How much rates vary
Facilitymedian $832 · 10th to 90th $389 to $2,089Professionalmedian $479 · 10th to 90th $355 to $1,175
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 $371.54 Median $758.58 Typical High $1,905.46 | Facility | None | $371.54 | $758.58 | $1,905.46 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $104.71 Median $134.90 Typical High $281.84 | Facility | 26 · Professional part | $104.71 | $134.90 | $281.84 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $245.47 Median $309.03 Typical High $1,288.25 | Facility | TC · Technical part | $245.47 | $309.03 | $1,288.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $354.81 Median $426.58 Typical High $616.60 | Professional | None (both parts) | $354.81 | $426.58 | $616.60 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $125.89 Typical High $165.96 | Professional | 26 · Professional part | $104.71 | $125.89 | $165.96 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $302.00 Typical High $416.87 | Professional | TC · Technical part | $245.47 | $302.00 | $416.87 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $223.87 Median $269.15 Typical High $275.42 | Professional | None (both parts) | $223.87 | $269.15 | $275.42 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $158.49 Typical High $173.78 | Professional | 26 · Professional part | $83.18 | $158.49 | $173.78 |
AmeriHealth Setting Facility Modifier None Typical Low $4,786.30 Median $4,786.30 Typical High $4,786.30 | Facility | None | $4,786.30 | $4,786.30 | $4,786.30 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $478.63 Median $478.63 Typical High $630.96 | Professional | None (both parts) | $478.63 | $478.63 | $630.96 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $128.82 Typical High $199.53 | Professional | 26 · Professional part | $123.03 | $128.82 | $199.53 |
AmeriHealth Setting Professional Modifier TC · Technical part Typical Low $354.81 Median $354.81 Typical High $446.68 | Professional | TC · Technical part | $354.81 | $354.81 | $446.68 |
Capital Blue Cross Setting Facility Modifier None Typical Low $1,905.46 Median $5,011.87 Typical High $5,011.87 | Facility | None | $1,905.46 | $5,011.87 | $5,011.87 |
Capital Blue Cross Setting Facility Modifier TC · Technical part Typical Low $2,884.03 Median $3,630.78 Typical High $5,011.87 | Facility | TC · Technical part | $2,884.03 | $3,630.78 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $363.08 Median $616.60 Typical High $1,202.26 | Professional | None (both parts) | $363.08 | $616.60 | $1,202.26 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $177.83 Typical High $281.84 | Professional | 26 · Professional part | $114.82 | $177.83 | $281.84 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $426.58 Typical High $1,047.13 | Professional | TC · Technical part | $251.19 | $426.58 | $1,047.13 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $831.76 Typical High $1,778.28 | Facility | None | $524.81 | $831.76 | $1,778.28 |
Cigna Setting Professional Modifier None (both parts) Typical Low $295.12 Median $575.44 Typical High $1,148.15 | Professional | None (both parts) | $295.12 | $575.44 | $1,148.15 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $114.82 Typical High $204.17 | Professional | 26 · Professional part | $69.18 | $114.82 | $204.17 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $436.52 Typical High $977.24 | Professional | TC · Technical part | $204.17 | $436.52 | $977.24 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $398.11 Median $478.63 Typical High $602.56 | Professional | None (both parts) | $398.11 | $478.63 | $602.56 |
Geisinger Setting Facility Modifier None Typical Low $912.01 Median $1,445.44 Typical High $3,981.07 | Facility | None | $912.01 | $1,445.44 | $3,981.07 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $316.23 Median $549.54 Typical High $1,047.13 | Professional | None (both parts) | $316.23 | $549.54 | $1,047.13 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $123.03 Typical High $223.87 | Professional | 26 · Professional part | $91.20 | $123.03 | $223.87 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $416.87 Typical High $851.14 | Professional | TC · Technical part | $213.80 | $416.87 | $851.14 |
Highmark BCBS Setting Facility Modifier None Typical Low $467.74 Median $933.25 Typical High $2,238.72 | Facility | None | $467.74 | $933.25 | $2,238.72 |
Highmark BCBS Setting Facility Modifier TC · Technical part Typical Low $676.08 Median $1,380.38 Typical High $3,162.28 | Facility | TC · Technical part | $676.08 | $1,380.38 | $3,162.28 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $363.08 Median $416.87 Typical High $851.14 | Professional | None (both parts) | $363.08 | $416.87 | $851.14 |
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 $354.81 Median $1,819.70 Typical High $4,786.30 | Facility | None | $354.81 | $1,819.70 | $4,786.30 |
Independence Blue Cross Setting Facility Modifier TC · Technical part Typical Low $912.01 Median $1,995.26 Typical High $4,786.30 | Facility | TC · Technical part | $912.01 | $1,995.26 | $4,786.30 |
Independence Blue Cross Setting Professional Modifier None (both parts) Typical Low $478.63 Median $478.63 Typical High $630.96 | Professional | None (both parts) | $478.63 | $478.63 | $630.96 |
Independence Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $128.82 Typical High $199.53 | Professional | 26 · Professional part | $123.03 | $128.82 | $199.53 |
Independence Blue Cross Setting Professional Modifier TC · Technical part Typical Low $354.81 Median $354.81 Typical High $446.68 | Professional | TC · Technical part | $354.81 | $354.81 | $446.68 |
Martin's Point Setting Facility Modifier None Typical Low $363.08 Median $758.58 Typical High $1,949.84 | Facility | None | $363.08 | $758.58 | $1,949.84 |
Martin's Point Setting Facility Modifier 26 · Professional part Typical Low $104.71 Median $138.04 Typical High $257.04 | Facility | 26 · Professional part | $104.71 | $138.04 | $257.04 |
Martin's Point Setting Facility Modifier TC · Technical part Typical Low $245.47 Median $302.00 Typical High $1,288.25 | Facility | TC · Technical part | $245.47 | $302.00 | $1,288.25 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $354.81 Median $426.58 Typical High $616.60 | Professional | None (both parts) | $354.81 | $426.58 | $616.60 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $125.89 Typical High $162.18 | Professional | 26 · Professional part | $104.71 | $125.89 | $162.18 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $302.00 Typical High $407.38 | Professional | TC · Technical part | $245.47 | $302.00 | $407.38 |
Oscar Health Setting Facility Modifier None Typical Low $707.95 Median $954.99 Typical High $1,047.13 | Facility | None | $707.95 | $954.99 | $1,047.13 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $109.65 Median $338.84 Typical High $707.95 | Professional | None (both parts) | $109.65 | $338.84 | $707.95 |
UPMC Health Plan Setting Facility Modifier None Typical Low $338.84 Median $1,148.15 Typical High $2,238.72 | Facility | None | $338.84 | $1,148.15 | $2,238.72 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $338.84 Median $1,047.13 Typical High $1,047.13 | Professional | None (both parts) | $338.84 | $1,047.13 | $1,047.13 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $120.23 Typical High $120.23 | Professional | 26 · Professional part | $102.33 | $120.23 | $120.23 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $933.25 Typical High $933.25 | Professional | TC · Technical part | $239.88 | $933.25 | $933.25 |
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 $338.84 Median $467.74 Typical High $1,023.29 | Professional | None (both parts) | $338.84 | $467.74 | $1,023.29 |
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 $239.88 Median $323.59 Typical High $870.96 | Professional | TC · Technical part | $239.88 | $323.59 | $870.96 |
9 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 $123.03 Median $177.83 Typical High $588.84 | Facility | 52 · Reduced service | $123.03 | $177.83 | $588.84 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $48.98 Median $70.79 Typical High $234.42 | Facility | 53 · Discontinued | $48.98 | $70.79 | $234.42 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $177.83 Median $213.80 Typical High $213.80 | Professional | 52 · Reduced service | $177.83 | $213.80 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $70.79 Median $85.11 Typical High $85.11 | Professional | 53 · Discontinued | $70.79 | $85.11 | $85.11 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $281.84 Median $338.84 Typical High $338.84 | Professional | FX · Film X-ray | $281.84 | $338.84 | $338.84 |
Highmark BCBS Setting Facility Modifier PN · Off-campus dept, non-excepted Typical Low $169.82 Median $354.81 Typical High $3,890.45 | Facility | PN · Off-campus dept, non-excepted | $169.82 | $354.81 | $3,890.45 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $177.83 Median $213.80 Typical High $213.80 | Professional | 52 · Reduced service | $177.83 | $213.80 | $213.80 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $70.79 Median $85.11 Typical High $85.11 | Professional | 53 · Discontinued | $70.79 | $85.11 | $85.11 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $281.84 Median $338.84 Typical High $338.84 | Professional | FX · Film X-ray | $281.84 | $338.84 | $338.84 |
Where Pennsylvania sits
The same service costs 5.8 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· 36th of 51
$490
WY $1,349UT $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.