How much rates vary
Facilitymedian $417 · 10th to 90th $117 to $1,318Professionalmedian $120 · 10th to 90th $93 to $275
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 $117.49 Median $117.49 Typical High $426.58 | Facility | None | $117.49 | $117.49 | $426.58 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $66.07 Median $77.62 Typical High $281.84 | Facility | TC · Technical part | $66.07 | $77.62 | $281.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $112.20 Typical High $117.49 | Professional | None (both parts) | $97.72 | $112.20 | $117.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $40.74 Typical High $40.74 | Professional | 26 · Professional part | $35.48 | $40.74 | $40.74 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $72.44 Typical High $77.62 | Professional | TC · Technical part | $61.66 | $72.44 | $77.62 |
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 $1,288.25 Median $1,584.89 Typical High $5,011.87 | Facility | TC · Technical part | $1,288.25 | $1,584.89 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | None (both parts) | $257.04 | $257.04 | $257.04 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $67.61 Typical High $85.11 | Professional | 26 · Professional part | $39.81 | $67.61 | $85.11 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $104.71 Typical High $186.21 | Professional | TC · Technical part | $95.50 | $104.71 | $186.21 |
Cigna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $97.72 Typical High $234.42 | Professional | None (both parts) | $85.11 | $97.72 | $234.42 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $33.88 Typical High $79.43 | Professional | 26 · Professional part | $26.92 | $33.88 | $79.43 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $61.66 Typical High $151.36 | Professional | TC · Technical part | $57.54 | $61.66 | $151.36 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $269.15 Median $426.58 Typical High $616.60 | Professional | None (both parts) | $269.15 | $426.58 | $616.60 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $54.95 Typical High $81.28 | Professional | 26 · Professional part | $44.67 | $54.95 | $81.28 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $371.54 Typical High $537.03 | Professional | TC · Technical part | $218.78 | $371.54 | $537.03 |
Geisinger Setting Facility Modifier None Typical Low $363.08 Median $363.08 Typical High $363.08 | Facility | None | $363.08 | $363.08 | $363.08 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $213.80 Median $239.88 Typical High $407.38 | Professional | None (both parts) | $213.80 | $239.88 | $407.38 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $44.67 Typical High $75.86 | Professional | 26 · Professional part | $35.48 | $44.67 | $75.86 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $199.53 Typical High $338.84 | Professional | TC · Technical part | $177.83 | $199.53 | $338.84 |
Martin's Point Setting Facility Modifier None Typical Low $117.49 Median $117.49 Typical High $426.58 | Facility | None | $117.49 | $117.49 | $426.58 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $97.72 Median $112.20 Typical High $117.49 | Professional | None (both parts) | $97.72 | $112.20 | $117.49 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $40.74 Typical High $40.74 | Professional | 26 · Professional part | $35.48 | $40.74 | $40.74 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $72.44 Typical High $77.62 | Professional | TC · Technical part | $61.66 | $72.44 | $77.62 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $288.40 Median $346.74 Typical High $371.54 | Professional | None (both parts) | $288.40 | $346.74 | $371.54 |
UPMC Health Plan Setting Facility Modifier None Typical Low $141.25 Median $512.86 Typical High $1,071.52 | Facility | None | $141.25 | $512.86 | $1,071.52 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $141.25 Median $275.42 Typical High $281.84 | Professional | None (both parts) | $141.25 | $275.42 | $281.84 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $41.69 Typical High $47.86 | Professional | 26 · Professional part | $40.74 | $41.69 | $47.86 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $229.09 Typical High $234.42 | Professional | TC · Technical part | $100.00 | $229.09 | $234.42 |
United Setting Professional Modifier None (both parts) Typical Low $125.89 Median $147.91 Typical High $281.84 | Professional | None (both parts) | $125.89 | $147.91 | $281.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $42.66 Typical High $58.88 | Professional | 26 · Professional part | $38.02 | $42.66 | $58.88 |
United Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $107.15 Typical High $234.42 | Professional | TC · Technical part | $87.10 | $107.15 | $234.42 |
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 $48.98 Median $56.23 Typical High $58.88 | Professional | 52 · Reduced service | $48.98 | $56.23 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $22.91 Typical High $23.44 | Professional | 53 · Discontinued | $19.50 | $22.91 | $23.44 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $77.62 Median $91.20 Typical High $95.50 | Professional | FX · Film X-ray | $77.62 | $91.20 | $95.50 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $48.98 Median $56.23 Typical High $58.88 | Professional | 52 · Reduced service | $48.98 | $56.23 | $58.88 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $22.91 Typical High $23.44 | Professional | 53 · Discontinued | $19.50 | $22.91 | $23.44 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $77.62 Median $91.20 Typical High $95.50 | Professional | FX · Film X-ray | $77.62 | $91.20 | $95.50 |
Where Pennsylvania sits
The same service costs 5.2 times more in North Dakota 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· 45th of 51
$120
ND $457FL $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.