How much rates vary
Facilitymedian $257 · 10th to 90th $132 to $794Professionalmedian $174 · 10th to 90th $126 to $389
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 $125.89 Median $234.42 Typical High $616.60 | Facility | None | $125.89 | $234.42 | $616.60 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $45.71 Median $57.54 Typical High $107.15 | Facility | 26 · Professional part | $45.71 | $57.54 | $107.15 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $79.43 Median $107.15 Typical High $407.38 | Facility | TC · Technical part | $79.43 | $107.15 | $407.38 |
Aetna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $151.36 Typical High $275.42 | Professional | None (both parts) | $123.03 | $151.36 | $275.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $51.29 Typical High $74.13 | Professional | 26 · Professional part | $44.67 | $51.29 | $74.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $100.00 Typical High $208.93 | Professional | TC · Technical part | $79.43 | $100.00 | $208.93 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $93.33 Median $147.91 Typical High $147.91 | Professional | None (both parts) | $93.33 | $147.91 | $147.91 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $74.13 Typical High $91.20 | Professional | 26 · Professional part | $42.66 | $74.13 | $91.20 |
AmeriHealth Setting Facility Modifier None Typical Low $346.74 Median $707.95 Typical High $7,413.10 | Facility | None | $346.74 | $707.95 | $7,413.10 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $165.96 Median $165.96 Typical High $229.09 | Professional | None (both parts) | $165.96 | $165.96 | $229.09 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $58.88 Typical High $77.62 | Professional | 26 · Professional part | $56.23 | $58.88 | $77.62 |
Capital Blue Cross Setting Facility Modifier None Typical Low $691.83 Median $5,011.87 Typical High $5,011.87 | Facility | None | $691.83 | $5,011.87 | $5,011.87 |
Capital Blue Cross Setting Facility Modifier TC · Technical part Typical Low $1,047.13 Median $1,318.26 Typical High $5,011.87 | Facility | TC · Technical part | $1,047.13 | $1,318.26 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $128.82 Median $223.87 Typical High $426.58 | Professional | None (both parts) | $128.82 | $223.87 | $426.58 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $81.28 Typical High $123.03 | Professional | 26 · Professional part | $46.77 | $81.28 | $123.03 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $141.25 Typical High $302.00 | Professional | TC · Technical part | $81.28 | $141.25 | $302.00 |
Cigna Setting Facility Modifier None Typical Low $162.18 Median $281.84 Typical High $512.86 | Facility | None | $162.18 | $281.84 | $512.86 |
Cigna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $181.97 Typical High $346.74 | Professional | None (both parts) | $112.20 | $181.97 | $346.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $51.29 Typical High $91.20 | Professional | 26 · Professional part | $33.11 | $51.29 | $91.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $147.91 Typical High $257.04 | Professional | TC · Technical part | $72.44 | $147.91 | $257.04 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $154.88 Median $186.21 Typical High $234.42 | Professional | None (both parts) | $154.88 | $186.21 | $234.42 |
Geisinger Setting Facility Modifier None Typical Low $295.12 Median $371.54 Typical High $1,819.70 | Facility | None | $295.12 | $371.54 | $1,819.70 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $134.90 Median $186.21 Typical High $371.54 | Professional | None (both parts) | $134.90 | $186.21 | $371.54 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $57.54 Typical High $102.33 | Professional | 26 · Professional part | $44.67 | $57.54 | $102.33 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $138.04 Typical High $275.42 | Professional | TC · Technical part | $85.11 | $138.04 | $275.42 |
Highmark BCBS Setting Facility Modifier None Typical Low $134.90 Median $269.15 Typical High $812.83 | Facility | None | $134.90 | $269.15 | $812.83 |
Highmark BCBS Setting Facility Modifier TC · Technical part Typical Low $194.98 Median $389.05 Typical High $1,348.96 | Facility | TC · Technical part | $194.98 | $389.05 | $1,348.96 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $144.54 Median $169.82 Typical High $251.19 | Professional | None (both parts) | $144.54 | $169.82 | $251.19 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $56.23 Typical High $81.28 | Professional | 26 · Professional part | $48.98 | $56.23 | $81.28 |
Independence Blue Cross Setting Facility Modifier None Typical Low $257.04 Median $630.96 Typical High $3,467.37 | Facility | None | $257.04 | $630.96 | $3,467.37 |
Independence Blue Cross Setting Professional Modifier None (both parts) Typical Low $123.03 Median $173.78 Typical High $501.19 | Professional | None (both parts) | $123.03 | $173.78 | $501.19 |
Independence Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $58.88 Typical High $83.18 | Professional | 26 · Professional part | $58.88 | $58.88 | $83.18 |
Martin's Point Setting Facility Modifier None Typical Low $125.89 Median $239.88 Typical High $616.60 | Facility | None | $125.89 | $239.88 | $616.60 |
Martin's Point Setting Facility Modifier 26 · Professional part Typical Low $45.71 Median $58.88 Typical High $107.15 | Facility | 26 · Professional part | $45.71 | $58.88 | $107.15 |
Martin's Point Setting Facility Modifier TC · Technical part Typical Low $79.43 Median $107.15 Typical High $416.87 | Facility | TC · Technical part | $79.43 | $107.15 | $416.87 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $123.03 Median $151.36 Typical High $269.15 | Professional | None (both parts) | $123.03 | $151.36 | $269.15 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $51.29 Typical High $70.79 | Professional | 26 · Professional part | $44.67 | $51.29 | $70.79 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $100.00 Typical High $208.93 | Professional | TC · Technical part | $79.43 | $100.00 | $208.93 |
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 $48.98 Median $123.03 Typical High $323.59 | Professional | None (both parts) | $48.98 | $123.03 | $323.59 |
UPMC Health Plan Setting Facility Modifier None Typical Low $128.82 Median $371.54 Typical High $933.25 | Facility | None | $128.82 | $371.54 | $933.25 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $128.82 Median $245.47 Typical High $245.47 | Professional | None (both parts) | $128.82 | $245.47 | $245.47 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $57.54 Typical High $57.54 | Professional | 26 · Professional part | $46.77 | $57.54 | $57.54 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $190.55 Typical High $190.55 | Professional | TC · Technical part | $83.18 | $190.55 | $190.55 |
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 $134.90 Median $186.21 Typical High $302.00 | Professional | None (both parts) | $134.90 | $186.21 | $302.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $51.29 Typical High $93.33 | Professional | 26 · Professional part | $43.65 | $51.29 | $93.33 |
United Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $120.23 Typical High $223.87 | Professional | TC · Technical part | $87.10 | $120.23 | $223.87 |
11 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 $38.90 Median $60.26 Typical High $218.78 | Facility | 52 · Reduced service | $38.90 | $60.26 | $218.78 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $15.85 Median $23.99 Typical High $87.10 | Facility | 53 · Discontinued | $15.85 | $23.99 | $87.10 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $61.66 Median $75.86 Typical High $91.20 | Professional | 52 · Reduced service | $61.66 | $75.86 | $91.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $30.90 Typical High $36.31 | Professional | 53 · Discontinued | $24.55 | $30.90 | $36.31 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $104.71 Median $128.82 Typical High $138.04 | Professional | CT · Older CT scanner | $104.71 | $128.82 | $138.04 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $97.72 Median $123.03 Typical High $128.82 | Professional | FX · Film X-ray | $97.72 | $123.03 | $128.82 |
Capital Blue Cross Setting Professional Modifier 50 · Both sides Typical Low $257.04 Median $446.68 Typical High $851.14 | Professional | 50 · Both sides | $257.04 | $446.68 | $851.14 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $61.66 Median $75.86 Typical High $81.28 | Professional | 52 · Reduced service | $61.66 | $75.86 | $81.28 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $30.90 Typical High $32.36 | Professional | 53 · Discontinued | $24.55 | $30.90 | $32.36 |
Martin's Point Setting Professional Modifier CT · Older CT scanner Typical Low $104.71 Median $128.82 Typical High $128.82 | Professional | CT · Older CT scanner | $104.71 | $128.82 | $128.82 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $97.72 Median $123.03 Typical High $123.03 | Professional | FX · Film X-ray | $97.72 | $123.03 | $123.03 |
Where Pennsylvania sits
The same service costs 5.8 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
$182
VT $603UT $105
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.