How much rates vary
Facilitymedian $912 · 10th to 90th $457 to $2,138Professionalmedian $457 · 10th to 90th $363 to $891
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 $389.05 Median $794.33 Typical High $1,862.09 | Facility | None | $389.05 | $794.33 | $1,862.09 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $100.00 Median $128.82 Typical High $245.47 | Facility | 26 · Professional part | $100.00 | $128.82 | $245.47 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $269.15 Median $346.74 Typical High $1,288.25 | Facility | TC · Technical part | $269.15 | $346.74 | $1,288.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $363.08 Median $457.09 Typical High $616.60 | Professional | None (both parts) | $363.08 | $457.09 | $616.60 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $109.65 Typical High $147.91 | Professional | 26 · Professional part | $97.72 | $109.65 | $147.91 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $338.84 Typical High $489.78 | Professional | TC · Technical part | $269.15 | $338.84 | $489.78 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $251.19 Median $251.19 Typical High $309.03 | Professional | None (both parts) | $251.19 | $251.19 | $309.03 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $151.36 Typical High $169.82 | Professional | 26 · Professional part | $83.18 | $151.36 | $169.82 |
AmeriHealth Setting Facility Modifier None Typical Low $457.09 Median $1,047.13 Typical High $1,819.70 | Facility | None | $457.09 | $1,047.13 | $1,819.70 |
AmeriHealth Setting Facility Modifier TC · Technical part Typical Low $229.09 Median $524.81 Typical High $2,398.83 | Facility | TC · Technical part | $229.09 | $524.81 | $2,398.83 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $512.86 Median $512.86 Typical High $660.69 | Professional | None (both parts) | $512.86 | $512.86 | $660.69 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $128.82 Typical High $190.55 | Professional | 26 · Professional part | $128.82 | $128.82 | $190.55 |
Capital Blue Cross Setting Facility Modifier None Typical Low $1,584.89 Median $5,011.87 Typical High $5,011.87 | Facility | None | $1,584.89 | $5,011.87 | $5,011.87 |
Capital Blue Cross Setting Facility Modifier TC · Technical part Typical Low $2,398.83 Median $3,019.95 Typical High $5,011.87 | Facility | TC · Technical part | $2,398.83 | $3,019.95 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $371.54 Median $616.60 Typical High $912.01 | Professional | None (both parts) | $371.54 | $616.60 | $912.01 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $177.83 Typical High $269.15 | Professional | 26 · Professional part | $104.71 | $177.83 | $269.15 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $426.58 Typical High $645.65 | Professional | TC · Technical part | $269.15 | $426.58 | $645.65 |
Cigna Setting Facility Modifier None Typical Low $537.03 Median $954.99 Typical High $1,548.82 | Facility | None | $537.03 | $954.99 | $1,548.82 |
Cigna Setting Professional Modifier None (both parts) Typical Low $331.13 Median $416.87 Typical High $851.14 | Professional | None (both parts) | $331.13 | $416.87 | $851.14 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $112.20 Typical High $199.53 | Professional | 26 · Professional part | $74.13 | $112.20 | $199.53 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $338.84 Typical High $660.69 | Professional | TC · Technical part | $239.88 | $338.84 | $660.69 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $457.09 Median $537.03 Typical High $676.08 | Professional | None (both parts) | $457.09 | $537.03 | $676.08 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $389.05 Median $524.81 Typical High $891.25 | Professional | None (both parts) | $389.05 | $524.81 | $891.25 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $112.20 Typical High $218.78 | Professional | 26 · Professional part | $83.18 | $112.20 | $218.78 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $380.19 Typical High $707.95 | Professional | TC · Technical part | $281.84 | $380.19 | $707.95 |
Highmark BCBS Setting Facility Modifier None Typical Low $549.54 Median $954.99 Typical High $2,238.72 | Facility | None | $549.54 | $954.99 | $2,238.72 |
Highmark BCBS Setting Facility Modifier TC · Technical part Typical Low $645.65 Median $1,288.25 Typical High $1,995.26 | Facility | TC · Technical part | $645.65 | $1,288.25 | $1,995.26 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $436.52 Median $478.63 Typical High $549.54 | Professional | None (both parts) | $436.52 | $478.63 | $549.54 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $120.23 Typical High $181.97 | Professional | 26 · Professional part | $109.65 | $120.23 | $181.97 |
Independence Blue Cross Setting Facility Modifier None Typical Low $457.09 Median $1,023.29 Typical High $2,511.89 | Facility | None | $457.09 | $1,023.29 | $2,511.89 |
Independence Blue Cross Setting Facility Modifier TC · Technical part Typical Low $354.81 Median $724.44 Typical High $2,398.83 | Facility | TC · Technical part | $354.81 | $724.44 | $2,398.83 |
Independence Blue Cross Setting Professional Modifier None (both parts) Typical Low $512.86 Median $512.86 Typical High $616.60 | Professional | None (both parts) | $512.86 | $512.86 | $616.60 |
Independence Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $128.82 Typical High $169.82 | Professional | 26 · Professional part | $128.82 | $128.82 | $169.82 |
Martin's Point Setting Facility Modifier None Typical Low $389.05 Median $794.33 Typical High $1,905.46 | Facility | None | $389.05 | $794.33 | $1,905.46 |
Martin's Point Setting Facility Modifier 26 · Professional part Typical Low $100.00 Median $128.82 Typical High $234.42 | Facility | 26 · Professional part | $100.00 | $128.82 | $234.42 |
Martin's Point Setting Facility Modifier TC · Technical part Typical Low $269.15 Median $354.81 Typical High $1,288.25 | Facility | TC · Technical part | $269.15 | $354.81 | $1,288.25 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $363.08 Median $457.09 Typical High $616.60 | Professional | None (both parts) | $363.08 | $457.09 | $616.60 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $109.65 Typical High $138.04 | Professional | 26 · Professional part | $97.72 | $109.65 | $138.04 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $338.84 Typical High $489.78 | Professional | TC · Technical part | $269.15 | $338.84 | $489.78 |
Oscar Health Setting Facility Modifier None Typical Low $812.83 Median $1,047.13 Typical High $2,290.87 | Facility | None | $812.83 | $1,047.13 | $2,290.87 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $109.65 Median $354.81 Typical High $691.83 | Professional | None (both parts) | $109.65 | $354.81 | $691.83 |
UPMC Health Plan Setting Facility Modifier None Typical Low $380.19 Median $1,000.00 Typical High $4,168.69 | Facility | None | $380.19 | $1,000.00 | $4,168.69 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $380.19 Median $489.78 Typical High $489.78 | Professional | None (both parts) | $380.19 | $489.78 | $489.78 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $95.50 Typical High $102.33 | Professional | 26 · Professional part | $95.50 | $95.50 | $102.33 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $389.05 Typical High $389.05 | Professional | TC · Technical part | $275.42 | $389.05 | $389.05 |
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 $354.81 Median $467.74 Typical High $776.25 | Professional | None (both parts) | $354.81 | $467.74 | $776.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $109.65 Typical High $204.17 | Professional | 26 · Professional part | $95.50 | $109.65 | $204.17 |
United Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $338.84 Typical High $562.34 | Professional | TC · Technical part | $251.19 | $338.84 | $562.34 |
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 Facility Modifier CT · Older CT scanner Typical Low $229.09 Median $295.12 Typical High $1,071.52 | Facility | CT · Older CT scanner | $229.09 | $295.12 | $1,071.52 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $309.03 Median $354.81 Typical High $389.05 | Professional | CT · Older CT scanner | $309.03 | $354.81 | $389.05 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $288.40 Median $331.13 Typical High $363.08 | Professional | FX · Film X-ray | $288.40 | $331.13 | $363.08 |
Martin's Point Setting Facility Modifier CT · Older CT scanner Typical Low $229.09 Median $295.12 Typical High $1,071.52 | Facility | CT · Older CT scanner | $229.09 | $295.12 | $1,071.52 |
Martin's Point Setting Professional Modifier CT · Older CT scanner Typical Low $309.03 Median $354.81 Typical High $389.05 | Professional | CT · Older CT scanner | $309.03 | $354.81 | $389.05 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $288.40 Median $331.13 Typical High $363.08 | Professional | FX · Film X-ray | $288.40 | $331.13 | $363.08 |
Where Pennsylvania sits
The same service costs 5.0 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· 33rd of 51
$490
AK $1,288UT $257
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.