How much rates vary
Facilitymedian $145 · 10th to 90th $32 to $309Professionalmedian $32 · 10th to 90th $26 to $63
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 $29.51 Median $67.61 Typical High $275.42 | Facility | None | $29.51 | $67.61 | $275.42 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $6.92 Median $9.77 Typical High $19.05 | Facility | 26 · Professional part | $6.92 | $9.77 | $19.05 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $20.89 Median $28.18 Typical High $177.83 | Facility | TC · Technical part | $20.89 | $28.18 | $177.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $26.30 Median $31.62 Typical High $47.86 | Professional | None (both parts) | $26.30 | $31.62 | $47.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.61 Median $7.59 Typical High $12.02 | Professional | 26 · Professional part | $6.61 | $7.59 | $12.02 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $24.55 Typical High $35.48 | Professional | TC · Technical part | $19.95 | $24.55 | $35.48 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $18.62 Median $56.23 Typical High $60.26 | Professional | None (both parts) | $18.62 | $56.23 | $60.26 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $6.46 Median $10.96 Typical High $12.59 | Professional | 26 · Professional part | $6.46 | $10.96 | $12.59 |
AmeriHealth Setting Facility Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $1,584.89 | Facility | None | $1,584.89 | $1,584.89 | $1,584.89 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $33.11 Median $40.74 Typical High $54.95 | Professional | None (both parts) | $33.11 | $40.74 | $54.95 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $10.00 Typical High $40.74 | Professional | 26 · Professional part | $10.00 | $10.00 | $40.74 |
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 $95.50 Median $117.49 Typical High $5,011.87 | Facility | TC · Technical part | $95.50 | $117.49 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $30.90 Median $46.77 Typical High $69.18 | Professional | None (both parts) | $30.90 | $46.77 | $69.18 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $13.49 Typical High $20.42 | Professional | 26 · Professional part | $7.76 | $13.49 | $20.42 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $33.88 Typical High $48.98 | Professional | TC · Technical part | $23.44 | $33.88 | $48.98 |
Cigna Setting Facility Modifier None Typical Low $30.20 Median $77.62 Typical High $269.15 | Facility | None | $30.20 | $77.62 | $269.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $18.20 Median $28.84 Typical High $53.70 | Professional | None (both parts) | $18.20 | $28.84 | $53.70 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $4.79 Median $8.51 Typical High $15.14 | Professional | 26 · Professional part | $4.79 | $8.51 | $15.14 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $13.18 Median $20.42 Typical High $40.74 | Professional | TC · Technical part | $13.18 | $20.42 | $40.74 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $38.90 Median $46.77 Typical High $57.54 | Professional | None (both parts) | $38.90 | $46.77 | $57.54 |
Geisinger Setting Facility Modifier None Typical Low $28.84 Median $28.84 Typical High $28.84 | Facility | None | $28.84 | $28.84 | $28.84 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $20.42 Median $33.88 Typical High $64.57 | Professional | None (both parts) | $20.42 | $33.88 | $64.57 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $6.46 Median $9.12 Typical High $16.98 | Professional | 26 · Professional part | $6.46 | $9.12 | $16.98 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $13.80 Median $25.12 Typical High $45.71 | Professional | TC · Technical part | $13.80 | $25.12 | $45.71 |
Highmark BCBS Setting Facility Modifier None Typical Low $102.33 Median $194.98 Typical High $323.59 | Facility | None | $102.33 | $194.98 | $323.59 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $32.36 Median $35.48 Typical High $40.74 | Professional | None (both parts) | $32.36 | $35.48 | $40.74 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $9.12 Typical High $16.98 | Professional | 26 · Professional part | $7.76 | $9.12 | $16.98 |
Independence Blue Cross Setting Facility Modifier None Typical Low $63.10 Median $87.10 Typical High $1,584.89 | Facility | None | $63.10 | $87.10 | $1,584.89 |
Independence Blue Cross Setting Professional Modifier None (both parts) Typical Low $38.90 Median $40.74 Typical High $52.48 | Professional | None (both parts) | $38.90 | $40.74 | $52.48 |
Independence Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $10.00 Typical High $40.74 | Professional | 26 · Professional part | $10.00 | $10.00 | $40.74 |
Martin's Point Setting Facility Modifier None Typical Low $29.51 Median $95.50 Typical High $275.42 | Facility | None | $29.51 | $95.50 | $275.42 |
Martin's Point Setting Facility Modifier 26 · Professional part Typical Low $6.92 Median $9.77 Typical High $16.22 | Facility | 26 · Professional part | $6.92 | $9.77 | $16.22 |
Martin's Point Setting Facility Modifier TC · Technical part Typical Low $20.89 Median $30.90 Typical High $263.03 | Facility | TC · Technical part | $20.89 | $30.90 | $263.03 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $26.30 Median $31.62 Typical High $45.71 | Professional | None (both parts) | $26.30 | $31.62 | $45.71 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $6.61 Median $7.59 Typical High $11.48 | Professional | 26 · Professional part | $6.61 | $7.59 | $11.48 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $23.99 Typical High $34.67 | Professional | TC · Technical part | $19.95 | $23.99 | $34.67 |
Oscar Health Setting Facility Modifier None Typical Low $177.83 Median $208.93 Typical High $302.00 | Facility | None | $177.83 | $208.93 | $302.00 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $8.91 Median $33.11 Typical High $58.88 | Professional | None (both parts) | $8.91 | $33.11 | $58.88 |
UPMC Health Plan Setting Facility Modifier None Typical Low $28.18 Median $66.07 Typical High $102.33 | Facility | None | $28.18 | $66.07 | $102.33 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $28.18 Median $28.18 Typical High $31.62 | Professional | None (both parts) | $28.18 | $28.18 | $31.62 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $8.51 Typical High $8.51 | Professional | 26 · Professional part | $7.94 | $8.51 | $8.51 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $19.50 Typical High $23.44 | Professional | TC · Technical part | $19.50 | $19.50 | $23.44 |
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 $23.99 Median $31.62 Typical High $54.95 | Professional | None (both parts) | $23.99 | $31.62 | $54.95 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $8.51 Typical High $15.85 | Professional | 26 · Professional part | $7.08 | $8.51 | $15.85 |
United Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $23.44 Typical High $40.74 | Professional | TC · Technical part | $17.38 | $23.44 | $40.74 |
7 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 $13.18 Median $15.14 Typical High $16.22 | Professional | 52 · Reduced service | $13.18 | $15.14 | $16.22 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.25 Median $6.03 Typical High $6.46 | Professional | 53 · Discontinued | $5.25 | $6.03 | $6.46 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $21.38 Median $24.55 Typical High $26.30 | Professional | FX · Film X-ray | $21.38 | $24.55 | $26.30 |
Capital Blue Cross Setting Professional Modifier 50 · Both sides Typical Low $61.66 Median $93.33 Typical High $138.04 | Professional | 50 · Both sides | $61.66 | $93.33 | $138.04 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $13.18 Median $15.14 Typical High $16.22 | Professional | 52 · Reduced service | $13.18 | $15.14 | $16.22 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $5.25 Median $6.03 Typical High $6.46 | Professional | 53 · Discontinued | $5.25 | $6.03 | $6.46 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $21.38 Median $24.55 Typical High $26.30 | Professional | FX · Film X-ray | $21.38 | $24.55 | $26.30 |
Where Pennsylvania sits
The same service costs 3.8 times more in Alaska than in Florida. 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
$32.36
AK $95.50FL $25.12
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.