How much rates vary
Facilitymedian $708 · 10th to 90th $302 to $1,820Professionalmedian $339 · 10th to 90th $257 to $661
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 $263.03 Median $398.11 Typical High $1,000.00 | Facility | None | $263.03 | $398.11 | $1,000.00 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $89.13 Median $120.23 Typical High $204.17 | Facility | 26 · Professional part | $89.13 | $120.23 | $204.17 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $158.49 Median $234.42 Typical High $691.83 | Facility | TC · Technical part | $158.49 | $234.42 | $691.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $239.88 Median $302.00 Typical High $467.74 | Professional | None (both parts) | $239.88 | $302.00 | $467.74 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $95.50 Typical High $114.82 | Professional | 26 · Professional part | $83.18 | $95.50 | $114.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $204.17 Typical High $363.08 | Professional | TC · Technical part | $158.49 | $204.17 | $363.08 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | None (both parts) | $295.12 | $295.12 | $295.12 |
AmeriHealth Setting Facility Modifier None Typical Low $416.87 Median $954.99 Typical High $2,238.72 | Facility | None | $416.87 | $954.99 | $2,238.72 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $109.65 Typical High $144.54 | Professional | 26 · Professional part | $109.65 | $109.65 | $144.54 |
Capital Blue Cross Setting Facility Modifier None Typical Low $1,230.27 Median $5,011.87 Typical High $5,011.87 | Facility | None | $1,230.27 | $5,011.87 | $5,011.87 |
Capital Blue Cross Setting Facility Modifier TC · Technical part Typical Low $1,862.09 Median $2,344.23 Typical High $5,011.87 | Facility | TC · Technical part | $1,862.09 | $2,344.23 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $263.03 Median $275.42 Typical High $660.69 | Professional | None (both parts) | $263.03 | $275.42 | $660.69 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $93.33 Typical High $186.21 | Professional | 26 · Professional part | $89.13 | $93.33 | $186.21 |
Capital Blue Cross Setting Professional Modifier 50 · Both sides Typical Low $524.81 Median $549.54 Typical High $1,230.27 | Professional | 50 · Both sides | $524.81 | $549.54 | $1,230.27 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $181.97 Typical High $467.74 | Professional | TC · Technical part | $173.78 | $181.97 | $467.74 |
Cigna Setting Facility Modifier None Typical Low $331.13 Median $707.95 Typical High $1,148.15 | Facility | None | $331.13 | $707.95 | $1,148.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $281.84 Median $354.81 Typical High $707.95 | Professional | None (both parts) | $281.84 | $354.81 | $707.95 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $97.72 Typical High $173.78 | Professional | 26 · Professional part | $58.88 | $97.72 | $173.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $295.12 Typical High $549.54 | Professional | TC · Technical part | $204.17 | $295.12 | $549.54 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $316.23 Median $380.19 Typical High $478.63 | Professional | None (both parts) | $316.23 | $380.19 | $478.63 |
Geisinger Setting Facility Modifier None Typical Low $436.52 Median $436.52 Typical High $1,819.70 | Facility | None | $436.52 | $436.52 | $1,819.70 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $275.42 Median $380.19 Typical High $741.31 | Professional | None (both parts) | $275.42 | $380.19 | $741.31 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $104.71 Typical High $190.55 | Professional | 26 · Professional part | $77.62 | $104.71 | $190.55 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $281.84 Typical High $524.81 | Professional | TC · Technical part | $181.97 | $281.84 | $524.81 |
Highmark BCBS Setting Facility Modifier None Typical Low $331.13 Median $588.84 Typical High $2,137.96 | Facility | None | $331.13 | $588.84 | $2,137.96 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $371.54 Median $371.54 Typical High $371.54 | Professional | None (both parts) | $371.54 | $371.54 | $371.54 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $109.65 Typical High $208.93 | Professional | 26 · Professional part | $100.00 | $109.65 | $208.93 |
Independence Blue Cross Setting Facility Modifier None Typical Low $251.19 Median $933.25 Typical High $2,187.76 | Facility | None | $251.19 | $933.25 | $2,187.76 |
Independence Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $109.65 Typical High $141.25 | Professional | 26 · Professional part | $109.65 | $109.65 | $141.25 |
Martin's Point Setting Facility Modifier None Typical Low $263.03 Median $457.09 Typical High $1,230.27 | Facility | None | $263.03 | $457.09 | $1,230.27 |
Martin's Point Setting Facility Modifier TC · Technical part Typical Low $158.49 Median $204.17 Typical High $724.44 | Facility | TC · Technical part | $158.49 | $204.17 | $724.44 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $239.88 Median $302.00 Typical High $457.09 | Professional | None (both parts) | $239.88 | $302.00 | $457.09 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $95.50 Typical High $100.00 | Professional | 26 · Professional part | $83.18 | $95.50 | $100.00 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $204.17 Typical High $363.08 | Professional | TC · Technical part | $158.49 | $204.17 | $363.08 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $91.20 Median $302.00 Typical High $630.96 | Professional | None (both parts) | $91.20 | $302.00 | $630.96 |
UPMC Health Plan Setting Facility Modifier None Typical Low $257.04 Median $707.95 Typical High $1,905.46 | Facility | None | $257.04 | $707.95 | $1,905.46 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $257.04 Median $354.81 Typical High $354.81 | Professional | None (both parts) | $257.04 | $354.81 | $354.81 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $97.72 Typical High $97.72 | Professional | 26 · Professional part | $89.13 | $97.72 | $97.72 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $251.19 Typical High $251.19 | Professional | TC · Technical part | $169.82 | $251.19 | $251.19 |
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 $309.03 Median $398.11 Typical High $676.08 | Professional | None (both parts) | $309.03 | $398.11 | $676.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $93.33 Typical High $173.78 | Professional | 26 · Professional part | $81.28 | $93.33 | $173.78 |
United Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $295.12 Typical High $489.78 | Professional | TC · Technical part | $223.87 | $295.12 | $489.78 |
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 $79.43 Median $120.23 Typical High $457.09 | Facility | 52 · Reduced service | $79.43 | $120.23 | $457.09 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $31.62 Median $48.98 Typical High $186.21 | Facility | 53 · Discontinued | $31.62 | $48.98 | $186.21 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $120.23 Median $147.91 Typical High $169.82 | Professional | 52 · Reduced service | $120.23 | $147.91 | $169.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $58.88 Typical High $67.61 | Professional | 53 · Discontinued | $48.98 | $58.88 | $67.61 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $204.17 Median $234.42 Typical High $257.04 | Professional | CT · Older CT scanner | $204.17 | $234.42 | $257.04 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $194.98 Median $218.78 Typical High $239.88 | Professional | FX · Film X-ray | $194.98 | $218.78 | $239.88 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $120.23 Median $138.04 Typical High $151.36 | Professional | 52 · Reduced service | $120.23 | $138.04 | $151.36 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $54.95 Typical High $60.26 | Professional | 53 · Discontinued | $48.98 | $54.95 | $60.26 |
Martin's Point Setting Professional Modifier CT · Older CT scanner Typical Low $204.17 Median $234.42 Typical High $257.04 | Professional | CT · Older CT scanner | $204.17 | $234.42 | $257.04 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $194.98 Median $218.78 Typical High $239.88 | Professional | FX · Film X-ray | $194.98 | $218.78 | $239.88 |
Where Pennsylvania sits
The same service costs 6.2 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· 43rd of 51
$339
AK $1,047UT $170
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.