How much rates vary
Facilitymedian $1,047 · 10th to 90th $437 to $2,754Professionalmedian $427 · 10th to 90th $295 to $813
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 $426.58 Median $1,479.11 Typical High $2,187.76 | Facility | None | $426.58 | $1,479.11 | $2,187.76 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $229.09 Median $302.00 Typical High $977.24 | Facility | TC · Technical part | $229.09 | $302.00 | $977.24 |
Aetna Setting Professional Modifier None (both parts) Typical Low $316.23 Median $426.58 Typical High $549.54 | Professional | None (both parts) | $316.23 | $426.58 | $549.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $125.89 Typical High $154.88 | Professional | 26 · Professional part | $83.18 | $125.89 | $154.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $302.00 Typical High $389.05 | Professional | TC · Technical part | $229.09 | $302.00 | $389.05 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | 26 · Professional part | $125.89 | $125.89 | $125.89 |
Capital Blue Cross Setting Facility Modifier None Typical Low $1,513.56 Median $5,011.87 Typical High $5,011.87 | Facility | None | $1,513.56 | $5,011.87 | $5,011.87 |
Capital Blue Cross Setting Facility Modifier TC · Technical part Typical Low $2,290.87 Median $2,884.03 Typical High $5,011.87 | Facility | TC · Technical part | $2,290.87 | $2,884.03 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $295.12 Median $309.03 Typical High $851.14 | Professional | None (both parts) | $295.12 | $309.03 | $851.14 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $85.11 Typical High $169.82 | Professional | 26 · Professional part | $81.28 | $85.11 | $169.82 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $223.87 Typical High $676.08 | Professional | TC · Technical part | $213.80 | $223.87 | $676.08 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $776.25 Typical High $1,778.28 | Facility | None | $501.19 | $776.25 | $1,778.28 |
Cigna Setting Professional Modifier None (both parts) Typical Low $263.03 Median $457.09 Typical High $831.76 | Professional | None (both parts) | $263.03 | $457.09 | $831.76 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $89.13 Typical High $158.49 | Professional | 26 · Professional part | $52.48 | $89.13 | $158.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $398.11 Typical High $691.83 | Professional | TC · Technical part | $190.55 | $398.11 | $691.83 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $363.08 Median $426.58 Typical High $537.03 | Professional | None (both parts) | $363.08 | $426.58 | $537.03 |
Geisinger Setting Facility Modifier None Typical Low $691.83 Median $776.25 Typical High $3,981.07 | Facility | None | $691.83 | $776.25 | $3,981.07 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $309.03 Median $426.58 Typical High $831.76 | Professional | None (both parts) | $309.03 | $426.58 | $831.76 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $95.50 Typical High $173.78 | Professional | 26 · Professional part | $70.79 | $95.50 | $173.78 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $346.74 Typical High $645.65 | Professional | TC · Technical part | $223.87 | $346.74 | $645.65 |
Highmark BCBS Setting Facility Modifier None Typical Low $1,148.15 Median $1,819.70 Typical High $3,630.78 | Facility | None | $1,148.15 | $1,819.70 | $3,630.78 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $93.33 Typical High $125.89 | Professional | 26 · Professional part | $85.11 | $93.33 | $125.89 |
Martin's Point Setting Facility Modifier None Typical Low $426.58 Median $1,513.56 Typical High $2,187.76 | Facility | None | $426.58 | $1,513.56 | $2,187.76 |
Martin's Point Setting Facility Modifier TC · Technical part Typical Low $229.09 Median $229.09 Typical High $977.24 | Facility | TC · Technical part | $229.09 | $229.09 | $977.24 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $316.23 Median $426.58 Typical High $549.54 | Professional | None (both parts) | $316.23 | $426.58 | $549.54 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $125.89 Typical High $154.88 | Professional | 26 · Professional part | $83.18 | $125.89 | $154.88 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $302.00 Typical High $380.19 | Professional | TC · Technical part | $229.09 | $302.00 | $380.19 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $85.11 Median $302.00 Typical High $707.95 | Professional | None (both parts) | $85.11 | $302.00 | $707.95 |
UPMC Health Plan Setting Facility Modifier None Typical Low $302.00 Median $954.99 Typical High $3,162.28 | Facility | None | $302.00 | $954.99 | $3,162.28 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $302.00 Median $588.84 Typical High $588.84 | Professional | None (both parts) | $302.00 | $588.84 | $588.84 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $91.20 Typical High $91.20 | Professional | 26 · Professional part | $81.28 | $91.20 | $91.20 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $501.19 Typical High $501.19 | Professional | TC · Technical part | $223.87 | $501.19 | $501.19 |
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 $302.00 Median $416.87 Typical High $741.31 | Professional | None (both parts) | $302.00 | $416.87 | $741.31 |
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 $223.87 Median $302.00 Typical High $602.56 | Professional | TC · Technical part | $223.87 | $302.00 | $602.56 |
8 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 $114.82 Median $158.49 Typical High $549.54 | Facility | 52 · Reduced service | $114.82 | $158.49 | $549.54 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $46.77 Median $63.10 Typical High $218.78 | Facility | 53 · Discontinued | $46.77 | $63.10 | $218.78 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $158.49 Median $213.80 Typical High $213.80 | Professional | 52 · Reduced service | $158.49 | $213.80 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $63.10 Median $85.11 Typical High $85.11 | Professional | 53 · Discontinued | $63.10 | $85.11 | $85.11 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $251.19 Median $338.84 Typical High $338.84 | Professional | FX · Film X-ray | $251.19 | $338.84 | $338.84 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $158.49 Median $213.80 Typical High $213.80 | Professional | 52 · Reduced service | $158.49 | $213.80 | $213.80 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $63.10 Median $85.11 Typical High $85.11 | Professional | 53 · Discontinued | $63.10 | $85.11 | $85.11 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $251.19 Median $338.84 Typical High $338.84 | Professional | FX · Film X-ray | $251.19 | $338.84 | $338.84 |
Where Pennsylvania sits
The same service costs 5.6 times more in Wyoming 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· 37th of 51
$427
WY $1,230UT $219
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.