How much rates vary
Facilitymedian $275 · 10th to 90th $107 to $1,380Professionalmedian $100 · 10th to 90th $83 to $174
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 $107.15 Median $151.36 Typical High $281.84 | Facility | None | $107.15 | $151.36 | $281.84 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $14.79 Median $22.39 Typical High $39.81 | Facility | 26 · Professional part | $14.79 | $22.39 | $39.81 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $79.43 Median $104.71 Typical High $229.09 | Facility | TC · Technical part | $79.43 | $104.71 | $229.09 |
Aetna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $102.33 Typical High $131.83 | Professional | None (both parts) | $87.10 | $102.33 | $131.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $14.79 Typical High $19.05 | Professional | 26 · Professional part | $12.88 | $14.79 | $19.05 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $87.10 Typical High $114.82 | Professional | TC · Technical part | $72.44 | $87.10 | $114.82 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $23.44 Typical High $25.12 | Professional | 26 · Professional part | $23.44 | $23.44 | $25.12 |
AmeriHealth Setting Facility Modifier None Typical Low $257.04 Median $2,238.72 Typical High $3,890.45 | Facility | None | $257.04 | $2,238.72 | $3,890.45 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $18.62 Typical High $24.55 | Professional | 26 · Professional part | $18.62 | $18.62 | $24.55 |
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 $380.19 Median $467.74 Typical High $5,011.87 | Facility | TC · Technical part | $380.19 | $467.74 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $97.72 Median $131.83 Typical High $190.55 | Professional | None (both parts) | $97.72 | $131.83 | $190.55 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $26.92 Typical High $40.74 | Professional | 26 · Professional part | $15.49 | $26.92 | $40.74 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $107.15 Typical High $147.91 | Professional | TC · Technical part | $81.28 | $107.15 | $147.91 |
Cigna Setting Facility Modifier None Typical Low $104.71 Median $263.03 Typical High $776.25 | Facility | None | $104.71 | $263.03 | $776.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $60.26 Median $85.11 Typical High $169.82 | Professional | None (both parts) | $60.26 | $85.11 | $169.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $16.98 Typical High $30.20 | Professional | 26 · Professional part | $10.47 | $16.98 | $30.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $69.18 Typical High $138.04 | Professional | TC · Technical part | $48.98 | $69.18 | $138.04 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $125.89 Median $151.36 Typical High $186.21 | Professional | None (both parts) | $125.89 | $151.36 | $186.21 |
Geisinger Setting Facility Modifier None Typical Low $93.33 Median $93.33 Typical High $93.33 | Facility | None | $93.33 | $93.33 | $93.33 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $60.26 Median $109.65 Typical High $199.53 | Professional | None (both parts) | $60.26 | $109.65 | $199.53 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $19.05 Typical High $33.88 | Professional | 26 · Professional part | $13.49 | $19.05 | $33.88 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $93.33 Typical High $158.49 | Professional | TC · Technical part | $46.77 | $93.33 | $158.49 |
Highmark BCBS Setting Facility Modifier None Typical Low $275.42 Median $588.84 Typical High $1,096.48 | Facility | None | $275.42 | $588.84 | $1,096.48 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $19.95 Typical High $45.71 | Professional | 26 · Professional part | $16.98 | $19.95 | $45.71 |
Independence Blue Cross Setting Facility Modifier None Typical Low $257.04 Median $1,412.54 Typical High $3,090.30 | Facility | None | $257.04 | $1,412.54 | $3,090.30 |
Independence Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $18.62 Typical High $24.55 | Professional | 26 · Professional part | $18.62 | $18.62 | $24.55 |
Martin's Point Setting Facility Modifier None Typical Low $107.15 Median $154.88 Typical High $281.84 | Facility | None | $107.15 | $154.88 | $281.84 |
Martin's Point Setting Facility Modifier TC · Technical part Typical Low $79.43 Median $125.89 Typical High $229.09 | Facility | TC · Technical part | $79.43 | $125.89 | $229.09 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $87.10 Median $100.00 Typical High $131.83 | Professional | None (both parts) | $87.10 | $100.00 | $131.83 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $14.79 Typical High $18.20 | Professional | 26 · Professional part | $12.88 | $14.79 | $18.20 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $85.11 Typical High $114.82 | Professional | TC · Technical part | $74.13 | $85.11 | $114.82 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $17.38 Median $104.71 Typical High $204.17 | Professional | None (both parts) | $17.38 | $104.71 | $204.17 |
UPMC Health Plan Setting Facility Modifier None Typical Low $89.13 Median $229.09 Typical High $436.52 | Facility | None | $89.13 | $229.09 | $436.52 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $89.13 Median $89.13 Typical High $100.00 | Professional | None (both parts) | $89.13 | $89.13 | $100.00 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $18.20 Typical High $18.20 | Professional | 26 · Professional part | $15.14 | $18.20 | $18.20 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $70.79 Typical High $85.11 | Professional | TC · Technical part | $70.79 | $70.79 | $85.11 |
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 $75.86 Median $97.72 Typical High $173.78 | Professional | None (both parts) | $75.86 | $97.72 | $173.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $16.22 Typical High $30.90 | Professional | 26 · Professional part | $14.45 | $16.22 | $30.90 |
United Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $81.28 Typical High $144.54 | Professional | TC · Technical part | $61.66 | $81.28 | $144.54 |
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 $43.65 Median $46.77 Typical High $53.70 | Professional | 52 · Reduced service | $43.65 | $46.77 | $53.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $18.62 Typical High $21.38 | Professional | 53 · Discontinued | $17.38 | $18.62 | $21.38 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $69.18 Median $79.43 Typical High $87.10 | Professional | FX · Film X-ray | $69.18 | $79.43 | $87.10 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $43.65 Median $47.86 Typical High $53.70 | Professional | 52 · Reduced service | $43.65 | $47.86 | $53.70 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $19.05 Typical High $21.38 | Professional | 53 · Discontinued | $17.38 | $19.05 | $21.38 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $69.18 Median $81.28 Typical High $87.10 | Professional | FX · Film X-ray | $69.18 | $81.28 | $87.10 |
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
$102
AK $288NY $75.86
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.