How much rates vary
Facilitymedian $631 · 10th to 90th $269 to $1,413Professionalmedian $269 · 10th to 90th $219 to $513
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 $269.15 Median $741.31 Typical High $1,174.90 | Facility | None | $269.15 | $741.31 | $1,174.90 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $158.49 Median $162.18 Typical High $758.58 | Facility | TC · Technical part | $158.49 | $162.18 | $758.58 |
Aetna Setting Professional Modifier None (both parts) Typical Low $213.80 Median $269.15 Typical High $346.74 | Professional | None (both parts) | $213.80 | $269.15 | $346.74 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $61.66 Typical High $64.57 | Professional | 26 · Professional part | $53.70 | $61.66 | $64.57 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $204.17 Typical High $295.12 | Professional | TC · Technical part | $158.49 | $204.17 | $295.12 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | None (both parts) | $181.97 | $181.97 | $181.97 |
Capital Blue Cross Setting Facility Modifier None Typical Low $1,202.26 Median $5,011.87 Typical High $5,011.87 | Facility | None | $1,202.26 | $5,011.87 | $5,011.87 |
Capital Blue Cross Setting Facility Modifier TC · Technical part Typical Low $1,819.70 Median $2,290.87 Typical High $5,011.87 | Facility | TC · Technical part | $1,819.70 | $2,290.87 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $234.42 Median $239.88 Typical High $512.86 | Professional | None (both parts) | $234.42 | $239.88 | $512.86 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $58.88 Typical High $120.23 | Professional | 26 · Professional part | $57.54 | $58.88 | $120.23 |
Capital Blue Cross Setting Professional Modifier 50 · Both sides Typical Low $467.74 Median $478.63 Typical High $1,047.13 | Professional | 50 · Both sides | $467.74 | $478.63 | $1,047.13 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $181.97 Typical High $398.11 | Professional | TC · Technical part | $173.78 | $181.97 | $398.11 |
Cigna Setting Facility Modifier None Typical Low $331.13 Median $602.56 Typical High $933.25 | Facility | None | $331.13 | $602.56 | $933.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $213.80 Median $269.15 Typical High $562.34 | Professional | None (both parts) | $213.80 | $269.15 | $562.34 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $61.66 Typical High $112.20 | Professional | 26 · Professional part | $37.15 | $61.66 | $112.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $234.42 Typical High $457.09 | Professional | TC · Technical part | $165.96 | $234.42 | $457.09 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $245.47 Median $338.84 Typical High $416.87 | Professional | None (both parts) | $245.47 | $338.84 | $416.87 |
Geisinger Setting Facility Modifier None Typical Low $436.52 Median $537.03 Typical High $1,819.70 | Facility | None | $436.52 | $537.03 | $1,819.70 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $229.09 Median $323.59 Typical High $645.65 | Professional | None (both parts) | $229.09 | $323.59 | $645.65 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $67.61 Typical High $120.23 | Professional | 26 · Professional part | $50.12 | $67.61 | $120.23 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $251.19 Typical High $489.78 | Professional | TC · Technical part | $181.97 | $251.19 | $489.78 |
Highmark BCBS Setting Facility Modifier None Typical Low $316.23 Median $1,174.90 Typical High $1,659.59 | Facility | None | $316.23 | $1,174.90 | $1,659.59 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $380.19 Median $380.19 Typical High $380.19 | Professional | None (both parts) | $380.19 | $380.19 | $380.19 |
Martin's Point Setting Facility Modifier None Typical Low $269.15 Median $977.24 Typical High $1,174.90 | Facility | None | $269.15 | $977.24 | $1,174.90 |
Martin's Point Setting Facility Modifier TC · Technical part Typical Low $158.49 Median $162.18 Typical High $758.58 | Facility | TC · Technical part | $158.49 | $162.18 | $758.58 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $213.80 Median $269.15 Typical High $323.59 | Professional | None (both parts) | $213.80 | $269.15 | $323.59 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $60.26 Typical High $64.57 | Professional | 26 · Professional part | $53.70 | $60.26 | $64.57 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $204.17 Typical High $251.19 | Professional | TC · Technical part | $158.49 | $204.17 | $251.19 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $60.26 Median $251.19 Typical High $489.78 | Professional | None (both parts) | $60.26 | $251.19 | $489.78 |
UPMC Health Plan Setting Facility Modifier None Typical Low $223.87 Median $691.83 Typical High $1,348.96 | Facility | None | $223.87 | $691.83 | $1,348.96 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $223.87 Median $346.74 Typical High $346.74 | Professional | None (both parts) | $223.87 | $346.74 | $346.74 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $66.07 Typical High $66.07 | Professional | 26 · Professional part | $57.54 | $66.07 | $66.07 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $281.84 Typical High $281.84 | Professional | TC · Technical part | $169.82 | $281.84 | $281.84 |
United Setting Facility Modifier None Typical Low $239.88 Median $512.86 Typical High $588.84 | Facility | None | $239.88 | $512.86 | $588.84 |
United Setting Professional Modifier None (both parts) Typical Low $239.88 Median $309.03 Typical High $524.81 | Professional | None (both parts) | $239.88 | $309.03 | $524.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $61.66 Typical High $112.20 | Professional | 26 · Professional part | $52.48 | $61.66 | $112.20 |
United Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $239.88 Typical High $407.38 | Professional | TC · Technical part | $186.21 | $239.88 | $407.38 |
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 52 · Reduced service Typical Low $79.43 Median $107.15 Typical High $380.19 | Facility | 52 · Reduced service | $79.43 | $107.15 | $380.19 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $31.62 Median $42.66 Typical High $151.36 | Facility | 53 · Discontinued | $31.62 | $42.66 | $151.36 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $107.15 Median $134.90 Typical High $144.54 | Professional | 52 · Reduced service | $107.15 | $134.90 | $144.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $53.70 Typical High $57.54 | Professional | 53 · Discontinued | $42.66 | $53.70 | $57.54 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $181.97 Median $223.87 Typical High $229.09 | Professional | CT · Older CT scanner | $181.97 | $223.87 | $229.09 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $169.82 Median $208.93 Typical High $213.80 | Professional | FX · Film X-ray | $169.82 | $208.93 | $213.80 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $107.15 Median $131.83 Typical High $134.90 | Professional | 52 · Reduced service | $107.15 | $131.83 | $134.90 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $52.48 Typical High $53.70 | Professional | 53 · Discontinued | $42.66 | $52.48 | $53.70 |
Martin's Point Setting Professional Modifier CT · Older CT scanner Typical Low $181.97 Median $223.87 Typical High $229.09 | Professional | CT · Older CT scanner | $181.97 | $223.87 | $229.09 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $169.82 Median $208.93 Typical High $213.80 | Professional | FX · Film X-ray | $169.82 | $208.93 | $213.80 |
Where Pennsylvania sits
The same service costs 5.0 times more in Alaska than in Utah. 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· 45th of 51
$269
AK $891UT $178
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.