How much rates vary
Facilitymedian $240 · 10th to 90th $102 to $912Professionalmedian $107 · 10th to 90th $81 to $186
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 $95.50 Median $151.36 Typical High $512.86 | Facility | None | $95.50 | $151.36 | $512.86 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $26.30 Median $34.67 Typical High $63.10 | Facility | 26 · Professional part | $26.30 | $34.67 | $63.10 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $67.61 Median $87.10 Typical High $323.59 | Facility | TC · Technical part | $67.61 | $87.10 | $323.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $75.86 Median $107.15 Typical High $151.36 | Professional | None (both parts) | $75.86 | $107.15 | $151.36 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $29.51 Typical High $42.66 | Professional | 26 · Professional part | $25.70 | $29.51 | $42.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $77.62 Typical High $109.65 | Professional | TC · Technical part | $48.98 | $77.62 | $109.65 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $39.81 Typical High $52.48 | Professional | 26 · Professional part | $32.36 | $39.81 | $52.48 |
AmeriHealth Setting Facility Modifier None Typical Low $323.59 Median $724.44 Typical High $2,238.72 | Facility | None | $323.59 | $724.44 | $2,238.72 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $109.65 Median $131.83 Typical High $173.78 | Professional | None (both parts) | $109.65 | $131.83 | $173.78 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $34.67 Typical High $50.12 | Professional | 26 · Professional part | $34.67 | $34.67 | $50.12 |
Capital Blue Cross Setting Facility Modifier None Typical Low $389.05 Median $5,011.87 Typical High $8,709.64 | Facility | None | $389.05 | $5,011.87 | $8,709.64 |
Capital Blue Cross Setting Facility Modifier TC · Technical part Typical Low $234.42 Median $288.40 Typical High $5,011.87 | Facility | TC · Technical part | $234.42 | $288.40 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $97.72 Median $158.49 Typical High $234.42 | Professional | None (both parts) | $97.72 | $158.49 | $234.42 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $46.77 Typical High $69.18 | Professional | 26 · Professional part | $27.54 | $46.77 | $69.18 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $100.00 Typical High $162.18 | Professional | TC · Technical part | $70.79 | $100.00 | $162.18 |
Cigna Setting Facility Modifier None Typical Low $91.20 Median $245.47 Typical High $354.81 | Facility | None | $91.20 | $245.47 | $354.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $61.66 Median $97.72 Typical High $194.98 | Professional | None (both parts) | $61.66 | $97.72 | $194.98 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $29.51 Typical High $53.70 | Professional | 26 · Professional part | $18.62 | $29.51 | $53.70 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $67.61 Typical High $138.04 | Professional | TC · Technical part | $42.66 | $67.61 | $138.04 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $102.33 Median $141.25 Typical High $177.83 | Professional | None (both parts) | $102.33 | $141.25 | $177.83 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $60.26 Median $102.33 Typical High $181.97 | Professional | None (both parts) | $60.26 | $102.33 | $181.97 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $30.20 Typical High $57.54 | Professional | 26 · Professional part | $23.44 | $30.20 | $57.54 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $74.13 Typical High $128.82 | Professional | TC · Technical part | $33.11 | $74.13 | $128.82 |
Highmark BCBS Setting Facility Modifier None Typical Low $69.18 Median $199.53 Typical High $323.59 | Facility | None | $69.18 | $199.53 | $323.59 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $117.49 Median $123.03 Typical High $134.90 | Professional | None (both parts) | $117.49 | $123.03 | $134.90 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $30.90 Typical High $47.86 | Professional | 26 · Professional part | $28.84 | $30.90 | $47.86 |
Independence Blue Cross Setting Facility Modifier None Typical Low $123.03 Median $724.44 Typical High $1,737.80 | Facility | None | $123.03 | $724.44 | $1,737.80 |
Independence Blue Cross Setting Professional Modifier None (both parts) Typical Low $109.65 Median $131.83 Typical High $169.82 | Professional | None (both parts) | $109.65 | $131.83 | $169.82 |
Independence Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $34.67 Typical High $44.67 | Professional | 26 · Professional part | $34.67 | $34.67 | $44.67 |
Martin's Point Setting Facility Modifier None Typical Low $95.50 Median $173.78 Typical High $524.81 | Facility | None | $95.50 | $173.78 | $524.81 |
Martin's Point Setting Facility Modifier TC · Technical part Typical Low $67.61 Median $87.10 Typical High $323.59 | Facility | TC · Technical part | $67.61 | $87.10 | $323.59 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $75.86 Median $107.15 Typical High $151.36 | Professional | None (both parts) | $75.86 | $107.15 | $151.36 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $28.84 Typical High $42.66 | Professional | 26 · Professional part | $25.70 | $28.84 | $42.66 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $77.62 Typical High $104.71 | Professional | TC · Technical part | $48.98 | $77.62 | $104.71 |
Oscar Health Setting Facility Modifier None Typical Low $134.90 Median $181.97 Typical High $194.98 | Facility | None | $134.90 | $181.97 | $194.98 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $29.51 Median $102.33 Typical High $181.97 | Professional | None (both parts) | $29.51 | $102.33 | $181.97 |
UPMC Health Plan Setting Facility Modifier None Typical Low $100.00 Median $147.91 Typical High $354.81 | Facility | None | $100.00 | $147.91 | $354.81 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $100.00 Median $109.65 Typical High $109.65 | Professional | None (both parts) | $100.00 | $109.65 | $109.65 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $26.30 Typical High $27.54 | Professional | 26 · Professional part | $26.30 | $26.30 | $27.54 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $83.18 Typical High $83.18 | Professional | TC · Technical part | $70.79 | $83.18 | $83.18 |
United Setting Facility Modifier None Typical Low $120.23 Median $257.04 Typical High $295.12 | Facility | None | $120.23 | $257.04 | $295.12 |
United Setting Professional Modifier None (both parts) Typical Low $81.28 Median $100.00 Typical High $181.97 | Professional | None (both parts) | $81.28 | $100.00 | $181.97 |
United Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $28.84 Typical High $53.70 | Professional | 26 · Professional part | $24.55 | $28.84 | $53.70 |
United Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $72.44 Typical High $134.90 | Professional | TC · Technical part | $58.88 | $72.44 | $134.90 |
4 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 CT · Older CT scanner Typical Low $79.43 Median $91.20 Typical High $100.00 | Professional | CT · Older CT scanner | $79.43 | $91.20 | $100.00 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $74.13 Median $85.11 Typical High $93.33 | Professional | FX · Film X-ray | $74.13 | $85.11 | $93.33 |
Martin's Point Setting Professional Modifier CT · Older CT scanner Typical Low $79.43 Median $91.20 Typical High $100.00 | Professional | CT · Older CT scanner | $79.43 | $91.20 | $100.00 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $74.13 Median $85.11 Typical High $93.33 | Professional | FX · Film X-ray | $74.13 | $85.11 | $93.33 |
Where Pennsylvania sits
The same service costs 4.2 times more in Alaska than in Utah. 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· 35th of 51
$112
AK $316UT $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.