How much rates vary
Facilitymedian $331 · 10th to 90th $66 to $1,096Professionalmedian $129 · 10th to 90th $54 to $174
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 $66.07 Median $204.17 Typical High $346.74 | Facility | None | $66.07 | $204.17 | $346.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $53.70 Median $66.07 Typical High $67.61 | Professional | None (both parts) | $53.70 | $66.07 | $67.61 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $22.39 Typical High $26.92 | Professional | 26 · Professional part | $19.50 | $22.39 | $26.92 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $41.69 Typical High $43.65 | Professional | TC · Technical part | $34.67 | $41.69 | $43.65 |
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 $676.08 Median $812.83 Typical High $5,011.87 | Facility | TC · Technical part | $676.08 | $812.83 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | None (both parts) | $169.82 | $169.82 | $169.82 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $37.15 Typical High $70.79 | Professional | 26 · Professional part | $22.91 | $37.15 | $70.79 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $138.04 Typical High $239.88 | Professional | TC · Technical part | $123.03 | $138.04 | $239.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $52.48 Median $67.61 Typical High $177.83 | Professional | None (both parts) | $52.48 | $67.61 | $177.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $21.88 Typical High $58.88 | Professional | 26 · Professional part | $19.05 | $21.88 | $58.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $46.77 Typical High $117.49 | Professional | TC · Technical part | $33.88 | $46.77 | $117.49 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $177.83 Median $223.87 Typical High $331.13 | Professional | None (both parts) | $177.83 | $223.87 | $331.13 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $33.88 Typical High $51.29 | Professional | 26 · Professional part | $28.84 | $33.88 | $51.29 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $190.55 Typical High $281.84 | Professional | TC · Technical part | $147.91 | $190.55 | $281.84 |
Geisinger Setting Facility Modifier None Typical Low $186.21 Median $186.21 Typical High $186.21 | Facility | None | $186.21 | $186.21 | $186.21 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $120.23 Median $151.36 Typical High $239.88 | Professional | None (both parts) | $120.23 | $151.36 | $239.88 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $32.36 Typical High $54.95 | Professional | 26 · Professional part | $25.12 | $32.36 | $54.95 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $117.49 Typical High $190.55 | Professional | TC · Technical part | $91.20 | $117.49 | $190.55 |
Highmark BCBS Setting Facility Modifier None Typical Low $549.54 Median $549.54 Typical High $602.56 | Facility | None | $549.54 | $549.54 | $602.56 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $30.20 Typical High $41.69 | Professional | 26 · Professional part | $25.12 | $30.20 | $41.69 |
Martin's Point Setting Facility Modifier None Typical Low $66.07 Median $204.17 Typical High $346.74 | Facility | None | $66.07 | $204.17 | $346.74 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $53.70 Median $63.10 Typical High $66.07 | Professional | None (both parts) | $53.70 | $63.10 | $66.07 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $22.39 Typical High $23.44 | Professional | 26 · Professional part | $19.50 | $22.39 | $23.44 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $41.69 Typical High $43.65 | Professional | TC · Technical part | $34.67 | $41.69 | $43.65 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $194.98 Median $194.98 Typical High $229.09 | Professional | None (both parts) | $194.98 | $194.98 | $229.09 |
UPMC Health Plan Setting Facility Modifier None Typical Low $151.36 Median $331.13 Typical High $616.60 | Facility | None | $151.36 | $331.13 | $616.60 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $151.36 Median $154.88 Typical High $158.49 | Professional | None (both parts) | $151.36 | $154.88 | $158.49 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $23.44 Typical High $37.15 | Professional | 26 · Professional part | $22.91 | $23.44 | $37.15 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $123.03 Typical High $128.82 | Professional | TC · Technical part | $120.23 | $123.03 | $128.82 |
United Setting Professional Modifier None (both parts) Typical Low $134.90 Median $162.18 Typical High $223.87 | Professional | None (both parts) | $134.90 | $162.18 | $223.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $34.67 Typical High $46.77 | Professional | 26 · Professional part | $29.51 | $34.67 | $46.77 |
United Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $131.83 Typical High $181.97 | Professional | TC · Technical part | $104.71 | $131.83 | $181.97 |
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 $26.92 Median $31.62 Typical High $33.11 | Professional | 52 · Reduced service | $26.92 | $31.62 | $33.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.72 Median $12.59 Typical High $13.18 | Professional | 53 · Discontinued | $10.72 | $12.59 | $13.18 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $42.66 Median $50.12 Typical High $52.48 | Professional | FX · Film X-ray | $42.66 | $50.12 | $52.48 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $26.92 Median $31.62 Typical High $33.11 | Professional | 52 · Reduced service | $26.92 | $31.62 | $33.11 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $10.72 Median $12.59 Typical High $13.18 | Professional | 53 · Discontinued | $10.72 | $12.59 | $13.18 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $42.66 Median $50.12 Typical High $52.48 | Professional | FX · Film X-ray | $42.66 | $50.12 | $52.48 |
Where Pennsylvania sits
The same service costs 6.6 times more in Nebraska 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· 20th of 51
$132
NE $363FL $54.95
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.