How much rates vary
Facilitymedian $851 · 10th to 90th $380 to $2,042Professionalmedian $417 · 10th to 90th $331 to $794
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 $354.81 Median $724.44 Typical High $1,862.09 | Facility | None | $354.81 | $724.44 | $1,862.09 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $91.20 Median $117.49 Typical High $223.87 | Facility | 26 · Professional part | $91.20 | $117.49 | $223.87 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $239.88 Median $309.03 Typical High $1,096.48 | Facility | TC · Technical part | $239.88 | $309.03 | $1,096.48 |
Aetna Setting Professional Modifier None (both parts) Typical Low $331.13 Median $416.87 Typical High $562.34 | Professional | None (both parts) | $331.13 | $416.87 | $562.34 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $102.33 Typical High $141.25 | Professional | 26 · Professional part | $89.13 | $102.33 | $141.25 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $309.03 Typical High $426.58 | Professional | TC · Technical part | $239.88 | $309.03 | $426.58 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $229.09 Median $309.03 Typical High $467.74 | Professional | None (both parts) | $229.09 | $309.03 | $467.74 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $131.83 Typical High $158.49 | Professional | 26 · Professional part | $75.86 | $131.83 | $158.49 |
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 $457.09 Median $1,023.29 Typical High $1,737.80 | Facility | TC · Technical part | $457.09 | $1,023.29 | $1,737.80 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $467.74 Median $467.74 Typical High $602.56 | Professional | None (both parts) | $467.74 | $467.74 | $602.56 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $117.49 Typical High $181.97 | Professional | 26 · Professional part | $112.20 | $117.49 | $181.97 |
Capital Blue Cross Setting Facility Modifier None Typical Low $1,202.26 Median $5,011.87 Typical High $5,011.87 | Facility | None | $1,202.26 | $5,011.87 | $5,011.87 |
Capital Blue Cross Setting Facility Modifier TC · Technical part Typical Low $1,819.70 Median $2,290.87 Typical High $5,011.87 | Facility | TC · Technical part | $1,819.70 | $2,290.87 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $354.81 Median $549.54 Typical High $831.76 | Professional | None (both parts) | $354.81 | $549.54 | $831.76 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $162.18 Typical High $245.47 | Professional | 26 · Professional part | $100.00 | $162.18 | $245.47 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $398.11 Typical High $588.84 | Professional | TC · Technical part | $251.19 | $398.11 | $588.84 |
Cigna Setting Facility Modifier None Typical Low $478.63 Median $851.14 Typical High $1,230.27 | Facility | None | $478.63 | $851.14 | $1,230.27 |
Cigna Setting Professional Modifier None (both parts) Typical Low $295.12 Median $346.74 Typical High $691.83 | Professional | None (both parts) | $295.12 | $346.74 | $691.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $102.33 Typical High $186.21 | Professional | 26 · Professional part | $69.18 | $102.33 | $186.21 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $245.47 Typical High $537.03 | Professional | TC · Technical part | $213.80 | $245.47 | $537.03 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $407.38 Median $575.44 Typical High $602.56 | Professional | None (both parts) | $407.38 | $575.44 | $602.56 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $316.23 Median $416.87 Typical High $724.44 | Professional | None (both parts) | $316.23 | $416.87 | $724.44 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $104.71 Typical High $199.53 | Professional | 26 · Professional part | $77.62 | $104.71 | $199.53 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $316.23 Typical High $562.34 | Professional | TC · Technical part | $239.88 | $316.23 | $562.34 |
Highmark BCBS Setting Facility Modifier None Typical Low $489.78 Median $891.25 Typical High $2,041.74 | Facility | None | $489.78 | $891.25 | $2,041.74 |
Highmark BCBS Setting Facility Modifier TC · Technical part Typical Low $512.86 Median $1,288.25 Typical High $1,862.09 | Facility | TC · Technical part | $512.86 | $1,288.25 | $1,862.09 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $363.08 Median $436.52 Typical High $562.34 | Professional | None (both parts) | $363.08 | $436.52 | $562.34 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $107.15 Typical High $162.18 | Professional | 26 · Professional part | $100.00 | $107.15 | $162.18 |
Independence Blue Cross Setting Facility Modifier None Typical Low $457.09 Median $1,047.13 Typical High $2,398.83 | Facility | None | $457.09 | $1,047.13 | $2,398.83 |
Independence Blue Cross Setting Facility Modifier TC · Technical part Typical Low $457.09 Median $1,023.29 Typical High $1,819.70 | Facility | TC · Technical part | $457.09 | $1,023.29 | $1,819.70 |
Independence Blue Cross Setting Professional Modifier None (both parts) Typical Low $457.09 Median $467.74 Typical High $562.34 | Professional | None (both parts) | $457.09 | $467.74 | $562.34 |
Independence Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $117.49 Typical High $190.55 | Professional | 26 · Professional part | $117.49 | $117.49 | $190.55 |
Martin's Point Setting Facility Modifier None Typical Low $354.81 Median $758.58 Typical High $1,905.46 | Facility | None | $354.81 | $758.58 | $1,905.46 |
Martin's Point Setting Facility Modifier 26 · Professional part Typical Low $91.20 Median $117.49 Typical High $213.80 | Facility | 26 · Professional part | $91.20 | $117.49 | $213.80 |
Martin's Point Setting Facility Modifier TC · Technical part Typical Low $239.88 Median $309.03 Typical High $1,096.48 | Facility | TC · Technical part | $239.88 | $309.03 | $1,096.48 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $331.13 Median $416.87 Typical High $524.81 | Professional | None (both parts) | $331.13 | $416.87 | $524.81 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $100.00 Typical High $134.90 | Professional | 26 · Professional part | $89.13 | $100.00 | $134.90 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $309.03 Typical High $398.11 | Professional | TC · Technical part | $239.88 | $309.03 | $398.11 |
Oscar Health Setting Facility Modifier None Typical Low $562.34 Median $741.31 Typical High $812.83 | Facility | None | $562.34 | $741.31 | $812.83 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $100.00 Median $323.59 Typical High $616.60 | Professional | None (both parts) | $100.00 | $323.59 | $616.60 |
UPMC Health Plan Setting Facility Modifier None Typical Low $338.84 Median $1,000.00 Typical High $5,011.87 | Facility | None | $338.84 | $1,000.00 | $5,011.87 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $338.84 Median $512.86 Typical High $512.86 | Professional | None (both parts) | $338.84 | $512.86 | $512.86 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $100.00 Typical High $100.00 | Professional | 26 · Professional part | $93.33 | $100.00 | $100.00 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $416.87 Typical High $416.87 | Professional | TC · Technical part | $245.47 | $416.87 | $416.87 |
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 $316.23 Median $407.38 Typical High $676.08 | Professional | None (both parts) | $316.23 | $407.38 | $676.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $102.33 Typical High $186.21 | Professional | 26 · Professional part | $87.10 | $102.33 | $186.21 |
United Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $295.12 Typical High $501.19 | Professional | TC · Technical part | $229.09 | $295.12 | $501.19 |
5 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 CT · Older CT scanner Typical Low $281.84 Median $316.23 Typical High $346.74 | Professional | CT · Older CT scanner | $281.84 | $316.23 | $346.74 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $263.03 Median $302.00 Typical High $331.13 | Professional | FX · Film X-ray | $263.03 | $302.00 | $331.13 |
Highmark BCBS Setting Facility Modifier PN · Off-campus dept, non-excepted Typical Low $131.83 Median $346.74 Typical High $2,344.23 | Facility | PN · Off-campus dept, non-excepted | $131.83 | $346.74 | $2,344.23 |
Martin's Point Setting Professional Modifier CT · Older CT scanner Typical Low $281.84 Median $316.23 Typical High $346.74 | Professional | CT · Older CT scanner | $281.84 | $316.23 | $346.74 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $263.03 Median $302.00 Typical High $331.13 | Professional | FX · Film X-ray | $263.03 | $302.00 | $331.13 |
Where Pennsylvania sits
The same service costs 5.1 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· 29th of 51
$447
AK $1,202UT $234
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.