How much rates vary
Facilitymedian $234 · 10th to 90th $105 to $912Professionalmedian $138 · 10th to 90th $89 to $245
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 $104.71 Median $190.55 Typical High $371.54 | Facility | None | $104.71 | $190.55 | $371.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $100.00 Typical High $104.71 | Professional | None (both parts) | $85.11 | $100.00 | $104.71 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $25.12 Typical High $26.92 | Professional | 26 · Professional part | $21.88 | $25.12 | $26.92 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $75.86 Typical High $79.43 | Professional | TC · Technical part | $63.10 | $75.86 | $79.43 |
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 $549.54 Median $676.08 Typical High $5,011.87 | Facility | TC · Technical part | $549.54 | $676.08 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $128.82 Median $141.25 Typical High $251.19 | Professional | None (both parts) | $128.82 | $141.25 | $251.19 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $44.67 Typical High $66.07 | Professional | 26 · Professional part | $25.70 | $44.67 | $66.07 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $112.20 Typical High $199.53 | Professional | TC · Technical part | $102.33 | $112.20 | $199.53 |
Cigna Setting Professional Modifier None (both parts) Typical Low $79.43 Median $89.13 Typical High $194.98 | Professional | None (both parts) | $79.43 | $89.13 | $194.98 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $20.89 Typical High $50.12 | Professional | 26 · Professional part | $16.60 | $20.89 | $50.12 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $72.44 Typical High $144.54 | Professional | TC · Technical part | $58.88 | $72.44 | $144.54 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $141.25 Median $229.09 Typical High $331.13 | Professional | None (both parts) | $141.25 | $229.09 | $331.13 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $35.48 Typical High $52.48 | Professional | 26 · Professional part | $29.51 | $35.48 | $52.48 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $190.55 Typical High $281.84 | Professional | TC · Technical part | $107.15 | $190.55 | $281.84 |
Geisinger Setting Facility Modifier None Typical Low $154.88 Median $154.88 Typical High $154.88 | Facility | None | $154.88 | $154.88 | $154.88 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $95.50 Median $97.72 Typical High $169.82 | Professional | None (both parts) | $95.50 | $97.72 | $169.82 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $27.54 Typical High $48.98 | Professional | 26 · Professional part | $21.88 | $27.54 | $48.98 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $74.13 Typical High $125.89 | Professional | TC · Technical part | $70.79 | $74.13 | $125.89 |
Highmark BCBS Setting Facility Modifier TC · Technical part Typical Low $346.74 Median $346.74 Typical High $346.74 | Facility | TC · Technical part | $346.74 | $346.74 | $346.74 |
Martin's Point Setting Facility Modifier None Typical Low $104.71 Median $190.55 Typical High $371.54 | Facility | None | $104.71 | $190.55 | $371.54 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $85.11 Median $100.00 Typical High $104.71 | Professional | None (both parts) | $85.11 | $100.00 | $104.71 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $25.12 Typical High $25.70 | Professional | 26 · Professional part | $21.88 | $25.12 | $25.70 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $74.13 Typical High $79.43 | Professional | TC · Technical part | $63.10 | $74.13 | $79.43 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $158.49 Median $158.49 Typical High $295.12 | Professional | None (both parts) | $158.49 | $158.49 | $295.12 |
UPMC Health Plan Setting Facility Modifier None Typical Low $128.82 Median $245.47 Typical High $512.86 | Facility | None | $128.82 | $245.47 | $512.86 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $128.82 Median $131.83 Typical High $131.83 | Professional | None (both parts) | $128.82 | $131.83 | $131.83 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $26.30 Typical High $28.84 | Professional | 26 · Professional part | $25.70 | $26.30 | $28.84 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $104.71 Typical High $107.15 | Professional | TC · Technical part | $100.00 | $104.71 | $107.15 |
United Setting Professional Modifier None (both parts) Typical Low $109.65 Median $131.83 Typical High $186.21 | Professional | None (both parts) | $109.65 | $131.83 | $186.21 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $26.30 Typical High $37.15 | Professional | 26 · Professional part | $23.44 | $26.30 | $37.15 |
United Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $107.15 Typical High $151.36 | Professional | TC · Technical part | $87.10 | $107.15 | $151.36 |
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 $42.66 Median $48.98 Typical High $52.48 | Professional | 52 · Reduced service | $42.66 | $48.98 | $52.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $19.95 Typical High $20.89 | Professional | 53 · Discontinued | $16.98 | $19.95 | $20.89 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $67.61 Median $79.43 Typical High $83.18 | Professional | FX · Film X-ray | $67.61 | $79.43 | $83.18 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $42.66 Median $48.98 Typical High $52.48 | Professional | 52 · Reduced service | $42.66 | $48.98 | $52.48 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $19.95 Typical High $20.89 | Professional | 53 · Discontinued | $16.98 | $19.95 | $20.89 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $67.61 Median $79.43 Typical High $83.18 | Professional | FX · Film X-ray | $67.61 | $79.43 | $83.18 |
Where Pennsylvania sits
The same service costs 4.0 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· 22nd of 51
$138
AK $302FL $75.86
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.