How much rates vary
Facilitymedian $234 · 10th to 90th $93 to $776Professionalmedian $95 · 10th to 90th $76 to $162
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 $100.00 Median $158.49 Typical High $275.42 | Facility | None | $100.00 | $158.49 | $275.42 |
Aetna Setting Professional Modifier None (both parts) Typical Low $81.28 Median $87.10 Typical High $100.00 | Professional | None (both parts) | $81.28 | $87.10 | $100.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $16.98 Typical High $17.38 | Professional | 26 · Professional part | $14.79 | $16.98 | $17.38 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $72.44 Typical High $83.18 | Professional | TC · Technical part | $66.07 | $72.44 | $83.18 |
Capital Blue Cross Setting Facility Modifier None Typical Low $354.81 Median $5,011.87 Typical High $8,709.64 | Facility | None | $354.81 | $5,011.87 | $8,709.64 |
Capital Blue Cross Setting Facility Modifier TC · Technical part Typical Low $331.13 Median $407.38 Typical High $5,011.87 | Facility | TC · Technical part | $331.13 | $407.38 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $91.20 Median $95.50 Typical High $169.82 | Professional | None (both parts) | $91.20 | $95.50 | $169.82 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $18.62 Typical High $36.31 | Professional | 26 · Professional part | $17.78 | $18.62 | $36.31 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $77.62 Typical High $138.04 | Professional | TC · Technical part | $74.13 | $77.62 | $138.04 |
Cigna Setting Facility Modifier None Typical Low $97.72 Median $234.42 Typical High $776.25 | Facility | None | $97.72 | $234.42 | $776.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $52.48 Median $77.62 Typical High $162.18 | Professional | None (both parts) | $52.48 | $77.62 | $162.18 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $18.62 Typical High $33.11 | Professional | 26 · Professional part | $11.75 | $18.62 | $33.11 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $63.10 Typical High $131.83 | Professional | TC · Technical part | $40.74 | $63.10 | $131.83 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $120.23 Median $144.54 Typical High $181.97 | Professional | None (both parts) | $120.23 | $144.54 | $181.97 |
Geisinger Setting Facility Modifier None Typical Low $66.07 Median $66.07 Typical High $66.07 | Facility | None | $66.07 | $66.07 | $66.07 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $47.86 Median $104.71 Typical High $177.83 | Professional | None (both parts) | $47.86 | $104.71 | $177.83 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $21.38 Typical High $38.90 | Professional | 26 · Professional part | $15.14 | $21.38 | $38.90 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $85.11 Typical High $147.91 | Professional | TC · Technical part | $33.11 | $85.11 | $147.91 |
Martin's Point Setting Facility Modifier None Typical Low $100.00 Median $158.49 Typical High $275.42 | Facility | None | $100.00 | $158.49 | $275.42 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $81.28 Median $89.13 Typical High $100.00 | Professional | None (both parts) | $81.28 | $89.13 | $100.00 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $16.98 Typical High $17.38 | Professional | 26 · Professional part | $14.79 | $16.98 | $17.38 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $72.44 Typical High $83.18 | Professional | TC · Technical part | $66.07 | $72.44 | $83.18 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $77.62 Median $95.50 Typical High $190.55 | Professional | None (both parts) | $77.62 | $95.50 | $190.55 |
UPMC Health Plan Setting Facility Modifier None Typical Low $64.57 Median $177.83 Typical High $436.52 | Facility | None | $64.57 | $177.83 | $436.52 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $64.57 Median $64.57 Typical High $93.33 | Professional | None (both parts) | $64.57 | $64.57 | $93.33 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $20.42 Typical High $20.42 | Professional | 26 · Professional part | $17.38 | $20.42 | $20.42 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $43.65 Typical High $75.86 | Professional | TC · Technical part | $43.65 | $43.65 | $75.86 |
United Setting Facility Modifier None Typical Low $331.13 Median $691.83 Typical High $812.83 | Facility | None | $331.13 | $691.83 | $812.83 |
United Setting Professional Modifier None (both parts) Typical Low $64.57 Median $91.20 Typical High $165.96 | Professional | None (both parts) | $64.57 | $91.20 | $165.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $18.62 Typical High $34.67 | Professional | 26 · Professional part | $16.60 | $18.62 | $34.67 |
United Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $74.13 Typical High $131.83 | Professional | TC · Technical part | $53.70 | $74.13 | $131.83 |
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 $40.74 Median $43.65 Typical High $50.12 | Professional | 52 · Reduced service | $40.74 | $43.65 | $50.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $17.38 Typical High $19.95 | Professional | 53 · Discontinued | $16.22 | $17.38 | $19.95 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $64.57 Median $74.13 Typical High $79.43 | Professional | FX · Film X-ray | $64.57 | $74.13 | $79.43 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $40.74 Median $44.67 Typical High $50.12 | Professional | 52 · Reduced service | $40.74 | $44.67 | $50.12 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $17.78 Typical High $19.95 | Professional | 53 · Discontinued | $16.22 | $17.78 | $19.95 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $64.57 Median $75.86 Typical High $79.43 | Professional | FX · Film X-ray | $64.57 | $75.86 | $79.43 |
Where Pennsylvania sits
The same service costs 3.8 times more in Alaska than in Kentucky. 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· 37th of 51
$95.50
AK $282KY $74.13
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.