How much rates vary
Facilitymedian $537 · 10th to 90th $224 to $1,380Professionalmedian $224 · 10th to 90th $174 to $437
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 $190.55 Median $512.86 Typical High $1,230.27 | Facility | None | $190.55 | $512.86 | $1,230.27 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $79.43 Median $102.33 Typical High $194.98 | Facility | 26 · Professional part | $79.43 | $102.33 | $194.98 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $100.00 Median $138.04 Typical High $1,047.13 | Facility | TC · Technical part | $100.00 | $138.04 | $1,047.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $173.78 Median $213.80 Typical High $295.12 | Professional | None (both parts) | $173.78 | $213.80 | $295.12 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $89.13 Typical High $120.23 | Professional | 26 · Professional part | $77.62 | $89.13 | $120.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $123.03 Typical High $177.83 | Professional | TC · Technical part | $97.72 | $123.03 | $177.83 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $123.03 Median $158.49 Typical High $173.78 | Professional | None (both parts) | $123.03 | $158.49 | $173.78 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $97.72 Typical High $134.90 | Professional | 26 · Professional part | $66.07 | $97.72 | $134.90 |
AmeriHealth Setting Facility Modifier None Typical Low $295.12 Median $691.83 Typical High $1,659.59 | Facility | None | $295.12 | $691.83 | $1,659.59 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $173.78 Median $263.03 Typical High $446.68 | Professional | None (both parts) | $173.78 | $263.03 | $446.68 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $102.33 Typical High $128.82 | Professional | 26 · Professional part | $97.72 | $102.33 | $128.82 |
AmeriHealth Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $144.54 Typical High $181.97 | Professional | TC · Technical part | $144.54 | $144.54 | $181.97 |
Capital Blue Cross Setting Facility Modifier None Typical Low $478.63 Median $5,011.87 Typical High $5,011.87 | Facility | None | $478.63 | $5,011.87 | $5,011.87 |
Capital Blue Cross Setting Facility Modifier TC · Technical part Typical Low $724.44 Median $912.01 Typical High $5,011.87 | Facility | TC · Technical part | $724.44 | $912.01 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $181.97 Median $316.23 Typical High $467.74 | Professional | None (both parts) | $181.97 | $316.23 | $467.74 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $141.25 Typical High $213.80 | Professional | 26 · Professional part | $81.28 | $141.25 | $213.80 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $173.78 Typical High $263.03 | Professional | TC · Technical part | $100.00 | $173.78 | $263.03 |
Cigna Setting Facility Modifier None Typical Low $223.87 Median $354.81 Typical High $776.25 | Facility | None | $223.87 | $354.81 | $776.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $194.98 Typical High $371.54 | Professional | None (both parts) | $158.49 | $194.98 | $371.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $89.13 Typical High $162.18 | Professional | 26 · Professional part | $60.26 | $89.13 | $162.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $109.65 Typical High $223.87 | Professional | TC · Technical part | $89.13 | $109.65 | $223.87 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $218.78 Median $309.03 Typical High $331.13 | Professional | None (both parts) | $218.78 | $309.03 | $331.13 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $158.49 Median $208.93 Typical High $407.38 | Professional | None (both parts) | $158.49 | $208.93 | $407.38 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $91.20 Typical High $169.82 | Professional | 26 · Professional part | $67.61 | $91.20 | $169.82 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $125.89 Typical High $239.88 | Professional | TC · Technical part | $95.50 | $125.89 | $239.88 |
Highmark BCBS Setting Facility Modifier None Typical Low $316.23 Median $588.84 Typical High $1,412.54 | Facility | None | $316.23 | $588.84 | $1,412.54 |
Highmark BCBS Setting Facility Modifier TC · Technical part Typical Low $398.11 Median $758.58 Typical High $1,174.90 | Facility | TC · Technical part | $398.11 | $758.58 | $1,174.90 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $213.80 Median $229.09 Typical High $309.03 | Professional | None (both parts) | $213.80 | $229.09 | $309.03 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $93.33 Typical High $141.25 | Professional | 26 · Professional part | $87.10 | $93.33 | $141.25 |
Independence Blue Cross Setting Facility Modifier None Typical Low $295.12 Median $691.83 Typical High $1,659.59 | Facility | None | $295.12 | $691.83 | $1,659.59 |
Independence Blue Cross Setting Professional Modifier None (both parts) Typical Low $173.78 Median $316.23 Typical High $426.58 | Professional | None (both parts) | $173.78 | $316.23 | $426.58 |
Independence Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $102.33 Typical High $138.04 | Professional | 26 · Professional part | $102.33 | $102.33 | $138.04 |
Independence Blue Cross Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $144.54 Typical High $169.82 | Professional | TC · Technical part | $144.54 | $144.54 | $169.82 |
Martin's Point Setting Facility Modifier None Typical Low $190.55 Median $512.86 Typical High $1,288.25 | Facility | None | $190.55 | $512.86 | $1,288.25 |
Martin's Point Setting Facility Modifier 26 · Professional part Typical Low $79.43 Median $102.33 Typical High $186.21 | Facility | 26 · Professional part | $79.43 | $102.33 | $186.21 |
Martin's Point Setting Facility Modifier TC · Technical part Typical Low $97.72 Median $134.90 Typical High $1,258.93 | Facility | TC · Technical part | $97.72 | $134.90 | $1,258.93 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $173.78 Median $213.80 Typical High $281.84 | Professional | None (both parts) | $173.78 | $213.80 | $281.84 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $87.10 Typical High $114.82 | Professional | 26 · Professional part | $77.62 | $87.10 | $114.82 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $123.03 Typical High $173.78 | Professional | TC · Technical part | $97.72 | $123.03 | $173.78 |
Oscar Health Setting Facility Modifier None Typical Low $812.83 Median $1,096.48 Typical High $1,819.70 | Facility | None | $812.83 | $1,096.48 | $1,819.70 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $87.10 Median $173.78 Typical High $338.84 | Professional | None (both parts) | $87.10 | $173.78 | $338.84 |
UPMC Health Plan Setting Facility Modifier None Typical Low $181.97 Median $645.65 Typical High $2,884.03 | Facility | None | $181.97 | $645.65 | $2,884.03 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $181.97 Median $309.03 Typical High $309.03 | Professional | None (both parts) | $181.97 | $309.03 | $309.03 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $87.10 Typical High $87.10 | Professional | 26 · Professional part | $81.28 | $87.10 | $87.10 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $223.87 Typical High $223.87 | Professional | TC · Technical part | $102.33 | $223.87 | $223.87 |
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 $173.78 Median $208.93 Typical High $363.08 | Professional | None (both parts) | $173.78 | $208.93 | $363.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $87.10 Typical High $162.18 | Professional | 26 · Professional part | $75.86 | $87.10 | $162.18 |
United Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $123.03 Typical High $208.93 | Professional | TC · Technical part | $95.50 | $123.03 | $208.93 |
7 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 $83.18 Median $125.89 Typical High $389.05 | Facility | CT · Older CT scanner | $83.18 | $125.89 | $389.05 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $147.91 Median $169.82 Typical High $181.97 | Professional | CT · Older CT scanner | $147.91 | $169.82 | $181.97 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $138.04 Median $158.49 Typical High $173.78 | Professional | FX · Film X-ray | $138.04 | $158.49 | $173.78 |
Highmark BCBS Setting Facility Modifier PN · Off-campus dept, non-excepted Typical Low $125.89 Median $239.88 Typical High $1,513.56 | Facility | PN · Off-campus dept, non-excepted | $125.89 | $239.88 | $1,513.56 |
Martin's Point Setting Facility Modifier CT · Older CT scanner Typical Low $83.18 Median $125.89 Typical High $389.05 | Facility | CT · Older CT scanner | $83.18 | $125.89 | $389.05 |
Martin's Point Setting Professional Modifier CT · Older CT scanner Typical Low $147.91 Median $169.82 Typical High $181.97 | Professional | CT · Older CT scanner | $147.91 | $169.82 | $181.97 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $138.04 Median $158.49 Typical High $173.78 | Professional | FX · Film X-ray | $138.04 | $158.49 | $173.78 |
Where Pennsylvania sits
The same service costs 18.2 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· 33rd of 51
$234
VT $1,995UT $110
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.