How much rates vary
Facilitymedian $263 · 10th to 90th $112 to $676Professionalmedian $229 · 10th to 90th $174 to $316
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 $263.03 Median $263.03 Typical High $676.08 | Facility | None | $263.03 | $263.03 | $676.08 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $141.25 Median $165.96 Typical High $354.81 | Facility | TC · Technical part | $141.25 | $165.96 | $354.81 |
Aetna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $229.09 Typical High $263.03 | Professional | None (both parts) | $218.78 | $229.09 | $263.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $97.72 Typical High $97.72 | Professional | 26 · Professional part | $85.11 | $97.72 | $97.72 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $141.25 Typical High $165.96 | Professional | TC · Technical part | $131.83 | $141.25 | $165.96 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | 26 · Professional part | $81.28 | $81.28 | $81.28 |
Capital Blue Cross Setting Facility Modifier None Typical Low $309.03 Median $5,011.87 Typical High $8,709.64 | Facility | None | $309.03 | $5,011.87 | $8,709.64 |
Capital Blue Cross Setting Facility Modifier TC · Technical part Typical Low $467.74 Median $562.34 Typical High $5,011.87 | Facility | TC · Technical part | $467.74 | $562.34 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $169.82 Typical High $251.19 | Professional | 26 · Professional part | $100.00 | $169.82 | $251.19 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $186.21 Typical High $245.47 | Professional | TC · Technical part | $151.36 | $186.21 | $245.47 |
Cigna Setting Facility Modifier None Typical Low $97.72 Median $158.49 Typical High $537.03 | Facility | None | $97.72 | $158.49 | $537.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $204.17 Typical High $416.87 | Professional | None (both parts) | $134.90 | $204.17 | $416.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $85.11 Typical High $186.21 | Professional | 26 · Professional part | $61.66 | $85.11 | $186.21 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $120.23 Typical High $234.42 | Professional | TC · Technical part | $72.44 | $120.23 | $234.42 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $331.13 Median $398.11 Typical High $602.56 | Professional | None (both parts) | $331.13 | $398.11 | $602.56 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $141.25 Typical High $213.80 | Professional | 26 · Professional part | $120.23 | $141.25 | $213.80 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $257.04 Typical High $389.05 | Professional | TC · Technical part | $213.80 | $257.04 | $389.05 |
Geisinger Setting Facility Modifier None Typical Low $151.36 Median $151.36 Typical High $151.36 | Facility | None | $151.36 | $151.36 | $151.36 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $158.49 Median $275.42 Typical High $446.68 | Professional | None (both parts) | $158.49 | $275.42 | $446.68 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $107.15 Typical High $186.21 | Professional | 26 · Professional part | $85.11 | $107.15 | $186.21 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $169.82 Typical High $275.42 | Professional | TC · Technical part | $74.13 | $169.82 | $275.42 |
Highmark BCBS Setting Facility Modifier None Typical Low $616.60 Median $616.60 Typical High $758.58 | Facility | None | $616.60 | $616.60 | $758.58 |
Martin's Point Setting Facility Modifier None Typical Low $263.03 Median $263.03 Typical High $676.08 | Facility | None | $263.03 | $263.03 | $676.08 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $218.78 Median $234.42 Typical High $263.03 | Professional | None (both parts) | $218.78 | $234.42 | $263.03 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $97.72 Typical High $97.72 | Professional | 26 · Professional part | $85.11 | $97.72 | $97.72 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $141.25 Typical High $165.96 | Professional | TC · Technical part | $131.83 | $141.25 | $165.96 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $251.19 Median $269.15 Typical High $457.09 | Professional | None (both parts) | $251.19 | $269.15 | $457.09 |
UPMC Health Plan Setting Facility Modifier None Typical Low $204.17 Median $407.38 Typical High $776.25 | Facility | None | $204.17 | $407.38 | $776.25 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $204.17 Median $245.47 Typical High $245.47 | Professional | None (both parts) | $204.17 | $245.47 | $245.47 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $100.00 Typical High $109.65 | Professional | 26 · Professional part | $97.72 | $100.00 | $109.65 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $147.91 Typical High $151.36 | Professional | TC · Technical part | $97.72 | $147.91 | $151.36 |
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 $186.21 Median $239.88 Typical High $323.59 | Professional | None (both parts) | $186.21 | $239.88 | $323.59 |
United Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $100.00 Typical High $141.25 | Professional | 26 · Professional part | $91.20 | $100.00 | $141.25 |
United Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $138.04 Typical High $190.55 | Professional | TC · Technical part | $91.20 | $138.04 | $190.55 |
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 $107.15 Median $120.23 Typical High $131.83 | Professional | 52 · Reduced service | $107.15 | $120.23 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $47.86 Typical High $52.48 | Professional | 53 · Discontinued | $43.65 | $47.86 | $52.48 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $173.78 Median $181.97 Typical High $208.93 | Professional | FX · Film X-ray | $173.78 | $181.97 | $208.93 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $107.15 Median $120.23 Typical High $131.83 | Professional | 52 · Reduced service | $107.15 | $120.23 | $131.83 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $47.86 Typical High $52.48 | Professional | 53 · Discontinued | $43.65 | $47.86 | $52.48 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $173.78 Median $190.55 Typical High $208.93 | Professional | FX · Film X-ray | $173.78 | $190.55 | $208.93 |
Where Pennsylvania sits
The same service costs 5.4 times more in Alaska than in Texas. 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· 40th of 51
$229
AK $741TX $138
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.