How much rates vary
Facilitymedian $437 · 10th to 90th $107 to $5,012Professionalmedian $174 · 10th to 90th $91 to $204
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 $107.15 Median $218.78 Typical High $575.44 | Facility | None | $107.15 | $218.78 | $575.44 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $28.18 Median $41.69 Typical High $114.82 | Facility | 26 · Professional part | $28.18 | $41.69 | $114.82 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $66.07 Median $79.43 Typical High $323.59 | Facility | TC · Technical part | $66.07 | $79.43 | $323.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $107.15 Typical High $144.54 | Professional | None (both parts) | $87.10 | $107.15 | $144.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $28.18 Typical High $39.81 | Professional | 26 · Professional part | $23.99 | $28.18 | $39.81 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $79.43 Typical High $109.65 | Professional | TC · Technical part | $63.10 | $79.43 | $109.65 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $46.77 Typical High $46.77 | Professional | 26 · Professional part | $21.88 | $46.77 | $46.77 |
AmeriHealth Setting Facility Modifier None Typical Low $4,265.80 Median $6,760.83 Typical High $9,120.11 | Facility | None | $4,265.80 | $6,760.83 | $9,120.11 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $44.67 Typical High $56.23 | Professional | 26 · Professional part | $44.67 | $44.67 | $56.23 |
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 $741.31 Median $912.01 Typical High $5,011.87 | Facility | TC · Technical part | $741.31 | $912.01 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $181.97 Median $194.98 Typical High $204.17 | Professional | None (both parts) | $181.97 | $194.98 | $204.17 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $48.98 Typical High $112.20 | Professional | 26 · Professional part | $26.92 | $48.98 | $112.20 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $151.36 Typical High $269.15 | Professional | TC · Technical part | $138.04 | $151.36 | $269.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $79.43 Median $114.82 Typical High $269.15 | Professional | None (both parts) | $79.43 | $114.82 | $269.15 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $27.54 Typical High $74.13 | Professional | 26 · Professional part | $22.39 | $27.54 | $74.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $87.10 Typical High $194.98 | Professional | TC · Technical part | $56.23 | $87.10 | $194.98 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $208.93 Median $309.03 Typical High $398.11 | Professional | None (both parts) | $208.93 | $309.03 | $398.11 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $38.02 Typical High $57.54 | Professional | 26 · Professional part | $32.36 | $38.02 | $57.54 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $263.03 Typical High $338.84 | Professional | TC · Technical part | $177.83 | $263.03 | $338.84 |
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 $125.89 Median $158.49 Typical High $316.23 | Professional | None (both parts) | $125.89 | $158.49 | $316.23 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $40.74 Typical High $69.18 | Professional | 26 · Professional part | $28.18 | $40.74 | $69.18 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $112.20 Typical High $223.87 | Professional | TC · Technical part | $91.20 | $112.20 | $223.87 |
Highmark BCBS Setting Facility Modifier None Typical Low $489.78 Median $588.84 Typical High $1,905.46 | Facility | None | $489.78 | $588.84 | $1,905.46 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $31.62 Typical High $50.12 | Professional | 26 · Professional part | $28.18 | $31.62 | $50.12 |
Independence Blue Cross Setting Facility Modifier None Typical Low $4,265.80 Median $6,760.83 Typical High $9,120.11 | Facility | None | $4,265.80 | $6,760.83 | $9,120.11 |
Independence Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $44.67 Typical High $56.23 | Professional | 26 · Professional part | $44.67 | $44.67 | $56.23 |
Martin's Point Setting Facility Modifier None Typical Low $107.15 Median $107.15 Typical High $575.44 | Facility | None | $107.15 | $107.15 | $575.44 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $87.10 Median $107.15 Typical High $134.90 | Professional | None (both parts) | $87.10 | $107.15 | $134.90 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $28.18 Typical High $39.81 | Professional | 26 · Professional part | $23.99 | $28.18 | $39.81 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $79.43 Typical High $100.00 | Professional | TC · Technical part | $63.10 | $79.43 | $100.00 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $208.93 Median $208.93 Typical High $389.05 | Professional | None (both parts) | $208.93 | $208.93 | $389.05 |
UPMC Health Plan Setting Facility Modifier None Typical Low $169.82 Median $371.54 Typical High $707.95 | Facility | None | $169.82 | $371.54 | $707.95 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $169.82 Median $169.82 Typical High $173.78 | Professional | None (both parts) | $169.82 | $169.82 | $173.78 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $27.54 Typical High $46.77 | Professional | 26 · Professional part | $26.92 | $27.54 | $46.77 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $131.83 Typical High $144.54 | Professional | TC · Technical part | $120.23 | $131.83 | $144.54 |
United Setting Professional Modifier None (both parts) Typical Low $147.91 Median $186.21 Typical High $269.15 | Professional | None (both parts) | $147.91 | $186.21 | $269.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $44.67 Typical High $60.26 | Professional | 26 · Professional part | $38.02 | $44.67 | $60.26 |
United Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $141.25 Typical High $213.80 | Professional | TC · Technical part | $107.15 | $141.25 | $213.80 |
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 $43.65 Median $51.29 Typical High $53.70 | Professional | 52 · Reduced service | $43.65 | $51.29 | $53.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $20.42 Typical High $21.38 | Professional | 53 · Discontinued | $17.38 | $20.42 | $21.38 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $69.18 Median $81.28 Typical High $85.11 | Professional | FX · Film X-ray | $69.18 | $81.28 | $85.11 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $43.65 Median $51.29 Typical High $53.70 | Professional | 52 · Reduced service | $43.65 | $51.29 | $53.70 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $20.42 Typical High $21.38 | Professional | 53 · Discontinued | $17.38 | $20.42 | $21.38 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $69.18 Median $81.28 Typical High $85.11 | Professional | FX · Film X-ray | $69.18 | $81.28 | $85.11 |
Where Pennsylvania sits
The same service costs 4.2 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· 24th of 51
$174
NE $380FL $91.20
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.