How much rates vary
Facilitymedian $977 · 10th to 90th $427 to $2,188Professionalmedian $427 · 10th to 90th $324 to $741
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 $380.19 Median $812.83 Typical High $2,187.76 | Facility | None | $380.19 | $812.83 | $2,187.76 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $269.15 Median $302.00 Typical High $977.24 | Facility | TC · Technical part | $269.15 | $302.00 | $977.24 |
Aetna Setting Professional Modifier None (both parts) Typical Low $346.74 Median $426.58 Typical High $524.81 | Professional | None (both parts) | $346.74 | $426.58 | $524.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $125.89 Typical High $125.89 | Professional | 26 · Professional part | $77.62 | $125.89 | $125.89 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $302.00 Typical High $338.84 | Professional | TC · Technical part | $269.15 | $302.00 | $338.84 |
Capital Blue Cross Setting Facility Modifier None Typical Low $1,513.56 Median $5,011.87 Typical High $5,011.87 | Facility | None | $1,513.56 | $5,011.87 | $5,011.87 |
Capital Blue Cross Setting Facility Modifier TC · Technical part Typical Low $2,290.87 Median $2,884.03 Typical High $5,011.87 | Facility | TC · Technical part | $2,290.87 | $2,884.03 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $323.59 Median $338.84 Typical High $758.58 | Professional | None (both parts) | $323.59 | $338.84 | $758.58 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $79.43 Typical High $162.18 | Professional | 26 · Professional part | $75.86 | $79.43 | $162.18 |
Capital Blue Cross Setting Professional Modifier 50 · Both sides Typical Low $645.65 Median $676.08 Typical High $1,513.56 | Professional | 50 · Both sides | $645.65 | $676.08 | $1,513.56 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $257.04 Typical High $588.84 | Professional | TC · Technical part | $245.47 | $257.04 | $588.84 |
Cigna Setting Facility Modifier None Typical Low $575.44 Median $912.01 Typical High $1,778.28 | Facility | None | $575.44 | $912.01 | $1,778.28 |
Cigna Setting Professional Modifier None (both parts) Typical Low $288.40 Median $426.58 Typical High $812.83 | Professional | None (both parts) | $288.40 | $426.58 | $812.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $83.18 Typical High $151.36 | Professional | 26 · Professional part | $48.98 | $83.18 | $151.36 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $371.54 Typical High $676.08 | Professional | TC · Technical part | $218.78 | $371.54 | $676.08 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $398.11 Median $467.74 Typical High $588.84 | Professional | None (both parts) | $398.11 | $467.74 | $588.84 |
Geisinger Setting Facility Modifier None Typical Low $676.08 Median $776.25 Typical High $3,981.07 | Facility | None | $676.08 | $776.25 | $3,981.07 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $338.84 Median $446.68 Typical High $870.96 | Professional | None (both parts) | $338.84 | $446.68 | $870.96 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $89.13 Typical High $162.18 | Professional | 26 · Professional part | $66.07 | $89.13 | $162.18 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $363.08 Typical High $691.83 | Professional | TC · Technical part | $257.04 | $363.08 | $691.83 |
Highmark BCBS Setting Facility Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $2,691.53 | Facility | None | $1,174.90 | $1,174.90 | $2,691.53 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $87.10 Typical High $93.33 | Professional | 26 · Professional part | $87.10 | $87.10 | $93.33 |
Martin's Point Setting Facility Modifier None Typical Low $467.74 Median $1,479.11 Typical High $2,187.76 | Facility | None | $467.74 | $1,479.11 | $2,187.76 |
Martin's Point Setting Facility Modifier TC · Technical part Typical Low $269.15 Median $302.00 Typical High $977.24 | Facility | TC · Technical part | $269.15 | $302.00 | $977.24 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $346.74 Median $426.58 Typical High $524.81 | Professional | None (both parts) | $346.74 | $426.58 | $524.81 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $125.89 Typical High $125.89 | Professional | 26 · Professional part | $77.62 | $125.89 | $125.89 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $302.00 Typical High $323.59 | Professional | TC · Technical part | $269.15 | $302.00 | $323.59 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $81.28 Median $331.13 Typical High $707.95 | Professional | None (both parts) | $81.28 | $331.13 | $707.95 |
UPMC Health Plan Setting Facility Modifier None Typical Low $331.13 Median $954.99 Typical High $2,041.74 | Facility | None | $331.13 | $954.99 | $2,041.74 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $331.13 Median $588.84 Typical High $588.84 | Professional | None (both parts) | $331.13 | $588.84 | $588.84 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $89.13 Typical High $89.13 | Professional | 26 · Professional part | $75.86 | $89.13 | $89.13 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $501.19 Typical High $501.19 | Professional | TC · Technical part | $257.04 | $501.19 | $501.19 |
United Setting Facility Modifier None Typical Low $478.63 Median $1,023.29 Typical High $1,174.90 | Facility | None | $478.63 | $1,023.29 | $1,174.90 |
United Setting Professional Modifier None (both parts) Typical Low $338.84 Median $446.68 Typical High $741.31 | Professional | None (both parts) | $338.84 | $446.68 | $741.31 |
United Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $81.28 Typical High $151.36 | Professional | 26 · Professional part | $70.79 | $81.28 | $151.36 |
United Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $346.74 Typical High $616.60 | Professional | TC · Technical part | $257.04 | $346.74 | $616.60 |
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 Facility Modifier 52 · Reduced service Typical Low $134.90 Median $173.78 Typical High $630.96 | Facility | 52 · Reduced service | $134.90 | $173.78 | $630.96 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $53.70 Median $69.18 Typical High $257.04 | Facility | 53 · Discontinued | $53.70 | $69.18 | $257.04 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $173.78 Median $213.80 Typical High $213.80 | Professional | 52 · Reduced service | $173.78 | $213.80 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $69.18 Median $85.11 Typical High $85.11 | Professional | 53 · Discontinued | $69.18 | $85.11 | $85.11 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $275.42 Median $338.84 Typical High $338.84 | Professional | FX · Film X-ray | $275.42 | $338.84 | $338.84 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $173.78 Median $213.80 Typical High $213.80 | Professional | 52 · Reduced service | $173.78 | $213.80 | $213.80 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $69.18 Median $85.11 Typical High $85.11 | Professional | 53 · Discontinued | $69.18 | $85.11 | $85.11 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $275.42 Median $338.84 Typical High $338.84 | Professional | FX · Film X-ray | $275.42 | $338.84 | $338.84 |
Where Pennsylvania sits
The same service costs 5.4 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· 39th of 51
$427
WY $1,318UT $245
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.