How much rates vary
Facilitymedian $708 · 10th to 90th $324 to $1,862Professionalmedian $417 · 10th to 90th $288 to $832
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 $302.00 Median $537.03 Typical High $1,819.70 | Facility | None | $302.00 | $537.03 | $1,819.70 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $64.57 Median $95.50 Typical High $281.84 | Facility | 26 · Professional part | $64.57 | $95.50 | $281.84 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $218.78 Median $302.00 Typical High $741.31 | Facility | TC · Technical part | $218.78 | $302.00 | $741.31 |
Aetna Setting Professional Modifier None (both parts) Typical Low $288.40 Median $426.58 Typical High $549.54 | Professional | None (both parts) | $288.40 | $426.58 | $549.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $114.82 Typical High $154.88 | Professional | 26 · Professional part | $64.57 | $114.82 | $154.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $302.00 Typical High $389.05 | Professional | TC · Technical part | $218.78 | $302.00 | $389.05 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $181.97 Median $239.88 Typical High $363.08 | Professional | None (both parts) | $181.97 | $239.88 | $363.08 |
AmeriHealth Setting Facility Modifier None Typical Low $562.34 Median $1,288.25 Typical High $2,951.21 | Facility | None | $562.34 | $1,288.25 | $2,951.21 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $363.08 Median $363.08 Typical High $501.19 | Professional | None (both parts) | $363.08 | $363.08 | $501.19 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $79.43 Typical High $100.00 | Professional | 26 · Professional part | $75.86 | $79.43 | $100.00 |
Capital Blue Cross Setting Facility Modifier None Typical Low $1,230.27 Median $5,011.87 Typical High $5,011.87 | Facility | None | $1,230.27 | $5,011.87 | $5,011.87 |
Capital Blue Cross Setting Facility Modifier TC · Technical part Typical Low $1,862.09 Median $2,344.23 Typical High $5,011.87 | Facility | TC · Technical part | $1,862.09 | $2,344.23 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $295.12 Median $467.74 Typical High $851.14 | Professional | None (both parts) | $295.12 | $467.74 | $851.14 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $112.20 Typical High $165.96 | Professional | 26 · Professional part | $64.57 | $112.20 | $165.96 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $354.81 Typical High $691.83 | Professional | TC · Technical part | $229.09 | $354.81 | $691.83 |
Cigna Setting Facility Modifier None Typical Low $467.74 Median $812.83 Typical High $1,174.90 | Facility | None | $467.74 | $812.83 | $1,174.90 |
Cigna Setting Professional Modifier None (both parts) Typical Low $263.03 Median $371.54 Typical High $724.44 | Professional | None (both parts) | $263.03 | $371.54 | $724.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $69.18 Typical High $125.89 | Professional | 26 · Professional part | $40.74 | $69.18 | $125.89 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $331.13 Typical High $602.56 | Professional | TC · Technical part | $208.93 | $331.13 | $602.56 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $363.08 Median $512.86 Typical High $1,096.48 | Professional | None (both parts) | $363.08 | $512.86 | $1,096.48 |
Geisinger Setting Facility Modifier None Typical Low $616.60 Median $645.65 Typical High $3,981.07 | Facility | None | $616.60 | $645.65 | $3,981.07 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $309.03 Median $398.11 Typical High $724.44 | Professional | None (both parts) | $309.03 | $398.11 | $724.44 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $74.13 Typical High $138.04 | Professional | 26 · Professional part | $54.95 | $74.13 | $138.04 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $316.23 Typical High $645.65 | Professional | TC · Technical part | $245.47 | $316.23 | $645.65 |
Highmark BCBS Setting Facility Modifier None Typical Low $371.54 Median $660.69 Typical High $1,513.56 | Facility | None | $371.54 | $660.69 | $1,513.56 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $331.13 Median $371.54 Typical High $501.19 | Professional | None (both parts) | $331.13 | $371.54 | $501.19 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $77.62 Typical High $112.20 | Professional | 26 · Professional part | $67.61 | $77.62 | $112.20 |
Independence Blue Cross Setting Facility Modifier None Typical Low $512.86 Median $1,288.25 Typical High $3,090.30 | Facility | None | $512.86 | $1,288.25 | $3,090.30 |
Independence Blue Cross Setting Professional Modifier None (both parts) Typical Low $363.08 Median $363.08 Typical High $478.63 | Professional | None (both parts) | $363.08 | $363.08 | $478.63 |
Independence Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $79.43 Typical High $102.33 | Professional | 26 · Professional part | $72.44 | $79.43 | $102.33 |
Martin's Point Setting Facility Modifier None Typical Low $302.00 Median $537.03 Typical High $1,905.46 | Facility | None | $302.00 | $537.03 | $1,905.46 |
Martin's Point Setting Facility Modifier 26 · Professional part Typical Low $64.57 Median $97.72 Typical High $257.04 | Facility | 26 · Professional part | $64.57 | $97.72 | $257.04 |
Martin's Point Setting Facility Modifier TC · Technical part Typical Low $218.78 Median $302.00 Typical High $977.24 | Facility | TC · Technical part | $218.78 | $302.00 | $977.24 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $288.40 Median $426.58 Typical High $549.54 | Professional | None (both parts) | $288.40 | $426.58 | $549.54 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $117.49 Typical High $154.88 | Professional | 26 · Professional part | $64.57 | $117.49 | $154.88 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $302.00 Typical High $389.05 | Professional | TC · Technical part | $218.78 | $302.00 | $389.05 |
Oscar Health Setting Facility Modifier None Typical Low $851.14 Median $1,122.02 Typical High $1,230.27 | Facility | None | $851.14 | $1,122.02 | $1,230.27 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $67.61 Median $309.03 Typical High $707.95 | Professional | None (both parts) | $67.61 | $309.03 | $707.95 |
UPMC Health Plan Setting Facility Modifier None Typical Low $281.84 Median $707.95 Typical High $1,621.81 | Facility | None | $281.84 | $707.95 | $1,621.81 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $281.84 Median $501.19 Typical High $501.19 | Professional | None (both parts) | $281.84 | $501.19 | $501.19 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $89.13 Typical High $89.13 | Professional | 26 · Professional part | $63.10 | $89.13 | $89.13 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $416.87 Typical High $416.87 | Professional | TC · Technical part | $218.78 | $416.87 | $416.87 |
United Setting Facility Modifier None Typical Low $331.13 Median $691.83 Typical High $812.83 | Facility | None | $331.13 | $691.83 | $812.83 |
United Setting Professional Modifier None (both parts) Typical Low $302.00 Median $407.38 Typical High $676.08 | Professional | None (both parts) | $302.00 | $407.38 | $676.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $67.61 Typical High $125.89 | Professional | 26 · Professional part | $58.88 | $67.61 | $125.89 |
United Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $316.23 Typical High $549.54 | Professional | TC · Technical part | $245.47 | $316.23 | $549.54 |
9 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 $109.65 Median $141.25 Typical High $524.81 | Facility | 52 · Reduced service | $109.65 | $141.25 | $524.81 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $43.65 Median $57.54 Typical High $208.93 | Facility | 53 · Discontinued | $43.65 | $57.54 | $208.93 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $141.25 Median $213.80 Typical High $213.80 | Professional | 52 · Reduced service | $141.25 | $213.80 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $57.54 Median $85.11 Typical High $85.11 | Professional | 53 · Discontinued | $57.54 | $85.11 | $85.11 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $229.09 Median $338.84 Typical High $338.84 | Professional | FX · Film X-ray | $229.09 | $338.84 | $338.84 |
Capital Blue Cross Setting Professional Modifier 50 · Both sides Typical Low $588.84 Median $933.25 Typical High $1,698.24 | Professional | 50 · Both sides | $588.84 | $933.25 | $1,698.24 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $141.25 Median $213.80 Typical High $213.80 | Professional | 52 · Reduced service | $141.25 | $213.80 | $213.80 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $57.54 Median $85.11 Typical High $85.11 | Professional | 53 · Discontinued | $57.54 | $85.11 | $85.11 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $229.09 Median $338.84 Typical High $338.84 | Professional | FX · Film X-ray | $229.09 | $338.84 | $338.84 |
Where Pennsylvania sits
The same service costs 5.1 times more in Wyoming 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· 33rd of 51
$427
WY $1,202UT $234
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.