How much rates vary
Facilitymedian $282 · 10th to 90th $135 to $955Professionalmedian $151 · 10th to 90th $110 to $269
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 $134.90 Median $281.84 Typical High $489.78 | Facility | None | $134.90 | $281.84 | $489.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $128.82 Typical High $134.90 | Professional | None (both parts) | $109.65 | $128.82 | $134.90 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $35.48 Typical High $35.48 | Professional | 26 · Professional part | $30.90 | $35.48 | $35.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $93.33 Typical High $100.00 | Professional | TC · Technical part | $79.43 | $93.33 | $100.00 |
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 $141.25 Median $154.88 Typical High $275.42 | Professional | None (both parts) | $141.25 | $154.88 | $275.42 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $58.88 Typical High $75.86 | Professional | 26 · Professional part | $36.31 | $58.88 | $75.86 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $114.82 Typical High $199.53 | Professional | TC · Technical part | $102.33 | $114.82 | $199.53 |
Cigna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $107.15 Typical High $251.19 | Professional | None (both parts) | $95.50 | $107.15 | $251.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $29.51 Typical High $70.79 | Professional | 26 · Professional part | $22.91 | $29.51 | $70.79 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $79.43 Typical High $181.97 | Professional | TC · Technical part | $72.44 | $79.43 | $181.97 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $154.88 Median $245.47 Typical High $354.81 | Professional | None (both parts) | $154.88 | $245.47 | $354.81 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $50.12 Typical High $72.44 | Professional | 26 · Professional part | $40.74 | $50.12 | $72.44 |
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 $107.15 Median $128.82 Typical High $204.17 | Professional | None (both parts) | $107.15 | $128.82 | $204.17 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $38.02 Typical High $69.18 | Professional | 26 · Professional part | $30.90 | $38.02 | $69.18 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $93.33 Typical High $144.54 | Professional | TC · Technical part | $75.86 | $93.33 | $144.54 |
Martin's Point Setting Facility Modifier None Typical Low $134.90 Median $281.84 Typical High $489.78 | Facility | None | $134.90 | $281.84 | $489.78 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $109.65 Median $128.82 Typical High $134.90 | Professional | None (both parts) | $109.65 | $128.82 | $134.90 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $35.48 Typical High $35.48 | Professional | 26 · Professional part | $30.90 | $35.48 | $35.48 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $93.33 Typical High $100.00 | Professional | TC · Technical part | $79.43 | $93.33 | $100.00 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $173.78 Median $173.78 Typical High $323.59 | Professional | None (both parts) | $173.78 | $173.78 | $323.59 |
UPMC Health Plan Setting Facility Modifier None Typical Low $141.25 Median $257.04 Typical High $537.03 | Facility | None | $141.25 | $257.04 | $537.03 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $141.25 Median $144.54 Typical High $144.54 | Professional | None (both parts) | $141.25 | $144.54 | $144.54 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $36.31 Typical High $40.74 | Professional | 26 · Professional part | $35.48 | $36.31 | $40.74 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $107.15 Typical High $107.15 | Professional | TC · Technical part | $100.00 | $107.15 | $107.15 |
United Setting Professional Modifier None (both parts) Typical Low $120.23 Median $141.25 Typical High $199.53 | Professional | None (both parts) | $120.23 | $141.25 | $199.53 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $37.15 Typical High $52.48 | Professional | 26 · Professional part | $33.11 | $37.15 | $52.48 |
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 $54.95 Median $64.57 Typical High $67.61 | Professional | 52 · Reduced service | $54.95 | $64.57 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $25.70 Typical High $26.92 | Professional | 53 · Discontinued | $21.88 | $25.70 | $26.92 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $89.13 Median $102.33 Typical High $109.65 | Professional | FX · Film X-ray | $89.13 | $102.33 | $109.65 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $54.95 Median $64.57 Typical High $67.61 | Professional | 52 · Reduced service | $54.95 | $64.57 | $67.61 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $25.70 Typical High $26.92 | Professional | 53 · Discontinued | $21.88 | $25.70 | $26.92 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $89.13 Median $102.33 Typical High $109.65 | Professional | FX · Film X-ray | $89.13 | $102.33 | $109.65 |
Where Pennsylvania sits
The same service costs 4.5 times more in Alaska than in Washington, DC. 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· 29th of 51
$151
AK $389DC $87.10
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.