How much rates vary
Facilitymedian $324 · 10th to 90th $41 to $1,820Professionalmedian $48 · 10th to 90th $35 to $89
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 $40.74 Median $83.18 Typical High $1,905.46 | Facility | None | $40.74 | $83.18 | $1,905.46 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $22.39 Median $26.30 Typical High $95.50 | Facility | TC · Technical part | $22.39 | $26.30 | $95.50 |
Aetna Setting Professional Modifier None (both parts) Typical Low $33.88 Median $40.74 Typical High $67.61 | Professional | None (both parts) | $33.88 | $40.74 | $67.61 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $14.45 Typical High $22.39 | Professional | 26 · Professional part | $12.59 | $14.45 | $22.39 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $26.30 Typical High $51.29 | Professional | TC · Technical part | $20.89 | $26.30 | $51.29 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $25.70 Typical High $25.70 | Professional | 26 · Professional part | $21.88 | $25.70 | $25.70 |
AmeriHealth Setting Facility Modifier None Typical Low $1,698.24 Median $3,548.13 Typical High $4,677.35 | Facility | None | $1,698.24 | $3,548.13 | $4,677.35 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $18.20 Typical High $23.44 | Professional | 26 · Professional part | $18.20 | $18.20 | $23.44 |
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 $316.23 Median $389.05 Typical High $5,011.87 | Facility | TC · Technical part | $316.23 | $389.05 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $39.81 Median $60.26 Typical High $91.20 | Professional | None (both parts) | $39.81 | $60.26 | $91.20 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $26.30 Typical High $39.81 | Professional | 26 · Professional part | $15.14 | $26.30 | $39.81 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $34.67 Typical High $50.12 | Professional | TC · Technical part | $25.12 | $34.67 | $50.12 |
Cigna Setting Facility Modifier None Typical Low $32.36 Median $85.11 Typical High $1,230.27 | Facility | None | $32.36 | $85.11 | $1,230.27 |
Cigna Setting Professional Modifier None (both parts) Typical Low $33.11 Median $48.98 Typical High $83.18 | Professional | None (both parts) | $33.11 | $48.98 | $83.18 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $16.60 Typical High $29.51 | Professional | 26 · Professional part | $10.00 | $16.60 | $29.51 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $35.48 Typical High $60.26 | Professional | TC · Technical part | $20.42 | $35.48 | $60.26 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $50.12 Median $58.88 Typical High $74.13 | Professional | None (both parts) | $50.12 | $58.88 | $74.13 |
Geisinger Setting Facility Modifier None Typical Low $61.66 Median $61.66 Typical High $61.66 | Facility | None | $61.66 | $61.66 | $61.66 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $40.74 Median $57.54 Typical High $104.71 | Professional | None (both parts) | $40.74 | $57.54 | $104.71 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $18.20 Typical High $32.36 | Professional | 26 · Professional part | $12.88 | $18.20 | $32.36 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $37.15 Typical High $72.44 | Professional | TC · Technical part | $26.92 | $37.15 | $72.44 |
Highmark BCBS Setting Facility Modifier None Typical Low $323.59 Median $977.24 Typical High $1,584.89 | Facility | None | $323.59 | $977.24 | $1,584.89 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $16.98 Typical High $23.44 | Professional | 26 · Professional part | $15.14 | $16.98 | $23.44 |
Independence Blue Cross Setting Facility Modifier None Typical Low $1,698.24 Median $2,187.76 Typical High $4,677.35 | Facility | None | $1,698.24 | $2,187.76 | $4,677.35 |
Independence Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $18.20 Typical High $23.44 | Professional | 26 · Professional part | $18.20 | $18.20 | $23.44 |
Martin's Point Setting Facility Modifier None Typical Low $40.74 Median $83.18 Typical High $1,995.26 | Facility | None | $40.74 | $83.18 | $1,995.26 |
Martin's Point Setting Facility Modifier TC · Technical part Typical Low $22.39 Median $26.30 Typical High $95.50 | Facility | TC · Technical part | $22.39 | $26.30 | $95.50 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $33.88 Median $40.74 Typical High $67.61 | Professional | None (both parts) | $33.88 | $40.74 | $67.61 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $14.45 Typical High $20.42 | Professional | 26 · Professional part | $12.59 | $14.45 | $20.42 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $26.30 Typical High $51.29 | Professional | TC · Technical part | $20.89 | $26.30 | $51.29 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $16.98 Median $44.67 Typical High $93.33 | Professional | None (both parts) | $16.98 | $44.67 | $93.33 |
UPMC Health Plan Setting Facility Modifier None Typical Low $39.81 Median $125.89 Typical High $436.52 | Facility | None | $39.81 | $125.89 | $436.52 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $39.81 Median $57.54 Typical High $57.54 | Professional | None (both parts) | $39.81 | $57.54 | $57.54 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $17.38 Typical High $17.38 | Professional | 26 · Professional part | $14.79 | $17.38 | $17.38 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $40.74 Typical High $40.74 | Professional | TC · Technical part | $25.12 | $40.74 | $40.74 |
United Setting Facility Modifier None Typical Low $478.63 Median $1,023.29 Typical High $1,174.90 | Facility | None | $478.63 | $1,023.29 | $1,174.90 |
United Setting Professional Modifier None (both parts) Typical Low $34.67 Median $46.77 Typical High $77.62 | Professional | None (both parts) | $34.67 | $46.77 | $77.62 |
United Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $15.85 Typical High $30.20 | Professional | 26 · Professional part | $14.13 | $15.85 | $30.20 |
United Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $27.54 Typical High $54.95 | Professional | TC · Technical part | $20.89 | $27.54 | $54.95 |
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 $16.98 Median $19.95 Typical High $20.89 | Professional | 52 · Reduced service | $16.98 | $19.95 | $20.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.76 Median $7.94 Typical High $8.51 | Professional | 53 · Discontinued | $6.76 | $7.94 | $8.51 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $26.92 Median $31.62 Typical High $32.36 | Professional | FX · Film X-ray | $26.92 | $31.62 | $32.36 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $16.98 Median $19.50 Typical High $20.42 | Professional | 52 · Reduced service | $16.98 | $19.50 | $20.42 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $6.76 Median $7.76 Typical High $8.13 | Professional | 53 · Discontinued | $6.76 | $7.76 | $8.13 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $26.92 Median $31.62 Typical High $32.36 | Professional | FX · Film X-ray | $26.92 | $31.62 | $32.36 |
Where Pennsylvania sits
The same service costs 3.8 times more in Alaska than in New York. 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· 39th of 51
$48.98
AK $115NY $30.20
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.