How much rates vary
Facilitymedian $355 · 10th to 90th $148 to $603Professionalmedian $151 · 10th to 90th $120 to $257
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 $158.49 Median $269.15 Typical High $467.74 | Facility | None | $158.49 | $269.15 | $467.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $144.54 Typical High $158.49 | Professional | None (both parts) | $128.82 | $144.54 | $158.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $22.39 Typical High $22.39 | Professional | 26 · Professional part | $19.50 | $22.39 | $22.39 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $120.23 Typical High $138.04 | Professional | TC · Technical part | $109.65 | $120.23 | $138.04 |
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 $562.34 Median $676.08 Typical High $5,011.87 | Facility | TC · Technical part | $562.34 | $676.08 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $144.54 Median $190.55 Typical High $316.23 | Professional | None (both parts) | $144.54 | $190.55 | $316.23 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $39.81 Typical High $60.26 | Professional | 26 · Professional part | $22.91 | $39.81 | $60.26 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $144.54 Typical High $257.04 | Professional | TC · Technical part | $120.23 | $144.54 | $257.04 |
Cigna Setting Facility Modifier None Typical Low $162.18 Median $371.54 Typical High $602.56 | Facility | None | $162.18 | $371.54 | $602.56 |
Cigna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $131.83 Typical High $251.19 | Professional | None (both parts) | $85.11 | $131.83 | $251.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $25.12 Typical High $44.67 | Professional | 26 · Professional part | $14.79 | $25.12 | $44.67 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $107.15 Typical High $208.93 | Professional | TC · Technical part | $69.18 | $107.15 | $208.93 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $181.97 Median $218.78 Typical High $269.15 | Professional | None (both parts) | $181.97 | $218.78 | $269.15 |
Geisinger Setting Facility Modifier None Typical Low $125.89 Median $125.89 Typical High $125.89 | Facility | None | $125.89 | $125.89 | $125.89 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $81.28 Median $158.49 Typical High $281.84 | Professional | None (both parts) | $81.28 | $158.49 | $281.84 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $27.54 Typical High $48.98 | Professional | 26 · Professional part | $19.95 | $27.54 | $48.98 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $134.90 Typical High $234.42 | Professional | TC · Technical part | $61.66 | $134.90 | $234.42 |
Martin's Point Setting Facility Modifier None Typical Low $158.49 Median $269.15 Typical High $467.74 | Facility | None | $158.49 | $269.15 | $467.74 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $128.82 Median $144.54 Typical High $158.49 | Professional | None (both parts) | $128.82 | $144.54 | $158.49 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $22.39 Typical High $22.39 | Professional | 26 · Professional part | $19.50 | $22.39 | $22.39 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $120.23 Typical High $138.04 | Professional | TC · Technical part | $109.65 | $120.23 | $138.04 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $25.70 Median $144.54 Typical High $302.00 | Professional | None (both parts) | $25.70 | $144.54 | $302.00 |
UPMC Health Plan Setting Facility Modifier None Typical Low $107.15 Median $316.23 Typical High $446.68 | Facility | None | $107.15 | $316.23 | $446.68 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $107.15 Median $107.15 Typical High $147.91 | Professional | None (both parts) | $107.15 | $107.15 | $147.91 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $26.30 Typical High $26.30 | Professional | 26 · Professional part | $22.91 | $26.30 | $26.30 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $81.28 Typical High $125.89 | Professional | TC · Technical part | $81.28 | $81.28 | $125.89 |
United Setting Facility Modifier None Typical Low $239.88 Median $512.86 Typical High $588.84 | Facility | None | $239.88 | $512.86 | $588.84 |
United Setting Professional Modifier None (both parts) Typical Low $107.15 Median $151.36 Typical High $269.15 | Professional | None (both parts) | $107.15 | $151.36 | $269.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $24.55 Typical High $45.71 | Professional | 26 · Professional part | $21.88 | $24.55 | $45.71 |
United Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $128.82 Typical High $229.09 | Professional | TC · Technical part | $89.13 | $128.82 | $229.09 |
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 $64.57 Median $72.44 Typical High $79.43 | Professional | 52 · Reduced service | $64.57 | $72.44 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $28.84 Typical High $32.36 | Professional | 53 · Discontinued | $25.70 | $28.84 | $32.36 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $104.71 Median $117.49 Typical High $128.82 | Professional | FX · Film X-ray | $104.71 | $117.49 | $128.82 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $64.57 Median $72.44 Typical High $79.43 | Professional | 52 · Reduced service | $64.57 | $72.44 | $79.43 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $28.84 Typical High $32.36 | Professional | 53 · Discontinued | $25.70 | $28.84 | $32.36 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $104.71 Median $120.23 Typical High $128.82 | Professional | FX · Film X-ray | $104.71 | $120.23 | $128.82 |
Where Pennsylvania sits
The same service costs 3.8 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· 40th of 51
$151
AK $447FL $117
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.