How much rates vary
Facilitymedian $575 · 10th to 90th $245 to $1,660Professionalmedian $363 · 10th to 90th $209 to $562
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 $239.88 Median $549.54 Typical High $1,905.46 | Facility | None | $239.88 | $549.54 | $1,905.46 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $66.07 Median $95.50 Typical High $281.84 | Facility | 26 · Professional part | $66.07 | $95.50 | $281.84 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $144.54 Median $199.53 Typical High $1,148.15 | Facility | TC · Technical part | $144.54 | $199.53 | $1,148.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $208.93 Median $416.87 Typical High $549.54 | Professional | None (both parts) | $208.93 | $416.87 | $549.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $117.49 Typical High $154.88 | Professional | 26 · Professional part | $66.07 | $117.49 | $154.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $281.84 Typical High $389.05 | Professional | TC · Technical part | $144.54 | $281.84 | $389.05 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $138.04 Median $181.97 Typical High $204.17 | Professional | None (both parts) | $138.04 | $181.97 | $204.17 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $93.33 Typical High $107.15 | Professional | 26 · Professional part | $63.10 | $93.33 | $107.15 |
AmeriHealth Setting Facility Modifier None Typical Low $2,951.21 Median $7,585.78 Typical High $7,762.47 | Facility | None | $2,951.21 | $7,585.78 | $7,762.47 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $281.84 Median $281.84 Typical High $501.19 | Professional | None (both parts) | $281.84 | $281.84 | $501.19 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $79.43 Typical High $104.71 | Professional | 26 · Professional part | $75.86 | $79.43 | $104.71 |
AmeriHealth Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $199.53 Typical High $263.03 | Professional | TC · Technical part | $199.53 | $199.53 | $263.03 |
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 $257.04 Median $380.19 Typical High $575.44 | Professional | None (both parts) | $257.04 | $380.19 | $575.44 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $107.15 Typical High $165.96 | Professional | 26 · Professional part | $81.28 | $107.15 | $165.96 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $269.15 Typical High $478.63 | Professional | TC · Technical part | $173.78 | $269.15 | $478.63 |
Cigna Setting Facility Modifier None Typical Low $316.23 Median $478.63 Typical High $1,071.52 | Facility | None | $316.23 | $478.63 | $1,071.52 |
Cigna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $346.74 Typical High $616.60 | Professional | None (both parts) | $177.83 | $346.74 | $616.60 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $69.18 Typical High $125.89 | Professional | 26 · Professional part | $40.74 | $69.18 | $125.89 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $239.88 Typical High $512.86 | Professional | TC · Technical part | $120.23 | $239.88 | $512.86 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $245.47 Median $346.74 Typical High $1,047.13 | Professional | None (both parts) | $245.47 | $346.74 | $1,047.13 |
Geisinger Setting Facility Modifier None Typical Low $616.60 Median $660.69 Typical High $3,981.07 | Facility | None | $616.60 | $660.69 | $3,981.07 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $190.55 Median $346.74 Typical High $616.60 | Professional | None (both parts) | $190.55 | $346.74 | $616.60 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $74.13 Typical High $138.04 | Professional | 26 · Professional part | $54.95 | $74.13 | $138.04 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $251.19 Typical High $446.68 | Professional | TC · Technical part | $128.82 | $251.19 | $446.68 |
Highmark BCBS Setting Facility Modifier None Typical Low $263.03 Median $588.84 Typical High $1,380.38 | Facility | None | $263.03 | $588.84 | $1,380.38 |
Highmark BCBS Setting Facility Modifier TC · Technical part Typical Low $398.11 Median $831.76 Typical High $1,230.27 | Facility | TC · Technical part | $398.11 | $831.76 | $1,230.27 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $218.78 Median $234.42 Typical High $446.68 | Professional | None (both parts) | $218.78 | $234.42 | $446.68 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $72.44 Typical High $112.20 | Professional | 26 · Professional part | $67.61 | $72.44 | $112.20 |
Independence Blue Cross Setting Facility Modifier None Typical Low $245.47 Median $1,230.27 Typical High $7,244.36 | Facility | None | $245.47 | $1,230.27 | $7,244.36 |
Independence Blue Cross Setting Professional Modifier None (both parts) Typical Low $234.42 Median $281.84 Typical High $741.31 | Professional | None (both parts) | $234.42 | $281.84 | $741.31 |
Independence Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $79.43 Typical High $125.89 | Professional | 26 · Professional part | $77.62 | $79.43 | $125.89 |
Independence Blue Cross Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $199.53 Typical High $363.08 | Professional | TC · Technical part | $199.53 | $199.53 | $363.08 |
Martin's Point Setting Facility Modifier None Typical Low $229.09 Median $575.44 Typical High $2,041.74 | Facility | None | $229.09 | $575.44 | $2,041.74 |
Martin's Point Setting Facility Modifier 26 · Professional part Typical Low $66.07 Median $95.50 Typical High $281.84 | Facility | 26 · Professional part | $66.07 | $95.50 | $281.84 |
Martin's Point Setting Facility Modifier TC · Technical part Typical Low $144.54 Median $199.53 Typical High $1,348.96 | Facility | TC · Technical part | $144.54 | $199.53 | $1,348.96 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $208.93 Median $426.58 Typical High $549.54 | Professional | None (both parts) | $208.93 | $426.58 | $549.54 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $120.23 Typical High $154.88 | Professional | 26 · Professional part | $66.07 | $120.23 | $154.88 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $281.84 Typical High $371.54 | Professional | TC · Technical part | $144.54 | $281.84 | $371.54 |
Oscar Health Setting Facility Modifier None Typical Low $363.08 Median $489.78 Typical High $512.86 | Facility | None | $363.08 | $489.78 | $512.86 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $67.61 Median $204.17 Typical High $446.68 | Professional | None (both parts) | $67.61 | $204.17 | $446.68 |
UPMC Health Plan Setting Facility Modifier None Typical Low $204.17 Median $724.44 Typical High $1,819.70 | Facility | None | $204.17 | $724.44 | $1,819.70 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $204.17 Median $512.86 Typical High $512.86 | Professional | None (both parts) | $204.17 | $512.86 | $512.86 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $89.13 Typical High $89.13 | Professional | 26 · Professional part | $63.10 | $89.13 | $89.13 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $416.87 Typical High $416.87 | Professional | TC · Technical part | $138.04 | $416.87 | $416.87 |
United Setting Facility Modifier None Typical Low $331.13 Median $691.83 Typical High $812.83 | Facility | None | $331.13 | $691.83 | $812.83 |
United Setting Professional Modifier None (both parts) Typical Low $199.53 Median $275.42 Typical High $575.44 | Professional | None (both parts) | $199.53 | $275.42 | $575.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $67.61 Typical High $128.82 | Professional | 26 · Professional part | $58.88 | $67.61 | $128.82 |
United Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $181.97 Typical High $467.74 | Professional | TC · Technical part | $138.04 | $181.97 | $467.74 |
9 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 $70.79 Median $104.71 Typical High $524.81 | Facility | 52 · Reduced service | $70.79 | $104.71 | $524.81 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $28.84 Median $41.69 Typical High $208.93 | Facility | 53 · Discontinued | $28.84 | $41.69 | $208.93 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $104.71 Median $213.80 Typical High $213.80 | Professional | 52 · Reduced service | $104.71 | $213.80 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $85.11 Typical High $85.11 | Professional | 53 · Discontinued | $41.69 | $85.11 | $85.11 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $165.96 Median $338.84 Typical High $338.84 | Professional | FX · Film X-ray | $165.96 | $338.84 | $338.84 |
Capital Blue Cross Setting Professional Modifier 50 · Both sides Typical Low $512.86 Median $758.58 Typical High $1,148.15 | Professional | 50 · Both sides | $512.86 | $758.58 | $1,148.15 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $104.71 Median $213.80 Typical High $213.80 | Professional | 52 · Reduced service | $104.71 | $213.80 | $213.80 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $85.11 Typical High $85.11 | Professional | 53 · Discontinued | $41.69 | $85.11 | $85.11 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $165.96 Median $338.84 Typical High $338.84 | Professional | FX · Film X-ray | $165.96 | $338.84 | $338.84 |
Where Pennsylvania sits
The same service costs 13.5 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· 25th of 51
$380
VT $2,089UT $155
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.