How much rates vary
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 $426.58 Median $776.25 Typical High $2,041.74 | Facility | None | $426.58 | $776.25 | $2,041.74 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $125.89 Median $190.55 Typical High $309.03 | Facility | 26 · Professional part | $125.89 | $190.55 | $309.03 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $302.00 Median $338.84 Typical High $741.31 | Facility | TC · Technical part | $302.00 | $338.84 | $741.31 |
Aetna Setting Professional Modifier None (both parts) Typical Low $426.58 Median $446.68 Typical High $616.60 | Professional | None (both parts) | $426.58 | $446.68 | $616.60 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $141.25 Typical High $181.97 | Professional | 26 · Professional part | $125.89 | $141.25 | $181.97 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $309.03 Typical High $416.87 | Professional | TC · Technical part | $302.00 | $309.03 | $416.87 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | 26 · Professional part | $41.69 | $41.69 | $41.69 |
Capital Blue Cross Setting Facility Modifier None Typical Low $1,905.46 Median $5,011.87 Typical High $5,011.87 | Facility | None | $1,905.46 | $5,011.87 | $5,011.87 |
Capital Blue Cross Setting Facility Modifier TC · Technical part Typical Low $2,884.03 Median $3,630.78 Typical High $5,011.87 | Facility | TC · Technical part | $2,884.03 | $3,630.78 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $416.87 Median $426.58 Typical High $933.25 | Professional | None (both parts) | $416.87 | $426.58 | $933.25 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $144.54 Typical High $288.40 | Professional | 26 · Professional part | $141.25 | $144.54 | $288.40 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $281.84 Typical High $660.69 | Professional | TC · Technical part | $275.42 | $281.84 | $660.69 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $1,023.29 Typical High $2,398.83 | Facility | None | $676.08 | $1,023.29 | $2,398.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $371.54 Median $602.56 Typical High $1,071.52 | Professional | None (both parts) | $371.54 | $602.56 | $1,071.52 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $147.91 Typical High $269.15 | Professional | 26 · Professional part | $100.00 | $147.91 | $269.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $457.09 Typical High $870.96 | Professional | TC · Technical part | $245.47 | $457.09 | $870.96 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $512.86 Median $616.60 Typical High $776.25 | Professional | None (both parts) | $512.86 | $616.60 | $776.25 |
Geisinger Setting Facility Modifier None Typical Low $389.05 Median $1,949.84 Typical High $3,981.07 | Facility | None | $389.05 | $1,949.84 | $3,981.07 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $446.68 Median $645.65 Typical High $1,148.15 | Professional | None (both parts) | $446.68 | $645.65 | $1,148.15 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $169.82 Typical High $295.12 | Professional | 26 · Professional part | $131.83 | $169.82 | $295.12 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $457.09 Typical High $812.83 | Professional | TC · Technical part | $295.12 | $457.09 | $812.83 |
Highmark BCBS Setting Facility Modifier None Typical Low $1,513.56 Median $2,754.23 Typical High $3,467.37 | Facility | None | $1,513.56 | $2,754.23 | $3,467.37 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $147.91 Median $147.91 Typical High $158.49 | Professional | 26 · Professional part | $147.91 | $147.91 | $158.49 |
Martin's Point Setting Facility Modifier None Typical Low $426.58 Median $954.99 Typical High $2,187.76 | Facility | None | $426.58 | $954.99 | $2,187.76 |
Martin's Point Setting Facility Modifier TC · Technical part Typical Low $302.00 Median $309.03 Typical High $977.24 | Facility | TC · Technical part | $302.00 | $309.03 | $977.24 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $426.58 Median $446.68 Typical High $616.60 | Professional | None (both parts) | $426.58 | $446.68 | $616.60 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $141.25 Typical High $154.88 | Professional | 26 · Professional part | $125.89 | $141.25 | $154.88 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $309.03 Typical High $371.54 | Professional | TC · Technical part | $302.00 | $309.03 | $371.54 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $151.36 Median $478.63 Typical High $933.25 | Professional | None (both parts) | $151.36 | $478.63 | $933.25 |
UPMC Health Plan Setting Facility Modifier None Typical Low $426.58 Median $1,148.15 Typical High $1,862.09 | Facility | None | $426.58 | $1,148.15 | $1,862.09 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $426.58 Median $776.25 Typical High $776.25 | Professional | None (both parts) | $426.58 | $776.25 | $776.25 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $138.04 Median $141.25 Typical High $141.25 | Professional | 26 · Professional part | $138.04 | $141.25 | $141.25 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $645.65 Typical High $645.65 | Professional | TC · Technical part | $288.40 | $645.65 | $645.65 |
United Setting Facility Modifier None Typical Low $1,071.52 Median $2,290.87 Typical High $2,630.27 | Facility | None | $1,071.52 | $2,290.87 | $2,630.27 |
United Setting Professional Modifier None (both parts) Typical Low $426.58 Median $575.44 Typical High $977.24 | Professional | None (both parts) | $426.58 | $575.44 | $977.24 |
United Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $151.36 Typical High $275.42 | Professional | 26 · Professional part | $128.82 | $151.36 | $275.42 |
United Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $389.05 Typical High $794.33 | Professional | TC · Technical part | $295.12 | $389.05 | $794.33 |
2 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 FX · Film X-ray Typical Low $338.84 Median $338.84 Typical High $354.81 | Professional | FX · Film X-ray | $338.84 | $338.84 | $354.81 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $338.84 Median $338.84 Typical High $354.81 | Professional | FX · Film X-ray | $338.84 | $338.84 | $354.81 |
Where Pennsylvania sits
The same service costs 5.8 times more in Wyoming 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· 44th of 51
$468
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.