How much rates vary
Facilitymedian $1,023 · 10th to 90th $447 to $2,630Professionalmedian $457 · 10th to 90th $398 to $1,047
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 $426.58 Median $794.33 Typical High $1,995.26 | Facility | None | $426.58 | $794.33 | $1,995.26 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $102.33 Median $138.04 Typical High $281.84 | Facility | 26 · Professional part | $102.33 | $138.04 | $281.84 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $302.00 Median $331.13 Typical High $977.24 | Facility | TC · Technical part | $302.00 | $331.13 | $977.24 |
Aetna Setting Professional Modifier None (both parts) Typical Low $407.38 Median $426.58 Typical High $660.69 | Professional | None (both parts) | $407.38 | $426.58 | $660.69 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $125.89 Typical High $162.18 | Professional | 26 · Professional part | $102.33 | $125.89 | $162.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $302.00 Typical High $457.09 | Professional | TC · Technical part | $302.00 | $302.00 | $457.09 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $288.40 Median $288.40 Typical High $288.40 | Professional | None (both parts) | $288.40 | $288.40 | $288.40 |
AmeriHealth Setting Facility Modifier None Typical Low $562.34 Median $1,348.96 Typical High $3,467.37 | Facility | None | $562.34 | $1,348.96 | $3,467.37 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $562.34 Median $562.34 Typical High $707.95 | Professional | None (both parts) | $562.34 | $562.34 | $707.95 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $125.89 Typical High $162.18 | Professional | 26 · Professional part | $120.23 | $125.89 | $162.18 |
Capital Blue Cross Setting Facility Modifier None Typical Low $1,905.46 Median $5,011.87 Typical High $5,011.87 | Facility | None | $1,905.46 | $5,011.87 | $5,011.87 |
Capital Blue Cross Setting Facility Modifier TC · Technical part Typical Low $2,884.03 Median $3,630.78 Typical High $5,011.87 | Facility | TC · Technical part | $2,884.03 | $3,630.78 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $398.11 Median $416.87 Typical High $1,096.48 | Professional | None (both parts) | $398.11 | $416.87 | $1,096.48 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $112.20 Typical High $213.80 | Professional | 26 · Professional part | $107.15 | $112.20 | $213.80 |
Capital Blue Cross Setting Professional Modifier 50 · Both sides Typical Low $794.33 Median $831.76 Typical High $2,187.76 | Professional | 50 · Both sides | $794.33 | $831.76 | $2,187.76 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $302.00 Typical High $831.76 | Professional | TC · Technical part | $288.40 | $302.00 | $831.76 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $1,023.29 Typical High $1,778.28 | Facility | None | $630.96 | $1,023.29 | $1,778.28 |
Cigna Setting Professional Modifier None (both parts) Typical Low $338.84 Median $616.60 Typical High $1,148.15 | Professional | None (both parts) | $338.84 | $616.60 | $1,148.15 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $109.65 Typical High $194.98 | Professional | 26 · Professional part | $66.07 | $109.65 | $194.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $467.74 Typical High $954.99 | Professional | TC · Technical part | $245.47 | $467.74 | $954.99 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $457.09 Median $645.65 Typical High $1,479.11 | Professional | None (both parts) | $457.09 | $645.65 | $1,479.11 |
Geisinger Setting Facility Modifier None Typical Low $912.01 Median $1,445.44 Typical High $3,981.07 | Facility | None | $912.01 | $1,445.44 | $3,981.07 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $389.05 Median $602.56 Typical High $1,047.13 | Professional | None (both parts) | $389.05 | $602.56 | $1,047.13 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $117.49 Typical High $218.78 | Professional | 26 · Professional part | $87.10 | $117.49 | $218.78 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $446.68 Typical High $870.96 | Professional | TC · Technical part | $288.40 | $446.68 | $870.96 |
Highmark BCBS Setting Facility Modifier None Typical Low $562.34 Median $977.24 Typical High $3,162.28 | Facility | None | $562.34 | $977.24 | $3,162.28 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $426.58 Median $457.09 Typical High $870.96 | Professional | None (both parts) | $426.58 | $457.09 | $870.96 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $120.23 Typical High $169.82 | Professional | 26 · Professional part | $107.15 | $120.23 | $169.82 |
Independence Blue Cross Setting Facility Modifier None Typical Low $812.83 Median $1,318.26 Typical High $4,897.79 | Facility | None | $812.83 | $1,318.26 | $4,897.79 |
Independence Blue Cross Setting Professional Modifier None (both parts) Typical Low $562.34 Median $562.34 Typical High $707.95 | Professional | None (both parts) | $562.34 | $562.34 | $707.95 |
Independence Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $125.89 Typical High $158.49 | Professional | 26 · Professional part | $114.82 | $125.89 | $158.49 |
Martin's Point Setting Facility Modifier None Typical Low $407.38 Median $794.33 Typical High $2,041.74 | Facility | None | $407.38 | $794.33 | $2,041.74 |
Martin's Point Setting Facility Modifier 26 · Professional part Typical Low $102.33 Median $138.04 Typical High $257.04 | Facility | 26 · Professional part | $102.33 | $138.04 | $257.04 |
Martin's Point Setting Facility Modifier TC · Technical part Typical Low $302.00 Median $316.23 Typical High $977.24 | Facility | TC · Technical part | $302.00 | $316.23 | $977.24 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $407.38 Median $426.58 Typical High $660.69 | Professional | None (both parts) | $407.38 | $426.58 | $660.69 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $125.89 Typical High $162.18 | Professional | 26 · Professional part | $102.33 | $125.89 | $162.18 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $302.00 Typical High $436.52 | Professional | TC · Technical part | $302.00 | $302.00 | $436.52 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $107.15 Median $389.05 Typical High $758.58 | Professional | None (both parts) | $107.15 | $389.05 | $758.58 |
UPMC Health Plan Setting Facility Modifier None Typical Low $389.05 Median $1,148.15 Typical High $2,454.71 | Facility | None | $389.05 | $1,148.15 | $2,454.71 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $389.05 Median $1,047.13 Typical High $1,047.13 | Professional | None (both parts) | $389.05 | $1,047.13 | $1,047.13 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $112.20 Typical High $112.20 | Professional | 26 · Professional part | $102.33 | $112.20 | $112.20 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $933.25 Typical High $933.25 | Professional | TC · Technical part | $288.40 | $933.25 | $933.25 |
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 $389.05 Median $524.81 Typical High $1,071.52 | Professional | None (both parts) | $389.05 | $524.81 | $1,071.52 |
United Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $107.15 Typical High $199.53 | Professional | 26 · Professional part | $93.33 | $107.15 | $199.53 |
United Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $389.05 Typical High $870.96 | Professional | TC · Technical part | $288.40 | $389.05 | $870.96 |
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 $151.36 Median $204.17 Typical High $707.95 | Facility | 52 · Reduced service | $151.36 | $204.17 | $707.95 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $60.26 Median $81.28 Typical High $281.84 | Facility | 53 · Discontinued | $60.26 | $81.28 | $281.84 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $199.53 Median $213.80 Typical High $213.80 | Professional | 52 · Reduced service | $199.53 | $213.80 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $81.28 Median $85.11 Typical High $85.11 | Professional | 53 · Discontinued | $81.28 | $85.11 | $85.11 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $323.59 Median $338.84 Typical High $338.84 | Professional | FX · Film X-ray | $323.59 | $338.84 | $338.84 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $204.17 Median $213.80 Typical High $213.80 | Professional | 52 · Reduced service | $204.17 | $213.80 | $213.80 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $81.28 Median $85.11 Typical High $85.11 | Professional | 53 · Discontinued | $81.28 | $85.11 | $85.11 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $323.59 Median $338.84 Typical High $338.84 | Professional | FX · Film X-ray | $323.59 | $338.84 | $338.84 |
Where Pennsylvania sits
The same service costs 6.0 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· 41st of 51
$479
WY $1,549UT $257
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.