How much rates vary
Facilitymedian $1,660 · 10th to 90th $447 to $3,090Professionalmedian $417 · 10th to 90th $324 to $708
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 $363.08 Median $1,584.89 Typical High $2,630.27 | Facility | None | $363.08 | $1,584.89 | $2,630.27 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $77.62 Median $112.20 Typical High $257.04 | Facility | 26 · Professional part | $77.62 | $112.20 | $257.04 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $251.19 Median $302.00 Typical High $977.24 | Facility | TC · Technical part | $251.19 | $302.00 | $977.24 |
Aetna Setting Professional Modifier None (both parts) Typical Low $323.59 Median $426.58 Typical High $549.54 | Professional | None (both parts) | $323.59 | $426.58 | $549.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $120.23 Typical High $154.88 | Professional | 26 · Professional part | $77.62 | $120.23 | $154.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $302.00 Typical High $407.38 | Professional | TC · Technical part | $251.19 | $302.00 | $407.38 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | None (both parts) | $257.04 | $257.04 | $257.04 |
AmeriHealth Setting Facility Modifier None Typical Low $812.83 Median $4,265.80 Typical High $9,332.54 | Facility | None | $812.83 | $4,265.80 | $9,332.54 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $602.56 Median $602.56 Typical High $1,230.27 | Professional | None (both parts) | $602.56 | $602.56 | $1,230.27 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $97.72 Typical High $128.82 | Professional | 26 · Professional part | $97.72 | $97.72 | $128.82 |
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 $331.13 Typical High $707.95 | Professional | None (both parts) | $323.59 | $331.13 | $707.95 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $83.18 Typical High $162.18 | Professional | 26 · Professional part | $81.28 | $83.18 | $162.18 |
Capital Blue Cross Setting Professional Modifier 50 · Both sides Typical Low $645.65 Median $660.69 Typical High $1,412.54 | Professional | 50 · Both sides | $645.65 | $660.69 | $1,412.54 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $251.19 Typical High $575.44 | Professional | TC · Technical part | $239.88 | $251.19 | $575.44 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $831.76 Typical High $2,398.83 | Facility | None | $562.34 | $831.76 | $2,398.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $269.15 Median $407.38 Typical High $758.58 | Professional | None (both parts) | $269.15 | $407.38 | $758.58 |
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 $204.17 Median $354.81 Typical High $630.96 | Professional | TC · Technical part | $204.17 | $354.81 | $630.96 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $371.54 Median $537.03 Typical High $1,122.02 | Professional | None (both parts) | $371.54 | $537.03 | $1,122.02 |
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 $323.59 Median $436.52 Typical High $851.14 | Professional | None (both parts) | $323.59 | $436.52 | $851.14 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $89.13 Typical High $165.96 | Professional | 26 · Professional part | $66.07 | $89.13 | $165.96 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $363.08 Typical High $645.65 | Professional | TC · Technical part | $239.88 | $363.08 | $645.65 |
Highmark BCBS Setting Facility Modifier None Typical Low $1,000.00 Median $1,778.28 Typical High $2,754.23 | Facility | None | $1,000.00 | $1,778.28 | $2,754.23 |
Highmark BCBS Setting Facility Modifier TC · Technical part Typical Low $1,096.48 Median $2,884.03 Typical High $4,677.35 | Facility | TC · Technical part | $1,096.48 | $2,884.03 | $4,677.35 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $331.13 Median $380.19 Typical High $707.95 | Professional | None (both parts) | $331.13 | $380.19 | $707.95 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $87.10 Typical High $125.89 | Professional | 26 · Professional part | $81.28 | $87.10 | $125.89 |
Independence Blue Cross Setting Facility Modifier None Typical Low $812.83 Median $4,168.69 Typical High $8,912.51 | Facility | None | $812.83 | $4,168.69 | $8,912.51 |
Independence Blue Cross Setting Professional Modifier None (both parts) Typical Low $575.44 Median $602.56 Typical High $1,230.27 | Professional | None (both parts) | $575.44 | $602.56 | $1,230.27 |
Independence Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $97.72 Typical High $123.03 | Professional | 26 · Professional part | $91.20 | $97.72 | $123.03 |
Martin's Point Setting Facility Modifier None Typical Low $363.08 Median $1,659.59 Typical High $2,630.27 | Facility | None | $363.08 | $1,659.59 | $2,630.27 |
Martin's Point Setting Facility Modifier 26 · Professional part Typical Low $77.62 Median $117.49 Typical High $239.88 | Facility | 26 · Professional part | $77.62 | $117.49 | $239.88 |
Martin's Point Setting Facility Modifier TC · Technical part Typical Low $251.19 Median $302.00 Typical High $1,122.02 | Facility | TC · Technical part | $251.19 | $302.00 | $1,122.02 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $323.59 Median $426.58 Typical High $549.54 | Professional | None (both parts) | $323.59 | $426.58 | $549.54 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $125.89 Typical High $154.88 | Professional | 26 · Professional part | $77.62 | $125.89 | $154.88 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $302.00 Typical High $389.05 | Professional | TC · Technical part | $251.19 | $302.00 | $389.05 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $81.28 Median $316.23 Typical High $707.95 | Professional | None (both parts) | $81.28 | $316.23 | $707.95 |
UPMC Health Plan Setting Facility Modifier None Typical Low $316.23 Median $954.99 Typical High $1,737.80 | Facility | None | $316.23 | $954.99 | $1,737.80 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $316.23 Median $588.84 Typical High $588.84 | Professional | None (both parts) | $316.23 | $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 $239.88 Median $501.19 Typical High $501.19 | Professional | TC · Technical part | $239.88 | $501.19 | $501.19 |
United Setting Facility Modifier None Typical Low $1,071.52 Median $2,290.87 Typical High $2,630.27 | Facility | None | $1,071.52 | $2,290.87 | $2,630.27 |
United Setting Professional Modifier None (both parts) Typical Low $316.23 Median $426.58 Typical High $691.83 | Professional | None (both parts) | $316.23 | $426.58 | $691.83 |
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 $239.88 Median $316.23 Typical High $588.84 | Professional | TC · Technical part | $239.88 | $316.23 | $588.84 |
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 $123.03 Median $213.80 Typical High $891.25 | Facility | 52 · Reduced service | $123.03 | $213.80 | $891.25 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $50.12 Median $66.07 Typical High $234.42 | Facility | 53 · Discontinued | $50.12 | $66.07 | $234.42 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $162.18 Median $213.80 Typical High $213.80 | Professional | 52 · Reduced service | $162.18 | $213.80 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $85.11 Typical High $85.11 | Professional | 53 · Discontinued | $66.07 | $85.11 | $85.11 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $263.03 Median $338.84 Typical High $338.84 | Professional | FX · Film X-ray | $263.03 | $338.84 | $338.84 |
Martin's Point Setting Facility Modifier 52 · Reduced service Typical Low $123.03 Median $186.21 Typical High $891.25 | Facility | 52 · Reduced service | $123.03 | $186.21 | $891.25 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $162.18 Median $213.80 Typical High $213.80 | Professional | 52 · Reduced service | $162.18 | $213.80 | $213.80 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $85.11 Typical High $85.11 | Professional | 53 · Discontinued | $66.07 | $85.11 | $85.11 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $263.03 Median $338.84 Typical High $338.84 | Professional | FX · Film X-ray | $263.03 | $338.84 | $338.84 |
Where Pennsylvania sits
The same service costs 5.4 times more in Wyoming than in Texas. 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· 36th of 51
$427
WY $1,259TX $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.