How much rates vary
Facilitymedian $398 · 10th to 90th $74 to $2,239Professionalmedian $427 · 10th to 90th $59 to $575
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 $489.78 Median $1,445.44 Typical High $2,454.71 | Facility | None | $489.78 | $1,445.44 | $2,454.71 |
Aetna Setting Professional Modifier None (both parts) Typical Low $398.11 Median $457.09 Typical High $489.78 | Professional | None (both parts) | $398.11 | $457.09 | $489.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $21.88 Typical High $22.39 | Professional | 26 · Professional part | $18.62 | $21.88 | $22.39 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $389.05 Median $457.09 Typical High $489.78 | Professional | TC · Technical part | $389.05 | $457.09 | $489.78 |
Capital Blue Cross Setting Facility Modifier None Typical Low $4,265.80 Median $5,011.87 Typical High $8,709.64 | Facility | None | $4,265.80 | $5,011.87 | $8,709.64 |
Capital Blue Cross Setting Facility Modifier TC · Technical part Typical Low $281.84 Median $346.74 Typical High $5,011.87 | Facility | TC · Technical part | $281.84 | $346.74 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $141.25 Median $562.34 Typical High $575.44 | Professional | None (both parts) | $141.25 | $562.34 | $575.44 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $22.91 Typical High $46.77 | Professional | 26 · Professional part | $21.88 | $22.91 | $46.77 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $537.03 Typical High $562.34 | Professional | TC · Technical part | $97.72 | $537.03 | $562.34 |
Cigna Setting Facility Modifier None Typical Low $40.74 Median $109.65 Typical High $1,621.81 | Facility | None | $40.74 | $109.65 | $1,621.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $43.65 Median $58.88 Typical High $107.15 | Professional | None (both parts) | $43.65 | $58.88 | $107.15 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $23.99 Typical High $42.66 | Professional | 26 · Professional part | $14.45 | $23.99 | $42.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $35.48 Typical High $67.61 | Professional | TC · Technical part | $25.70 | $35.48 | $67.61 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $93.33 Median $141.25 Typical High $831.76 | Professional | None (both parts) | $93.33 | $141.25 | $831.76 |
Geisinger Setting Facility Modifier None Typical Low $77.62 Median $77.62 Typical High $77.62 | Facility | None | $77.62 | $77.62 | $77.62 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $56.23 Median $70.79 Typical High $162.18 | Professional | None (both parts) | $56.23 | $70.79 | $162.18 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $26.92 Typical High $46.77 | Professional | 26 · Professional part | $19.50 | $26.92 | $46.77 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $46.77 Typical High $109.65 | Professional | TC · Technical part | $37.15 | $46.77 | $109.65 |
Highmark BCBS Setting Facility Modifier TC · Technical part Typical Low $338.84 Median $338.84 Typical High $338.84 | Facility | TC · Technical part | $338.84 | $338.84 | $338.84 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | None (both parts) | $63.10 | $63.10 | $63.10 |
Martin's Point Setting Facility Modifier None Typical Low $489.78 Median $1,445.44 Typical High $2,630.27 | Facility | None | $489.78 | $1,445.44 | $2,630.27 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $398.11 Median $457.09 Typical High $489.78 | Professional | None (both parts) | $398.11 | $457.09 | $489.78 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $21.88 Typical High $21.88 | Professional | 26 · Professional part | $18.62 | $21.88 | $21.88 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $389.05 Median $457.09 Typical High $489.78 | Professional | TC · Technical part | $389.05 | $457.09 | $489.78 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $22.91 Median $91.20 Typical High $165.96 | Professional | None (both parts) | $22.91 | $91.20 | $165.96 |
UPMC Health Plan Setting Facility Modifier None Typical Low $74.13 Median $213.80 Typical High $1,513.56 | Facility | None | $74.13 | $213.80 | $1,513.56 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $74.13 Median $74.13 Typical High $75.86 | Professional | None (both parts) | $74.13 | $74.13 | $75.86 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $23.99 Typical High $23.99 | Professional | 26 · Professional part | $21.88 | $23.99 | $23.99 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $50.12 Typical High $53.70 | Professional | TC · Technical part | $50.12 | $50.12 | $53.70 |
United Setting Facility Modifier None Typical Low $758.58 Median $1,584.89 Typical High $1,862.09 | Facility | None | $758.58 | $1,584.89 | $1,862.09 |
United Setting Professional Modifier None (both parts) Typical Low $66.07 Median $478.63 Typical High $870.96 | Professional | None (both parts) | $66.07 | $478.63 | $870.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $23.44 Typical High $43.65 | Professional | 26 · Professional part | $20.89 | $23.44 | $43.65 |
United Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $457.09 Typical High $831.76 | Professional | TC · Technical part | $43.65 | $457.09 | $831.76 |
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 Professional Modifier 52 · Reduced service Typical Low $194.98 Median $229.09 Typical High $245.47 | Professional | 52 · Reduced service | $194.98 | $229.09 | $245.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $79.43 Median $91.20 Typical High $97.72 | Professional | 53 · Discontinued | $79.43 | $91.20 | $97.72 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $316.23 Median $371.54 Typical High $398.11 | Professional | FX · Film X-ray | $316.23 | $371.54 | $398.11 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $194.98 Median $229.09 Typical High $245.47 | Professional | 52 · Reduced service | $194.98 | $229.09 | $245.47 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $79.43 Median $91.20 Typical High $97.72 | Professional | 53 · Discontinued | $79.43 | $91.20 | $97.72 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $316.23 Median $380.19 Typical High $398.11 | Professional | FX · Film X-ray | $316.23 | $380.19 | $398.11 |
Where Pennsylvania sits
The same service costs 11.2 times more in Colorado than in Michigan. 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· 13th of 51
$427
CO $661MI $58.88
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.