How much rates vary
Facilitymedian $398 · 10th to 90th $78 to $1,950Professionalmedian $437 · 10th to 90th $72 to $589
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 $489.78 Median $1,445.44 Typical High $2,454.71 | Facility | None | $489.78 | $1,445.44 | $2,454.71 |
Aetna Setting Professional Modifier None (both parts) Typical Low $398.11 Median $457.09 Typical High $489.78 | Professional | None (both parts) | $398.11 | $457.09 | $489.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $24.55 Typical High $24.55 | Professional | 26 · Professional part | $20.89 | $24.55 | $24.55 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $389.05 Median $457.09 Typical High $489.78 | Professional | TC · Technical part | $389.05 | $457.09 | $489.78 |
Capital Blue Cross Setting Facility Modifier None Typical Low $446.68 Median $5,011.87 Typical High $8,709.64 | Facility | None | $446.68 | $5,011.87 | $8,709.64 |
Capital Blue Cross Setting Facility Modifier TC · Technical part Typical Low $269.15 Median $331.13 Typical High $5,011.87 | Facility | TC · Technical part | $269.15 | $331.13 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $141.25 Median $562.34 Typical High $588.84 | Professional | None (both parts) | $141.25 | $562.34 | $588.84 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $26.30 Typical High $52.48 | Professional | 26 · Professional part | $25.12 | $26.30 | $52.48 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $537.03 Typical High $562.34 | Professional | TC · Technical part | $93.33 | $537.03 | $562.34 |
Cigna Setting Facility Modifier None Typical Low $54.95 Median $144.54 Typical High $1,621.81 | Facility | None | $54.95 | $144.54 | $1,621.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $50.12 Median $72.44 Typical High $131.83 | Professional | None (both parts) | $50.12 | $72.44 | $131.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $26.92 Typical High $47.86 | Professional | 26 · Professional part | $16.22 | $26.92 | $47.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $45.71 Typical High $83.18 | Professional | TC · Technical part | $33.88 | $45.71 | $83.18 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $95.50 Median $144.54 Typical High $851.14 | Professional | None (both parts) | $95.50 | $144.54 | $851.14 |
Geisinger Setting Facility Modifier None Typical Low $74.13 Median $74.13 Typical High $74.13 | Facility | None | $74.13 | $74.13 | $74.13 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $56.23 Median $72.44 Typical High $162.18 | Professional | None (both parts) | $56.23 | $72.44 | $162.18 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $30.20 Typical High $53.70 | Professional | 26 · Professional part | $21.88 | $30.20 | $53.70 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $44.67 Typical High $104.71 | Professional | TC · Technical part | $35.48 | $44.67 | $104.71 |
Martin's Point Setting Facility Modifier None Typical Low $489.78 Median $1,445.44 Typical High $2,454.71 | Facility | None | $489.78 | $1,445.44 | $2,454.71 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $398.11 Median $457.09 Typical High $489.78 | Professional | None (both parts) | $398.11 | $457.09 | $489.78 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $24.55 Typical High $24.55 | Professional | 26 · Professional part | $20.89 | $24.55 | $24.55 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $389.05 Median $457.09 Typical High $489.78 | Professional | TC · Technical part | $389.05 | $457.09 | $489.78 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $93.33 Median $114.82 Typical High $173.78 | Professional | None (both parts) | $93.33 | $114.82 | $173.78 |
UPMC Health Plan Setting Facility Modifier None Typical Low $77.62 Median $218.78 Typical High $1,513.56 | Facility | None | $77.62 | $218.78 | $1,513.56 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | None (both parts) | $77.62 | $77.62 | $77.62 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $28.84 Typical High $28.84 | Professional | 26 · Professional part | $25.12 | $28.84 | $28.84 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $47.86 Typical High $52.48 | Professional | TC · Technical part | $47.86 | $47.86 | $52.48 |
United Setting Facility Modifier None Typical Low $758.58 Median $1,584.89 Typical High $1,862.09 | Facility | None | $758.58 | $1,584.89 | $1,862.09 |
United Setting Professional Modifier None (both parts) Typical Low $67.61 Median $478.63 Typical High $870.96 | Professional | None (both parts) | $67.61 | $478.63 | $870.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $26.92 Typical High $50.12 | Professional | 26 · Professional part | $23.44 | $26.92 | $50.12 |
United Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $457.09 Typical High $851.14 | Professional | TC · Technical part | $42.66 | $457.09 | $851.14 |
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 $199.53 Median $229.09 Typical High $245.47 | Professional | 52 · Reduced service | $199.53 | $229.09 | $245.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $79.43 Median $91.20 Typical High $97.72 | Professional | 53 · Discontinued | $79.43 | $91.20 | $97.72 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $316.23 Median $371.54 Typical High $398.11 | Professional | FX · Film X-ray | $316.23 | $371.54 | $398.11 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $199.53 Median $229.09 Typical High $245.47 | Professional | 52 · Reduced service | $199.53 | $229.09 | $245.47 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $79.43 Median $91.20 Typical High $97.72 | Professional | 53 · Discontinued | $79.43 | $91.20 | $97.72 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $316.23 Median $380.19 Typical High $398.11 | Professional | FX · Film X-ray | $316.23 | $380.19 | $398.11 |
Where Pennsylvania sits
The same service costs 8.7 times more in Colorado than in Michigan. 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· 12th of 51
$437
CO $661MI $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.