How much rates vary
Facilitymedian $562 · 10th to 90th $234 to $1,380Professionalmedian $234 · 10th to 90th $191 to $501
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 $234.42 Median $575.44 Typical High $1,000.00 | Facility | None | $234.42 | $575.44 | $1,000.00 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $131.83 Median $169.82 Typical High $630.96 | Facility | TC · Technical part | $131.83 | $169.82 | $630.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $186.21 Median $234.42 Typical High $354.81 | Professional | None (both parts) | $186.21 | $234.42 | $354.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $61.66 Typical High $70.79 | Professional | 26 · Professional part | $53.70 | $61.66 | $70.79 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $169.82 Typical High $295.12 | Professional | TC · Technical part | $131.83 | $169.82 | $295.12 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $51.29 Typical High $93.33 | Professional | 26 · Professional part | $51.29 | $51.29 | $93.33 |
Capital Blue Cross Setting Facility Modifier None Typical Low $1,202.26 Median $5,011.87 Typical High $5,011.87 | Facility | None | $1,202.26 | $5,011.87 | $5,011.87 |
Capital Blue Cross Setting Facility Modifier TC · Technical part Typical Low $1,819.70 Median $2,290.87 Typical High $5,011.87 | Facility | TC · Technical part | $1,819.70 | $2,290.87 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $190.55 Median $199.53 Typical High $512.86 | Professional | None (both parts) | $190.55 | $199.53 | $512.86 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $58.88 Typical High $120.23 | Professional | 26 · Professional part | $57.54 | $58.88 | $120.23 |
Capital Blue Cross Setting Professional Modifier 50 · Both sides Typical Low $380.19 Median $398.11 Typical High $1,023.29 | Professional | 50 · Both sides | $380.19 | $398.11 | $1,023.29 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $141.25 Typical High $389.05 | Professional | TC · Technical part | $134.90 | $141.25 | $389.05 |
Cigna Setting Facility Modifier None Typical Low $269.15 Median $478.63 Typical High $831.76 | Facility | None | $269.15 | $478.63 | $831.76 |
Cigna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $275.42 Typical High $512.86 | Professional | None (both parts) | $169.82 | $275.42 | $512.86 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $61.66 Typical High $109.65 | Professional | 26 · Professional part | $37.15 | $61.66 | $109.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $234.42 Typical High $416.87 | Professional | TC · Technical part | $120.23 | $234.42 | $416.87 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $234.42 Median $275.42 Typical High $346.74 | Professional | None (both parts) | $234.42 | $275.42 | $346.74 |
Geisinger Setting Facility Modifier None Typical Low $436.52 Median $537.03 Typical High $1,819.70 | Facility | None | $436.52 | $537.03 | $1,819.70 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $199.53 Median $275.42 Typical High $562.34 | Professional | None (both parts) | $199.53 | $275.42 | $562.34 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $67.61 Typical High $123.03 | Professional | 26 · Professional part | $48.98 | $67.61 | $123.03 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $213.80 Typical High $436.52 | Professional | TC · Technical part | $141.25 | $213.80 | $436.52 |
Highmark BCBS Setting Facility Modifier None Typical Low $281.84 Median $575.44 Typical High $1,412.54 | Facility | None | $281.84 | $575.44 | $1,412.54 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $69.18 Typical High $81.28 | Professional | 26 · Professional part | $64.57 | $69.18 | $81.28 |
Martin's Point Setting Facility Modifier None Typical Low $234.42 Median $575.44 Typical High $2,344.23 | Facility | None | $234.42 | $575.44 | $2,344.23 |
Martin's Point Setting Facility Modifier TC · Technical part Typical Low $131.83 Median $134.90 Typical High $630.96 | Facility | TC · Technical part | $131.83 | $134.90 | $630.96 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $186.21 Median $234.42 Typical High $346.74 | Professional | None (both parts) | $186.21 | $234.42 | $346.74 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $60.26 Typical High $64.57 | Professional | 26 · Professional part | $53.70 | $60.26 | $64.57 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $169.82 Typical High $245.47 | Professional | TC · Technical part | $131.83 | $169.82 | $245.47 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $58.88 Median $181.97 Typical High $380.19 | Professional | None (both parts) | $58.88 | $181.97 | $380.19 |
UPMC Health Plan Setting Facility Modifier None Typical Low $194.98 Median $691.83 Typical High $1,318.26 | Facility | None | $194.98 | $691.83 | $1,318.26 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $194.98 Median $346.74 Typical High $346.74 | Professional | None (both parts) | $194.98 | $346.74 | $346.74 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $66.07 Typical High $66.07 | Professional | 26 · Professional part | $56.23 | $66.07 | $66.07 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $281.84 Typical High $281.84 | Professional | TC · Technical part | $138.04 | $281.84 | $281.84 |
United Setting Facility Modifier None Typical Low $239.88 Median $512.86 Typical High $588.84 | Facility | None | $239.88 | $512.86 | $588.84 |
United Setting Professional Modifier None (both parts) Typical Low $199.53 Median $281.84 Typical High $457.09 | Professional | None (both parts) | $199.53 | $281.84 | $457.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $61.66 Typical High $112.20 | Professional | 26 · Professional part | $52.48 | $61.66 | $112.20 |
United Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $194.98 Typical High $354.81 | Professional | TC · Technical part | $141.25 | $194.98 | $354.81 |
10 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 $66.07 Median $93.33 Typical High $363.08 | Facility | 52 · Reduced service | $66.07 | $93.33 | $363.08 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $26.30 Median $37.15 Typical High $147.91 | Facility | 53 · Discontinued | $26.30 | $37.15 | $147.91 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $93.33 Median $117.49 Typical High $141.25 | Professional | 52 · Reduced service | $93.33 | $117.49 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $37.15 Median $46.77 Typical High $56.23 | Professional | 53 · Discontinued | $37.15 | $46.77 | $56.23 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $158.49 Median $199.53 Typical High $199.53 | Professional | CT · Older CT scanner | $158.49 | $199.53 | $199.53 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $147.91 Median $186.21 Typical High $186.21 | Professional | FX · Film X-ray | $147.91 | $186.21 | $186.21 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $93.33 Median $117.49 Typical High $120.23 | Professional | 52 · Reduced service | $93.33 | $117.49 | $120.23 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $37.15 Median $46.77 Typical High $47.86 | Professional | 53 · Discontinued | $37.15 | $46.77 | $47.86 |
Martin's Point Setting Professional Modifier CT · Older CT scanner Typical Low $158.49 Median $199.53 Typical High $199.53 | Professional | CT · Older CT scanner | $158.49 | $199.53 | $199.53 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $147.91 Median $186.21 Typical High $186.21 | Professional | FX · Film X-ray | $147.91 | $186.21 | $186.21 |
Where Pennsylvania sits
The same service costs 5.1 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· 47th of 51
$234
AK $776UT $151
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.