 Median $28.84 Typical High $30.20 | Professional | FX · Film X-ray | $24.55 | $28.84 | $30.20 |
Capital Blue Cross Setting Professional Modifier 50 · Both sides Typical Low $74.13 Median $102.33 Typical High $144.54 | Professional | 50 · Both sides | $74.13 | $102.33 | $144.54 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $15.49 Median $17.78 Typical High $19.05 | Professional | 52 · Reduced service | $15.49 | $17.78 | $19.05 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $6.17 Median $7.08 Typical High $7.59 | Professional | 53 · Discontinued | $6.17 | $7.08 | $7.59 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $24.55 Median $28.84 Typical High $30.20 | Professional | FX · Film X-ray | $24.55 | $28.84 | $30.20 |
Where Pennsylvania sits
The same service costs 11.5 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 $339FL $29.51
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.