How much rates vary
Facilitymedian $269 · 10th to 90th $93 to $851Professionalmedian $234 · 10th to 90th $83 to $275
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 $239.88 Median $446.68 Typical High $891.25 | Facility | None | $239.88 | $446.68 | $891.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $223.87 Typical High $239.88 | Professional | None (both parts) | $190.55 | $223.87 | $239.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $28.84 Typical High $29.51 | Professional | 26 · Professional part | $25.12 | $28.84 | $29.51 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $213.80 Typical High $229.09 | Professional | TC · Technical part | $186.21 | $213.80 | $229.09 |
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 $912.01 Median $1,122.02 Typical High $5,011.87 | Facility | TC · Technical part | $912.01 | $1,122.02 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $181.97 Median $269.15 Typical High $275.42 | Professional | None (both parts) | $181.97 | $269.15 | $275.42 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $30.90 Typical High $61.66 | Professional | 26 · Professional part | $29.51 | $30.90 | $61.66 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $239.88 Typical High $245.47 | Professional | TC · Technical part | $120.23 | $239.88 | $245.47 |
Cigna Setting Facility Modifier None Typical Low $64.57 Median $173.78 Typical High $776.25 | Facility | None | $64.57 | $173.78 | $776.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $58.88 Median $85.11 Typical High $154.88 | Professional | None (both parts) | $58.88 | $85.11 | $154.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $31.62 Typical High $56.23 | Professional | 26 · Professional part | $19.05 | $31.62 | $56.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $53.70 Typical High $97.72 | Professional | TC · Technical part | $38.90 | $53.70 | $97.72 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $109.65 Median $165.96 Typical High $389.05 | Professional | None (both parts) | $109.65 | $165.96 | $389.05 |
Geisinger Setting Facility Modifier None Typical Low $87.10 Median $87.10 Typical High $87.10 | Facility | None | $87.10 | $87.10 | $87.10 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $66.07 Median $81.28 Typical High $186.21 | Professional | None (both parts) | $66.07 | $81.28 | $186.21 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $34.67 Typical High $61.66 | Professional | 26 · Professional part | $25.12 | $34.67 | $61.66 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $52.48 Typical High $123.03 | Professional | TC · Technical part | $40.74 | $52.48 | $123.03 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | 26 · Professional part | $44.67 | $44.67 | $44.67 |
Martin's Point Setting Facility Modifier None Typical Low $239.88 Median $446.68 Typical High $891.25 | Facility | None | $239.88 | $446.68 | $891.25 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $190.55 Median $223.87 Typical High $239.88 | Professional | None (both parts) | $190.55 | $223.87 | $239.88 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $28.84 Typical High $29.51 | Professional | 26 · Professional part | $25.12 | $28.84 | $29.51 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $213.80 Typical High $229.09 | Professional | TC · Technical part | $186.21 | $213.80 | $229.09 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $30.90 Median $109.65 Typical High $194.98 | Professional | None (both parts) | $30.90 | $109.65 | $194.98 |
UPMC Health Plan Setting Facility Modifier None Typical Low $93.33 Median $251.19 Typical High $676.08 | Facility | None | $93.33 | $251.19 | $676.08 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $93.33 Median $93.33 Typical High $97.72 | Professional | None (both parts) | $93.33 | $93.33 | $97.72 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $33.88 Typical High $33.88 | Professional | 26 · Professional part | $29.51 | $33.88 | $33.88 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $58.88 Typical High $67.61 | Professional | TC · Technical part | $58.88 | $58.88 | $67.61 |
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 $77.62 Median $251.19 Typical High $457.09 | Professional | None (both parts) | $77.62 | $251.19 | $457.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $30.90 Typical High $58.88 | Professional | 26 · Professional part | $27.54 | $30.90 | $58.88 |
United Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $223.87 Typical High $407.38 | Professional | TC · Technical part | $48.98 | $223.87 | $407.38 |
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 $95.50 Median $112.20 Typical High $120.23 | Professional | 52 · Reduced service | $95.50 | $112.20 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $44.67 Typical High $47.86 | Professional | 53 · Discontinued | $38.90 | $44.67 | $47.86 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $154.88 Median $177.83 Typical High $190.55 | Professional | FX · Film X-ray | $154.88 | $177.83 | $190.55 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $95.50 Median $112.20 Typical High $120.23 | Professional | 52 · Reduced service | $95.50 | $112.20 | $120.23 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $44.67 Typical High $47.86 | Professional | 53 · Discontinued | $38.90 | $44.67 | $47.86 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $154.88 Median $177.83 Typical High $190.55 | Professional | FX · Film X-ray | $154.88 | $177.83 | $190.55 |
Where Pennsylvania sits
The same service costs 5.9 times more in Nebraska than in Hawaii. 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· 16th of 51
$234
NE $389HI $66.07
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.