How much rates vary
Facilitymedian $186 · 10th to 90th $54 to $372Professionalmedian $48 · 10th to 90th $38 to $81
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 $47.86 Median $165.96 Typical High $467.74 | Facility | None | $47.86 | $165.96 | $467.74 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $9.55 Median $12.88 Typical High $21.88 | Facility | 26 · Professional part | $9.55 | $12.88 | $21.88 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $30.90 Median $45.71 Typical High $257.04 | Facility | TC · Technical part | $30.90 | $45.71 | $257.04 |
Aetna Setting Professional Modifier None (both parts) Typical Low $38.90 Median $45.71 Typical High $69.18 | Professional | None (both parts) | $38.90 | $45.71 | $69.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $10.47 Typical High $16.22 | Professional | 26 · Professional part | $9.12 | $10.47 | $16.22 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $35.48 Typical High $53.70 | Professional | TC · Technical part | $29.51 | $35.48 | $53.70 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $36.31 Median $58.88 Typical High $91.20 | Professional | None (both parts) | $36.31 | $58.88 | $91.20 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $15.14 Typical High $18.20 | Professional | 26 · Professional part | $8.71 | $15.14 | $18.20 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $46.77 Typical High $57.54 | Professional | TC · Technical part | $22.91 | $46.77 | $57.54 |
AmeriHealth Setting Facility Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $2,511.89 | Facility | None | $2,511.89 | $2,511.89 | $2,511.89 |
AmeriHealth Setting Facility Modifier TC · Technical part Typical Low $38.02 Median $91.20 Typical High $676.08 | Facility | TC · Technical part | $38.02 | $91.20 | $676.08 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $41.69 Median $48.98 Typical High $63.10 | Professional | None (both parts) | $41.69 | $48.98 | $63.10 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $11.22 Typical High $20.42 | Professional | 26 · Professional part | $11.22 | $11.22 | $20.42 |
Capital Blue Cross Setting Facility Modifier None Typical Low $190.55 Median $5,011.87 Typical High $8,709.64 | Facility | None | $190.55 | $5,011.87 | $8,709.64 |
Capital Blue Cross Setting Facility Modifier TC · Technical part Typical Low $158.49 Median $194.98 Typical High $5,011.87 | Facility | TC · Technical part | $158.49 | $194.98 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $45.71 Median $66.07 Typical High $95.50 | Professional | None (both parts) | $45.71 | $66.07 | $95.50 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $18.62 Typical High $26.92 | Professional | 26 · Professional part | $10.72 | $18.62 | $26.92 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $47.86 Typical High $69.18 | Professional | TC · Technical part | $35.48 | $47.86 | $69.18 |
Cigna Setting Facility Modifier None Typical Low $46.77 Median $102.33 Typical High $269.15 | Facility | None | $46.77 | $102.33 | $269.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $28.84 Median $40.74 Typical High $79.43 | Professional | None (both parts) | $28.84 | $40.74 | $79.43 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $11.48 Typical High $20.42 | Professional | 26 · Professional part | $7.76 | $11.48 | $20.42 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $29.51 Typical High $60.26 | Professional | TC · Technical part | $21.38 | $29.51 | $60.26 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $58.88 Median $69.18 Typical High $87.10 | Professional | None (both parts) | $58.88 | $69.18 | $87.10 |
Geisinger Setting Facility Modifier None Typical Low $63.10 Median $63.10 Typical High $63.10 | Facility | None | $63.10 | $63.10 | $63.10 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $31.62 Median $50.12 Typical High $93.33 | Professional | None (both parts) | $31.62 | $50.12 | $93.33 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $12.02 Typical High $22.91 | Professional | 26 · Professional part | $8.91 | $12.02 | $22.91 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $38.90 Typical High $72.44 | Professional | TC · Technical part | $22.39 | $38.90 | $72.44 |
Highmark BCBS Setting Facility Modifier None Typical Low $81.28 Median $199.53 Typical High $316.23 | Facility | None | $81.28 | $199.53 | $316.23 |
Highmark BCBS Setting Facility Modifier TC · Technical part Typical Low $151.36 Median $288.40 Typical High $416.87 | Facility | TC · Technical part | $151.36 | $288.40 | $416.87 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $48.98 Median $54.95 Typical High $67.61 | Professional | None (both parts) | $48.98 | $54.95 | $67.61 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $12.02 Typical High $18.20 | Professional | 26 · Professional part | $10.96 | $12.02 | $18.20 |
Independence Blue Cross Setting Facility Modifier None Typical Low $89.13 Median $2,511.89 Typical High $3,162.28 | Facility | None | $89.13 | $2,511.89 | $3,162.28 |
Independence Blue Cross Setting Facility Modifier TC · Technical part Typical Low $64.57 Median $93.33 Typical High $204.17 | Facility | TC · Technical part | $64.57 | $93.33 | $204.17 |
Independence Blue Cross Setting Professional Modifier None (both parts) Typical Low $41.69 Median $48.98 Typical High $77.62 | Professional | None (both parts) | $41.69 | $48.98 | $77.62 |
Independence Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $11.22 Typical High $21.38 | Professional | 26 · Professional part | $11.22 | $11.22 | $21.38 |
Martin's Point Setting Facility Modifier None Typical Low $47.86 Median $181.97 Typical High $478.63 | Facility | None | $47.86 | $181.97 | $478.63 |
Martin's Point Setting Facility Modifier 26 · Professional part Typical Low $9.55 Median $12.88 Typical High $21.88 | Facility | 26 · Professional part | $9.55 | $12.88 | $21.88 |
Martin's Point Setting Facility Modifier TC · Technical part Typical Low $30.90 Median $52.48 Typical High $257.04 | Facility | TC · Technical part | $30.90 | $52.48 | $257.04 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $38.90 Median $45.71 Typical High $69.18 | Professional | None (both parts) | $38.90 | $45.71 | $69.18 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $10.47 Typical High $15.85 | Professional | 26 · Professional part | $9.12 | $10.47 | $15.85 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $35.48 Typical High $52.48 | Professional | TC · Technical part | $29.51 | $35.48 | $52.48 |
Oscar Health Setting Facility Modifier None Typical Low $776.25 Median $794.33 Typical High $1,096.48 | Facility | None | $776.25 | $794.33 | $1,096.48 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $11.48 Median $44.67 Typical High $89.13 | Professional | None (both parts) | $11.48 | $44.67 | $89.13 |
UPMC Health Plan Setting Facility Modifier None Typical Low $42.66 Median $100.00 Typical High $239.88 | Facility | None | $42.66 | $100.00 | $239.88 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $42.66 Median $42.66 Typical High $44.67 | Professional | None (both parts) | $42.66 | $42.66 | $44.67 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $12.30 Typical High $12.30 | Professional | 26 · Professional part | $10.72 | $12.30 | $12.30 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $30.90 Typical High $34.67 | Professional | TC · Technical part | $30.90 | $30.90 | $34.67 |
United Setting Facility Modifier None Typical Low $120.23 Median $257.04 Typical High $295.12 | Facility | None | $120.23 | $257.04 | $295.12 |
United Setting Professional Modifier None (both parts) Typical Low $37.15 Median $45.71 Typical High $81.28 | Professional | None (both parts) | $37.15 | $45.71 | $81.28 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $11.48 Typical High $20.89 | Professional | 26 · Professional part | $10.23 | $11.48 | $20.89 |
United Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $33.88 Typical High $60.26 | Professional | TC · Technical part | $26.92 | $33.88 | $60.26 |
2 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 Professional Modifier FX · Film X-ray Typical Low $30.90 Median $35.48 Typical High $38.02 | Professional | FX · Film X-ray | $30.90 | $35.48 | $38.02 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $30.90 Median $36.31 Typical High $38.02 | Professional | FX · Film X-ray | $30.90 | $36.31 | $38.02 |
Where Pennsylvania sits
The same service costs 11.7 times more in Vermont 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· 36th of 51
$47.86
VT $389UT $33.11
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.