How much rates vary
Facilitymedian $79 · 10th to 90th $29 to $302Professionalmedian $42 · 10th to 90th $24 to $54
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 $28.84 Median $61.66 Typical High $107.15 | Facility | None | $28.84 | $61.66 | $107.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $23.99 Median $27.54 Typical High $28.84 | Professional | None (both parts) | $23.99 | $27.54 | $28.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $9.77 Typical High $10.00 | Professional | 26 · Professional part | $8.51 | $9.77 | $10.00 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $15.14 Median $17.78 Typical High $19.05 | Professional | TC · Technical part | $15.14 | $17.78 | $19.05 |
Capital Blue Cross Setting Facility Modifier None Typical Low $35.48 Median $5,011.87 Typical High $8,709.64 | Facility | None | $35.48 | $5,011.87 | $8,709.64 |
Capital Blue Cross Setting Facility Modifier TC · Technical part Typical Low $190.55 Median $234.42 Typical High $5,011.87 | Facility | TC · Technical part | $190.55 | $234.42 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | None (both parts) | $51.29 | $51.29 | $51.29 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $10.47 Typical High $20.89 | Professional | 26 · Professional part | $10.00 | $10.47 | $20.89 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $38.90 Typical High $69.18 | Professional | TC · Technical part | $38.02 | $38.90 | $69.18 |
Cigna Setting Professional Modifier None (both parts) Typical Low $19.95 Median $29.51 Typical High $53.70 | Professional | None (both parts) | $19.95 | $29.51 | $53.70 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.31 Median $10.72 Typical High $19.05 | Professional | 26 · Professional part | $6.31 | $10.72 | $19.05 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $13.80 Median $19.05 Typical High $34.67 | Professional | TC · Technical part | $13.80 | $19.05 | $34.67 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $37.15 Median $52.48 Typical High $67.61 | Professional | None (both parts) | $37.15 | $52.48 | $67.61 |
Geisinger Setting Facility Modifier None Typical Low $50.12 Median $50.12 Typical High $50.12 | Facility | None | $50.12 | $50.12 | $50.12 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $36.31 Median $42.66 Typical High $81.28 | Professional | None (both parts) | $36.31 | $42.66 | $81.28 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $11.75 Typical High $21.38 | Professional | 26 · Professional part | $8.51 | $11.75 | $21.38 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $33.11 Typical High $63.10 | Professional | TC · Technical part | $26.30 | $33.11 | $63.10 |
Martin's Point Setting Facility Modifier None Typical Low $28.84 Median $61.66 Typical High $107.15 | Facility | None | $28.84 | $61.66 | $107.15 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $23.99 Median $27.54 Typical High $28.84 | Professional | None (both parts) | $23.99 | $27.54 | $28.84 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $9.77 Typical High $10.00 | Professional | 26 · Professional part | $8.51 | $9.77 | $10.00 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $15.14 Median $17.78 Typical High $19.05 | Professional | TC · Technical part | $15.14 | $17.78 | $19.05 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $53.70 Median $56.23 Typical High $69.18 | Professional | None (both parts) | $53.70 | $56.23 | $69.18 |
UPMC Health Plan Setting Facility Modifier None Typical Low $42.66 Median $79.43 Typical High $169.82 | Facility | None | $42.66 | $79.43 | $169.82 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $42.66 Median $42.66 Typical High $46.77 | Professional | None (both parts) | $42.66 | $42.66 | $46.77 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $11.48 Typical High $11.48 | Professional | 26 · Professional part | $10.00 | $11.48 | $11.48 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $31.62 Typical High $37.15 | Professional | TC · Technical part | $31.62 | $31.62 | $37.15 |
United Setting Professional Modifier None (both parts) Typical Low $38.90 Median $47.86 Typical High $87.10 | Professional | None (both parts) | $38.90 | $47.86 | $87.10 |
United Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $10.72 Typical High $19.95 | Professional | 26 · Professional part | $9.33 | $10.72 | $19.95 |
United Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $37.15 Typical High $67.61 | Professional | TC · Technical part | $28.18 | $37.15 | $67.61 |
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 $12.02 Median $13.80 Typical High $14.45 | Professional | 52 · Reduced service | $12.02 | $13.80 | $14.45 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.79 Median $5.50 Typical High $5.75 | Professional | 53 · Discontinued | $4.79 | $5.50 | $5.75 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $19.05 Median $22.39 Typical High $23.44 | Professional | FX · Film X-ray | $19.05 | $22.39 | $23.44 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $12.02 Median $13.80 Typical High $14.45 | Professional | 52 · Reduced service | $12.02 | $13.80 | $14.45 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $4.79 Median $5.50 Typical High $5.75 | Professional | 53 · Discontinued | $4.79 | $5.50 | $5.75 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $19.05 Median $22.39 Typical High $23.44 | Professional | FX · Film X-ray | $19.05 | $22.39 | $23.44 |
Where Pennsylvania sits
The same service costs 4.7 times more in Alaska than in Florida. 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· 25th of 51
$41.69
AK $110FL $23.44
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.