How much rates vary
Facilitymedian $347 · 10th to 90th $129 to $1,230Professionalmedian $129 · 10th to 90th $105 to $219
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 $151.36 Median $245.47 Typical High $426.58 | Facility | None | $151.36 | $245.47 | $426.58 |
Aetna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $138.04 Typical High $151.36 | Professional | None (both parts) | $120.23 | $138.04 | $151.36 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $28.18 Typical High $30.90 | Professional | 26 · Professional part | $23.99 | $28.18 | $30.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $109.65 Typical High $123.03 | Professional | TC · Technical part | $93.33 | $109.65 | $123.03 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $66.07 Median $66.07 Typical High $91.20 | Professional | None (both parts) | $66.07 | $66.07 | $91.20 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $154.88 Median $194.98 Typical High $234.42 | Professional | None (both parts) | $154.88 | $194.98 | $234.42 |
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 $478.63 Median $588.84 Typical High $5,011.87 | Facility | TC · Technical part | $478.63 | $588.84 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $104.71 Median $107.15 Typical High $223.87 | Professional | None (both parts) | $104.71 | $107.15 | $223.87 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $31.62 Typical High $56.23 | Professional | 26 · Professional part | $30.20 | $31.62 | $56.23 |
Capital Blue Cross Setting Professional Modifier 50 · Both sides Typical Low $208.93 Median $213.80 Typical High $446.68 | Professional | 50 · Both sides | $208.93 | $213.80 | $446.68 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $75.86 Typical High $169.82 | Professional | TC · Technical part | $74.13 | $75.86 | $169.82 |
Cigna Setting Facility Modifier None Typical Low $102.33 Median $338.84 Typical High $1,230.27 | Facility | None | $102.33 | $338.84 | $1,230.27 |
Cigna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $120.23 Typical High $223.87 | Professional | None (both parts) | $85.11 | $120.23 | $223.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $28.84 Typical High $56.23 | Professional | 26 · Professional part | $16.60 | $28.84 | $56.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $91.20 Typical High $173.78 | Professional | TC · Technical part | $63.10 | $91.20 | $173.78 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $141.25 Median $165.96 Typical High $208.93 | Professional | None (both parts) | $141.25 | $165.96 | $208.93 |
Geisinger Setting Facility Modifier None Typical Low $154.88 Median $154.88 Typical High $154.88 | Facility | None | $154.88 | $154.88 | $154.88 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $97.72 Median $134.90 Typical High $257.04 | Professional | None (both parts) | $97.72 | $134.90 | $257.04 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $33.88 Typical High $61.66 | Professional | 26 · Professional part | $21.88 | $33.88 | $61.66 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $100.00 Typical High $199.53 | Professional | TC · Technical part | $72.44 | $100.00 | $199.53 |
Highmark BCBS Setting Facility Modifier None Typical Low $676.08 Median $676.08 Typical High $707.95 | Facility | None | $676.08 | $676.08 | $707.95 |
Independence Blue Cross Setting Professional Modifier None (both parts) Typical Low $154.88 Median $194.98 Typical High $234.42 | Professional | None (both parts) | $154.88 | $194.98 | $234.42 |
Martin's Point Setting Facility Modifier None Typical Low $151.36 Median $245.47 Typical High $426.58 | Facility | None | $151.36 | $245.47 | $426.58 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $120.23 Median $138.04 Typical High $151.36 | Professional | None (both parts) | $120.23 | $138.04 | $151.36 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $28.18 Typical High $29.51 | Professional | 26 · Professional part | $23.99 | $28.18 | $29.51 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $109.65 Typical High $123.03 | Professional | TC · Technical part | $95.50 | $109.65 | $123.03 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $34.67 Median $120.23 Typical High $234.42 | Professional | None (both parts) | $34.67 | $120.23 | $234.42 |
UPMC Health Plan Setting Facility Modifier None Typical Low $123.03 Median $302.00 Typical High $630.96 | Facility | None | $123.03 | $302.00 | $630.96 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $123.03 Median $128.82 Typical High $128.82 | Professional | None (both parts) | $123.03 | $128.82 | $128.82 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $28.84 Typical High $29.51 | Professional | 26 · Professional part | $28.84 | $28.84 | $29.51 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $100.00 Typical High $100.00 | Professional | TC · Technical part | $93.33 | $100.00 | $100.00 |
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 $107.15 Median $138.04 Typical High $239.88 | Professional | None (both parts) | $107.15 | $138.04 | $239.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $29.51 Typical High $53.70 | Professional | 26 · Professional part | $25.12 | $29.51 | $53.70 |
United Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $107.15 Typical High $190.55 | Professional | TC · Technical part | $81.28 | $107.15 | $190.55 |
6 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 52 · Reduced service Typical Low $56.23 Median $66.07 Typical High $75.86 | Professional | 52 · Reduced service | $56.23 | $66.07 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $26.30 Typical High $30.20 | Professional | 53 · Discontinued | $22.91 | $26.30 | $30.20 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $97.72 Median $107.15 Typical High $120.23 | Professional | FX · Film X-ray | $97.72 | $107.15 | $120.23 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $61.66 Median $66.07 Typical High $75.86 | Professional | 52 · Reduced service | $61.66 | $66.07 | $75.86 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $26.30 Typical High $30.20 | Professional | 53 · Discontinued | $24.55 | $26.30 | $30.20 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $97.72 Median $107.15 Typical High $120.23 | Professional | FX · Film X-ray | $97.72 | $107.15 | $120.23 |
Where Pennsylvania sits
The same service costs 3.5 times more in Alaska 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· 40th of 51
$129
AK $355TX $100
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.