How much rates vary
Facilitymedian $1,023 · 10th to 90th $427 to $2,455Professionalmedian $389 · 10th to 90th $257 to $724
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 $426.58 Median $1,513.56 Typical High $2,187.76 | Facility | None | $426.58 | $1,513.56 | $2,187.76 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $194.98 Median $194.98 Typical High $933.25 | Facility | TC · Technical part | $194.98 | $194.98 | $933.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $275.42 Median $426.58 Typical High $524.81 | Professional | None (both parts) | $275.42 | $426.58 | $524.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $125.89 Typical High $141.25 | Professional | 26 · Professional part | $77.62 | $125.89 | $141.25 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $302.00 Typical High $338.84 | Professional | TC · Technical part | $194.98 | $302.00 | $338.84 |
Capital Blue Cross Setting Facility Modifier None Typical Low $1,513.56 Median $5,011.87 Typical High $5,011.87 | Facility | None | $1,513.56 | $5,011.87 | $5,011.87 |
Capital Blue Cross Setting Facility Modifier TC · Technical part Typical Low $2,290.87 Median $2,884.03 Typical High $5,011.87 | Facility | TC · Technical part | $2,290.87 | $2,884.03 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $257.04 Median $269.15 Typical High $758.58 | Professional | None (both parts) | $257.04 | $269.15 | $758.58 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $79.43 Typical High $158.49 | Professional | 26 · Professional part | $75.86 | $79.43 | $158.49 |
Capital Blue Cross Setting Professional Modifier 50 · Both sides Typical Low $512.86 Median $537.03 Typical High $1,513.56 | Professional | 50 · Both sides | $512.86 | $537.03 | $1,513.56 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $186.21 Typical High $588.84 | Professional | TC · Technical part | $181.97 | $186.21 | $588.84 |
Cigna Setting Facility Modifier None Typical Low $416.87 Median $691.83 Typical High $1,778.28 | Facility | None | $416.87 | $691.83 | $1,778.28 |
Cigna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $426.58 Typical High $794.33 | Professional | None (both parts) | $229.09 | $426.58 | $794.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $83.18 Typical High $151.36 | Professional | 26 · Professional part | $48.98 | $83.18 | $151.36 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $354.81 Typical High $645.65 | Professional | TC · Technical part | $162.18 | $354.81 | $645.65 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $309.03 Median $371.54 Typical High $467.74 | Professional | None (both parts) | $309.03 | $371.54 | $467.74 |
Geisinger Setting Facility Modifier None Typical Low $776.25 Median $1,949.84 Typical High $3,981.07 | Facility | None | $776.25 | $1,949.84 | $3,981.07 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $269.15 Median $416.87 Typical High $758.58 | Professional | None (both parts) | $269.15 | $416.87 | $758.58 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $89.13 Typical High $162.18 | Professional | 26 · Professional part | $66.07 | $89.13 | $162.18 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $323.59 Typical High $588.84 | Professional | TC · Technical part | $190.55 | $323.59 | $588.84 |
Highmark BCBS Setting Facility Modifier None Typical Low $1,174.90 Median $1,819.70 Typical High $2,570.40 | Facility | None | $1,174.90 | $1,819.70 | $2,570.40 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | None (both parts) | $346.74 | $346.74 | $346.74 |
Martin's Point Setting Facility Modifier None Typical Low $426.58 Median $1,548.82 Typical High $2,570.40 | Facility | None | $426.58 | $1,548.82 | $2,570.40 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $275.42 Median $426.58 Typical High $501.19 | Professional | None (both parts) | $275.42 | $426.58 | $501.19 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $125.89 Typical High $141.25 | Professional | 26 · Professional part | $77.62 | $125.89 | $141.25 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $302.00 Typical High $338.84 | Professional | TC · Technical part | $194.98 | $302.00 | $338.84 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $79.43 Median $263.03 Typical High $575.44 | Professional | None (both parts) | $79.43 | $263.03 | $575.44 |
UPMC Health Plan Setting Facility Modifier None Typical Low $263.03 Median $954.99 Typical High $2,344.23 | Facility | None | $263.03 | $954.99 | $2,344.23 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $263.03 Median $588.84 Typical High $588.84 | Professional | None (both parts) | $263.03 | $588.84 | $588.84 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $89.13 Typical High $89.13 | Professional | 26 · Professional part | $75.86 | $89.13 | $89.13 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $501.19 Typical High $501.19 | Professional | TC · Technical part | $186.21 | $501.19 | $501.19 |
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 $263.03 Median $363.08 Typical High $691.83 | Professional | None (both parts) | $263.03 | $363.08 | $691.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $81.28 Typical High $151.36 | Professional | 26 · Professional part | $70.79 | $81.28 | $151.36 |
United Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $257.04 Typical High $562.34 | Professional | TC · Technical part | $190.55 | $257.04 | $562.34 |
8 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 $97.72 Median $138.04 Typical High $524.81 | Facility | 52 · Reduced service | $97.72 | $138.04 | $524.81 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $38.90 Median $54.95 Typical High $208.93 | Facility | 53 · Discontinued | $38.90 | $54.95 | $208.93 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $138.04 Median $213.80 Typical High $213.80 | Professional | 52 · Reduced service | $138.04 | $213.80 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $85.11 Typical High $85.11 | Professional | 53 · Discontinued | $54.95 | $85.11 | $85.11 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $218.78 Median $338.84 Typical High $338.84 | Professional | FX · Film X-ray | $218.78 | $338.84 | $338.84 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $138.04 Median $213.80 Typical High $213.80 | Professional | 52 · Reduced service | $138.04 | $213.80 | $213.80 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $85.11 Typical High $85.11 | Professional | 53 · Discontinued | $54.95 | $85.11 | $85.11 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $218.78 Median $338.84 Typical High $338.84 | Professional | FX · Film X-ray | $218.78 | $338.84 | $338.84 |
Where Pennsylvania sits
The same service costs 5.5 times more in Wyoming 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
$398
WY $1,047UT $191
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.