How much rates vary
Facilitymedian $295 · 10th to 90th $85 to $1,072Professionalmedian $162 · 10th to 90th $69 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 $85.11 Median $194.98 Typical High $302.00 | Facility | None | $85.11 | $194.98 | $302.00 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $46.77 Median $70.79 Typical High $199.53 | Facility | TC · Technical part | $46.77 | $70.79 | $199.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $69.18 Median $79.43 Typical High $85.11 | Professional | None (both parts) | $69.18 | $79.43 | $85.11 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $28.84 Typical High $30.90 | Professional | 26 · Professional part | $24.55 | $28.84 | $30.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $51.29 Typical High $54.95 | Professional | TC · Technical part | $43.65 | $51.29 | $54.95 |
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 $831.76 Median $1,023.29 Typical High $5,011.87 | Facility | TC · Technical part | $831.76 | $1,023.29 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $162.18 Median $162.18 Typical High $169.82 | Professional | None (both parts) | $162.18 | $162.18 | $169.82 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $30.20 Typical High $58.88 | Professional | 26 · Professional part | $28.84 | $30.20 | $58.88 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $134.90 Typical High $239.88 | Professional | TC · Technical part | $128.82 | $134.90 | $239.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $58.88 Median $83.18 Typical High $162.18 | Professional | None (both parts) | $58.88 | $83.18 | $162.18 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $30.20 Typical High $54.95 | Professional | 26 · Professional part | $18.62 | $30.20 | $54.95 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $53.70 Typical High $104.71 | Professional | TC · Technical part | $39.81 | $53.70 | $104.71 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $181.97 Median $263.03 Typical High $331.13 | Professional | None (both parts) | $181.97 | $263.03 | $331.13 |
Geisinger Setting Facility Modifier None Typical Low $186.21 Median $186.21 Typical High $186.21 | Facility | None | $186.21 | $186.21 | $186.21 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $117.49 Median $173.78 Typical High $338.84 | Professional | None (both parts) | $117.49 | $173.78 | $338.84 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $33.88 Typical High $60.26 | Professional | 26 · Professional part | $24.55 | $33.88 | $60.26 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $144.54 Typical High $302.00 | Professional | TC · Technical part | $91.20 | $144.54 | $302.00 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | 26 · Professional part | $35.48 | $35.48 | $35.48 |
Martin's Point Setting Facility Modifier None Typical Low $85.11 Median $173.78 Typical High $302.00 | Facility | None | $85.11 | $173.78 | $302.00 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $69.18 Median $79.43 Typical High $85.11 | Professional | None (both parts) | $69.18 | $79.43 | $85.11 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $28.84 Typical High $28.84 | Professional | 26 · Professional part | $24.55 | $28.84 | $28.84 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $51.29 Typical High $54.95 | Professional | TC · Technical part | $43.65 | $51.29 | $54.95 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $190.55 Median $199.53 Typical High $234.42 | Professional | None (both parts) | $190.55 | $199.53 | $234.42 |
UPMC Health Plan Setting Facility Modifier None Typical Low $154.88 Median $354.81 Typical High $616.60 | Facility | None | $154.88 | $354.81 | $616.60 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $154.88 Median $162.18 Typical High $162.18 | Professional | None (both parts) | $154.88 | $162.18 | $162.18 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $32.36 Typical High $32.36 | Professional | 26 · Professional part | $28.84 | $32.36 | $32.36 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $128.82 Typical High $128.82 | Professional | TC · Technical part | $125.89 | $128.82 | $128.82 |
United Setting Professional Modifier None (both parts) Typical Low $134.90 Median $173.78 Typical High $302.00 | Professional | None (both parts) | $134.90 | $173.78 | $302.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $30.90 Typical High $57.54 | Professional | 26 · Professional part | $26.92 | $30.90 | $57.54 |
United Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $141.25 Typical High $239.88 | Professional | TC · Technical part | $107.15 | $141.25 | $239.88 |
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 $34.67 Median $39.81 Typical High $41.69 | Professional | 52 · Reduced service | $34.67 | $39.81 | $41.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $16.22 Typical High $16.98 | Professional | 53 · Discontinued | $13.80 | $16.22 | $16.98 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $54.95 Median $64.57 Typical High $67.61 | Professional | FX · Film X-ray | $54.95 | $64.57 | $67.61 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $34.67 Median $39.81 Typical High $41.69 | Professional | 52 · Reduced service | $34.67 | $39.81 | $41.69 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $16.22 Typical High $16.98 | Professional | 53 · Discontinued | $13.80 | $16.22 | $16.98 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $54.95 Median $64.57 Typical High $67.61 | Professional | FX · Film X-ray | $54.95 | $64.57 | $67.61 |
Where Pennsylvania sits
The same service costs 4.4 times more in Alaska than in Texas. 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· 15th of 51
$162
AK $331TX $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.