How much rates vary
Facilitymedian $347 · 10th to 90th $145 to $631Professionalmedian $145 · 10th to 90th $112 to $240
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 $144.54 Median $354.81 Typical High $446.68 | Facility | None | $144.54 | $354.81 | $446.68 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $38.02 Median $52.48 Typical High $77.62 | Facility | 26 · Professional part | $38.02 | $52.48 | $77.62 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $87.10 Median $114.82 Typical High $323.59 | Facility | TC · Technical part | $87.10 | $114.82 | $323.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $138.04 Typical High $186.21 | Professional | None (both parts) | $120.23 | $138.04 | $186.21 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $41.69 Typical High $56.23 | Professional | 26 · Professional part | $33.88 | $41.69 | $56.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $100.00 Typical High $131.83 | Professional | TC · Technical part | $83.18 | $100.00 | $131.83 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $66.07 Typical High $70.79 | Professional | 26 · Professional part | $61.66 | $66.07 | $70.79 |
AmeriHealth Setting Facility Modifier None Typical Low $117.49 Median $263.03 Typical High $1,949.84 | Facility | None | $117.49 | $263.03 | $1,949.84 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $181.97 Median $181.97 Typical High $218.78 | Professional | None (both parts) | $181.97 | $181.97 | $218.78 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $52.48 Typical High $64.57 | Professional | 26 · Professional part | $52.48 | $52.48 | $64.57 |
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 $457.09 Median $562.34 Typical High $5,011.87 | Facility | TC · Technical part | $457.09 | $562.34 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $131.83 Median $177.83 Typical High $295.12 | Professional | None (both parts) | $131.83 | $177.83 | $295.12 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $58.88 Typical High $85.11 | Professional | 26 · Professional part | $42.66 | $58.88 | $85.11 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $120.23 Typical High $208.93 | Professional | TC · Technical part | $89.13 | $120.23 | $208.93 |
Cigna Setting Facility Modifier None Typical Low $112.20 Median $281.84 Typical High $602.56 | Facility | None | $112.20 | $281.84 | $602.56 |
Cigna Setting Professional Modifier None (both parts) Typical Low $77.62 Median $123.03 Typical High $234.42 | Professional | None (both parts) | $77.62 | $123.03 | $234.42 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $35.48 Typical High $69.18 | Professional | 26 · Professional part | $21.38 | $35.48 | $69.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $87.10 Typical High $169.82 | Professional | TC · Technical part | $56.23 | $87.10 | $169.82 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $162.18 Median $190.55 Typical High $239.88 | Professional | None (both parts) | $162.18 | $190.55 | $239.88 |
Geisinger Setting Facility Modifier None Typical Low $97.72 Median $97.72 Typical High $97.72 | Facility | None | $97.72 | $97.72 | $97.72 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $75.86 Median $141.25 Typical High $257.04 | Professional | None (both parts) | $75.86 | $141.25 | $257.04 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $44.67 Typical High $81.28 | Professional | 26 · Professional part | $28.18 | $44.67 | $81.28 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $95.50 Typical High $186.21 | Professional | TC · Technical part | $47.86 | $95.50 | $186.21 |
Highmark BCBS Setting Facility Modifier None Typical Low $309.03 Median $436.52 Typical High $660.69 | Facility | None | $309.03 | $436.52 | $660.69 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $151.36 Median $162.18 Typical High $190.55 | Professional | None (both parts) | $151.36 | $162.18 | $190.55 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $46.77 Typical High $64.57 | Professional | 26 · Professional part | $42.66 | $46.77 | $64.57 |
Independence Blue Cross Setting Facility Modifier None Typical Low $141.25 Median $263.03 Typical High $630.96 | Facility | None | $141.25 | $263.03 | $630.96 |
Independence Blue Cross Setting Professional Modifier None (both parts) Typical Low $181.97 Median $181.97 Typical High $213.80 | Professional | None (both parts) | $181.97 | $181.97 | $213.80 |
Independence Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $52.48 Typical High $61.66 | Professional | 26 · Professional part | $50.12 | $52.48 | $61.66 |
Martin's Point Setting Facility Modifier None Typical Low $144.54 Median $380.19 Typical High $575.44 | Facility | None | $144.54 | $380.19 | $575.44 |
Martin's Point Setting Facility Modifier 26 · Professional part Typical Low $38.02 Median $56.23 Typical High $77.62 | Facility | 26 · Professional part | $38.02 | $56.23 | $77.62 |
Martin's Point Setting Facility Modifier TC · Technical part Typical Low $87.10 Median $117.49 Typical High $323.59 | Facility | TC · Technical part | $87.10 | $117.49 | $323.59 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $120.23 Median $138.04 Typical High $173.78 | Professional | None (both parts) | $120.23 | $138.04 | $173.78 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $41.69 Typical High $54.95 | Professional | 26 · Professional part | $33.88 | $41.69 | $54.95 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $100.00 Typical High $120.23 | Professional | TC · Technical part | $83.18 | $100.00 | $120.23 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $123.03 Median $147.91 Typical High $275.42 | Professional | None (both parts) | $123.03 | $147.91 | $275.42 |
UPMC Health Plan Setting Facility Modifier None Typical Low $134.90 Median $257.04 Typical High $398.11 | Facility | None | $134.90 | $257.04 | $398.11 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $134.90 Median $151.36 Typical High $151.36 | Professional | None (both parts) | $134.90 | $151.36 | $151.36 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $38.02 Typical High $41.69 | Professional | 26 · Professional part | $38.02 | $38.02 | $41.69 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $112.20 Typical High $112.20 | Professional | TC · Technical part | $93.33 | $112.20 | $112.20 |
United Setting Facility Modifier None Typical Low $239.88 Median $512.86 Typical High $588.84 | Facility | None | $239.88 | $512.86 | $588.84 |
United Setting Professional Modifier None (both parts) Typical Low $100.00 Median $138.04 Typical High $239.88 | Professional | None (both parts) | $100.00 | $138.04 | $239.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $44.67 Typical High $83.18 | Professional | 26 · Professional part | $33.11 | $44.67 | $83.18 |
United Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $93.33 Typical High $165.96 | Professional | TC · Technical part | $72.44 | $93.33 | $165.96 |
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 $58.88 Median $67.61 Typical High $72.44 | Professional | 52 · Reduced service | $58.88 | $67.61 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $26.92 Typical High $28.84 | Professional | 53 · Discontinued | $23.99 | $26.92 | $28.84 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $95.50 Median $107.15 Typical High $114.82 | Professional | FX · Film X-ray | $95.50 | $107.15 | $114.82 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $58.88 Median $67.61 Typical High $72.44 | Professional | 52 · Reduced service | $58.88 | $67.61 | $72.44 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $26.92 Typical High $28.84 | Professional | 53 · Discontinued | $23.99 | $26.92 | $28.84 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $95.50 Median $109.65 Typical High $114.82 | Professional | FX · Film X-ray | $95.50 | $109.65 | $114.82 |
Where Pennsylvania sits
The same service costs 3.9 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· 35th of 51
$145
AK $407UT $105
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.