How much rates vary
Facilitymedian $155 · 10th to 90th $50 to $372Professionalmedian $50 · 10th to 90th $42 to $102
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 $45.71 Median $109.65 Typical High $251.19 | Facility | None | $45.71 | $109.65 | $251.19 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $13.49 Median $18.20 Typical High $35.48 | Facility | 26 · Professional part | $13.49 | $18.20 | $35.48 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $30.20 Median $39.81 Typical High $128.82 | Facility | TC · Technical part | $30.20 | $39.81 | $128.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $41.69 Median $50.12 Typical High $72.44 | Professional | None (both parts) | $41.69 | $50.12 | $72.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $14.79 Typical High $22.39 | Professional | 26 · Professional part | $12.88 | $14.79 | $22.39 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $35.48 Typical High $50.12 | Professional | TC · Technical part | $28.18 | $35.48 | $50.12 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $58.88 Median $66.07 Typical High $67.61 | Professional | None (both parts) | $58.88 | $66.07 | $67.61 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $16.22 Typical High $23.99 | Professional | 26 · Professional part | $15.14 | $16.22 | $23.99 |
AmeriHealth Setting Facility Modifier None Typical Low $52.48 Median $120.23 Typical High $2,089.30 | Facility | None | $52.48 | $120.23 | $2,089.30 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $61.66 Median $61.66 Typical High $74.13 | Professional | None (both parts) | $61.66 | $61.66 | $74.13 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $18.62 Typical High $24.55 | Professional | 26 · Professional part | $18.62 | $18.62 | $24.55 |
Capital Blue Cross Setting Facility Modifier None Typical Low $4,265.80 Median $5,011.87 Typical High $8,709.64 | Facility | None | $4,265.80 | $5,011.87 | $8,709.64 |
Capital Blue Cross Setting Facility Modifier TC · Technical part Typical Low $165.96 Median $204.17 Typical High $5,011.87 | Facility | TC · Technical part | $165.96 | $204.17 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $48.98 Median $70.79 Typical High $104.71 | Professional | None (both parts) | $48.98 | $70.79 | $104.71 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $26.30 Typical High $39.81 | Professional | 26 · Professional part | $15.49 | $26.30 | $39.81 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $44.67 Typical High $64.57 | Professional | TC · Technical part | $33.11 | $44.67 | $64.57 |
Cigna Setting Facility Modifier None Typical Low $42.66 Median $100.00 Typical High $363.08 | Facility | None | $42.66 | $100.00 | $363.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $31.62 Median $45.71 Typical High $89.13 | Professional | None (both parts) | $31.62 | $45.71 | $89.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $16.60 Typical High $29.51 | Professional | 26 · Professional part | $9.55 | $16.60 | $29.51 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $30.20 Typical High $60.26 | Professional | TC · Technical part | $21.88 | $30.20 | $60.26 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $58.88 Median $70.79 Typical High $89.13 | Professional | None (both parts) | $58.88 | $70.79 | $89.13 |
Geisinger Setting Facility Modifier None Typical Low $43.65 Median $43.65 Typical High $43.65 | Facility | None | $43.65 | $43.65 | $43.65 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $33.88 Median $53.70 Typical High $100.00 | Professional | None (both parts) | $33.88 | $53.70 | $100.00 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $17.78 Typical High $32.36 | Professional | 26 · Professional part | $12.59 | $17.78 | $32.36 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $36.31 Typical High $69.18 | Professional | TC · Technical part | $21.38 | $36.31 | $69.18 |
Highmark BCBS Setting Facility Modifier None Typical Low $147.91 Median $269.15 Typical High $398.11 | Facility | None | $147.91 | $269.15 | $398.11 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $50.12 Median $54.95 Typical High $64.57 | Professional | None (both parts) | $50.12 | $54.95 | $64.57 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $16.98 Typical High $26.30 | Professional | 26 · Professional part | $15.14 | $16.98 | $26.30 |
Independence Blue Cross Setting Facility Modifier None Typical Low $87.10 Median $125.89 Typical High $288.40 | Facility | None | $87.10 | $125.89 | $288.40 |
Independence Blue Cross Setting Professional Modifier None (both parts) Typical Low $81.28 Median $81.28 Typical High $91.20 | Professional | None (both parts) | $81.28 | $81.28 | $91.20 |
Independence Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $18.62 Typical High $24.55 | Professional | 26 · Professional part | $18.62 | $18.62 | $24.55 |
Martin's Point Setting Facility Modifier None Typical Low $45.71 Median $218.78 Typical High $338.84 | Facility | None | $45.71 | $218.78 | $338.84 |
Martin's Point Setting Facility Modifier 26 · Professional part Typical Low $13.49 Median $17.78 Typical High $35.48 | Facility | 26 · Professional part | $13.49 | $17.78 | $35.48 |
Martin's Point Setting Facility Modifier TC · Technical part Typical Low $30.20 Median $38.90 Typical High $134.90 | Facility | TC · Technical part | $30.20 | $38.90 | $134.90 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $41.69 Median $50.12 Typical High $70.79 | Professional | None (both parts) | $41.69 | $50.12 | $70.79 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $14.79 Typical High $20.89 | Professional | 26 · Professional part | $12.88 | $14.79 | $20.89 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $35.48 Typical High $48.98 | Professional | TC · Technical part | $28.18 | $35.48 | $48.98 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $16.60 Median $54.95 Typical High $107.15 | Professional | None (both parts) | $16.60 | $54.95 | $107.15 |
UPMC Health Plan Setting Facility Modifier None Typical Low $45.71 Median $109.65 Typical High $181.97 | Facility | None | $45.71 | $109.65 | $181.97 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $45.71 Median $45.71 Typical High $47.86 | Professional | None (both parts) | $45.71 | $45.71 | $47.86 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $17.38 Typical High $17.38 | Professional | 26 · Professional part | $15.14 | $17.38 | $17.38 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $28.18 Typical High $33.11 | Professional | TC · Technical part | $28.18 | $28.18 | $33.11 |
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 $40.74 Median $47.86 Typical High $87.10 | Professional | None (both parts) | $40.74 | $47.86 | $87.10 |
United Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $15.85 Typical High $30.20 | Professional | 26 · Professional part | $14.13 | $15.85 | $30.20 |
United Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $32.36 Typical High $57.54 | Professional | TC · Technical part | $27.54 | $32.36 | $57.54 |
6 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 Professional Modifier 52 · Reduced service Typical Low $20.42 Median $23.99 Typical High $25.12 | Professional | 52 · Reduced service | $20.42 | $23.99 | $25.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.32 Median $9.55 Typical High $10.00 | Professional | 53 · Discontinued | $8.32 | $9.55 | $10.00 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $33.11 Median $38.90 Typical High $39.81 | Professional | FX · Film X-ray | $33.11 | $38.90 | $39.81 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $20.42 Median $23.99 Typical High $25.12 | Professional | 52 · Reduced service | $20.42 | $23.99 | $25.12 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $8.32 Median $9.55 Typical High $10.00 | Professional | 53 · Discontinued | $8.32 | $9.55 | $10.00 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $33.11 Median $38.90 Typical High $39.81 | Professional | FX · Film X-ray | $33.11 | $38.90 | $39.81 |
Where Pennsylvania sits
The same service costs 4.5 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· 36th of 51
$51.29
AK $148UT $33.11
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.