How much rates vary
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 $46.77 Median $79.43 Typical High $234.42 | Facility | None | $46.77 | $79.43 | $234.42 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $12.59 Median $16.98 Typical High $28.84 | Facility | 26 · Professional part | $12.59 | $16.98 | $28.84 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $33.88 Median $44.67 Typical High $144.54 | Facility | TC · Technical part | $33.88 | $44.67 | $144.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $44.67 Median $52.48 Typical High $72.44 | Professional | None (both parts) | $44.67 | $52.48 | $72.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $13.80 Typical High $19.50 | Professional | 26 · Professional part | $12.02 | $13.80 | $19.50 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $38.90 Typical High $53.70 | Professional | TC · Technical part | $32.36 | $38.90 | $53.70 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $36.31 Median $48.98 Typical High $77.62 | Professional | None (both parts) | $36.31 | $48.98 | $77.62 |
AmeriHealth Setting Facility Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $1,513.56 | Facility | None | $1,445.44 | $1,445.44 | $1,513.56 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $56.23 Median $56.23 Typical High $97.72 | Professional | None (both parts) | $56.23 | $56.23 | $97.72 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $14.79 Typical High $21.38 | Professional | 26 · Professional part | $14.79 | $14.79 | $21.38 |
Capital Blue Cross Setting Facility Modifier None Typical Low $4,265.80 Median $5,011.87 Typical High $8,709.64 | Facility | None | $4,265.80 | $5,011.87 | $8,709.64 |
Capital Blue Cross Setting Facility Modifier TC · Technical part Typical Low $177.83 Median $213.80 Typical High $5,011.87 | Facility | TC · Technical part | $177.83 | $213.80 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $52.48 Median $77.62 Typical High $112.20 | Professional | None (both parts) | $52.48 | $77.62 | $112.20 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $24.55 Typical High $36.31 | Professional | 26 · Professional part | $14.13 | $24.55 | $36.31 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $53.70 Typical High $77.62 | Professional | TC · Technical part | $38.02 | $53.70 | $77.62 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $128.82 Typical High $363.08 | Facility | None | $50.12 | $128.82 | $363.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $33.88 Median $47.86 Typical High $93.33 | Professional | None (both parts) | $33.88 | $47.86 | $93.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $15.49 Typical High $27.54 | Professional | 26 · Professional part | $10.47 | $15.49 | $27.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $33.11 Typical High $66.07 | Professional | TC · Technical part | $23.99 | $33.11 | $66.07 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $64.57 Median $77.62 Typical High $97.72 | Professional | None (both parts) | $64.57 | $77.62 | $97.72 |
Geisinger Setting Facility Modifier None Typical Low $74.13 Median $74.13 Typical High $74.13 | Facility | None | $74.13 | $74.13 | $74.13 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $37.15 Median $56.23 Typical High $107.15 | Professional | None (both parts) | $37.15 | $56.23 | $107.15 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $16.22 Typical High $30.20 | Professional | 26 · Professional part | $12.02 | $16.22 | $30.20 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $41.69 Typical High $79.43 | Professional | TC · Technical part | $25.12 | $41.69 | $79.43 |
Highmark BCBS Setting Facility Modifier None Typical Low $67.61 Median $218.78 Typical High $363.08 | Facility | None | $67.61 | $218.78 | $363.08 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $54.95 Median $63.10 Typical High $74.13 | Professional | None (both parts) | $54.95 | $63.10 | $74.13 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $15.85 Typical High $21.38 | Professional | 26 · Professional part | $14.13 | $15.85 | $21.38 |
Independence Blue Cross Setting Facility Modifier None Typical Low $1,445.44 Median $1,513.56 Typical High $1,949.84 | Facility | None | $1,445.44 | $1,513.56 | $1,949.84 |
Independence Blue Cross Setting Professional Modifier None (both parts) Typical Low $56.23 Median $56.23 Typical High $79.43 | Professional | None (both parts) | $56.23 | $56.23 | $79.43 |
Independence Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $14.79 Typical High $24.55 | Professional | 26 · Professional part | $14.79 | $14.79 | $24.55 |
Martin's Point Setting Facility Modifier None Typical Low $46.77 Median $85.11 Typical High $239.88 | Facility | None | $46.77 | $85.11 | $239.88 |
Martin's Point Setting Facility Modifier 26 · Professional part Typical Low $12.59 Median $17.38 Typical High $28.84 | Facility | 26 · Professional part | $12.59 | $17.38 | $28.84 |
Martin's Point Setting Facility Modifier TC · Technical part Typical Low $33.88 Median $44.67 Typical High $144.54 | Facility | TC · Technical part | $33.88 | $44.67 | $144.54 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $44.67 Median $51.29 Typical High $69.18 | Professional | None (both parts) | $44.67 | $51.29 | $69.18 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $13.80 Typical High $18.62 | Professional | 26 · Professional part | $12.02 | $13.80 | $18.62 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $38.02 Typical High $51.29 | Professional | TC · Technical part | $32.36 | $38.02 | $51.29 |
Oscar Health Setting Facility Modifier None Typical Low $158.49 Median $213.80 Typical High $229.09 | Facility | None | $158.49 | $213.80 | $229.09 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $15.14 Median $53.70 Typical High $100.00 | Professional | None (both parts) | $15.14 | $53.70 | $100.00 |
UPMC Health Plan Setting Facility Modifier None Typical Low $51.29 Median $251.19 Typical High $446.68 | Facility | None | $51.29 | $251.19 | $446.68 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | None (both parts) | $51.29 | $51.29 | $51.29 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $16.60 Typical High $16.60 | Professional | 26 · Professional part | $13.80 | $16.60 | $16.60 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $34.67 Typical High $38.02 | Professional | TC · Technical part | $34.67 | $34.67 | $38.02 |
United Setting Facility Modifier None Typical Low $144.54 Median $309.03 Typical High $354.81 | Facility | None | $144.54 | $309.03 | $354.81 |
United Setting Professional Modifier None (both parts) Typical Low $44.67 Median $52.48 Typical High $93.33 | Professional | None (both parts) | $44.67 | $52.48 | $93.33 |
United Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $15.14 Typical High $27.54 | Professional | 26 · Professional part | $13.49 | $15.14 | $27.54 |
United Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $37.15 Typical High $66.07 | Professional | TC · Technical part | $30.20 | $37.15 | $66.07 |
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 $35.48 Median $40.74 Typical High $43.65 | Professional | FX · Film X-ray | $35.48 | $40.74 | $43.65 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $35.48 Median $41.69 Typical High $43.65 | Professional | FX · Film X-ray | $35.48 | $41.69 | $43.65 |
Where Pennsylvania sits
The same service costs 4.8 times more in Alaska 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
$53.70
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.