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 $331.13 Median $707.95 Typical High $1,348.96 | Facility | None | $331.13 | $707.95 | $1,348.96 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $123.03 Median $154.88 Typical High $263.03 | Facility | 26 · Professional part | $123.03 | $154.88 | $263.03 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $158.49 Median $245.47 Typical High $724.44 | Facility | TC · Technical part | $158.49 | $245.47 | $724.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $263.03 Median $331.13 Typical High $457.09 | Professional | None (both parts) | $263.03 | $331.13 | $457.09 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $117.49 Typical High $162.18 | Professional | 26 · Professional part | $104.71 | $117.49 | $162.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $204.17 Typical High $295.12 | Professional | TC · Technical part | $158.49 | $204.17 | $295.12 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $218.78 Median $269.15 Typical High $645.65 | Professional | None (both parts) | $218.78 | $269.15 | $645.65 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $165.96 Typical High $186.21 | Professional | 26 · Professional part | $91.20 | $165.96 | $186.21 |
AmeriHealth Setting Facility Modifier None Typical Low $588.84 Median $2,511.89 Typical High $7,585.78 | Facility | None | $588.84 | $2,511.89 | $7,585.78 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $354.81 Median $363.08 Typical High $489.78 | Professional | None (both parts) | $354.81 | $363.08 | $489.78 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $141.25 Typical High $169.82 | Professional | 26 · Professional part | $131.83 | $141.25 | $169.82 |
Capital Blue Cross Setting Facility Modifier None Typical Low $954.99 Median $5,011.87 Typical High $5,011.87 | Facility | None | $954.99 | $5,011.87 | $5,011.87 |
Capital Blue Cross Setting Facility Modifier TC · Technical part Typical Low $1,412.54 Median $1,819.70 Typical High $5,011.87 | Facility | TC · Technical part | $1,412.54 | $1,819.70 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $316.23 Median $478.63 Typical High $977.24 | Professional | None (both parts) | $316.23 | $478.63 | $977.24 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $194.98 Typical High $288.40 | Professional | 26 · Professional part | $112.20 | $194.98 | $288.40 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $281.84 Typical High $691.83 | Professional | TC · Technical part | $204.17 | $281.84 | $691.83 |
Cigna Setting Facility Modifier None Typical Low $331.13 Median $724.44 Typical High $1,023.29 | Facility | None | $331.13 | $724.44 | $1,023.29 |
Cigna Setting Professional Modifier None (both parts) Typical Low $281.84 Median $407.38 Typical High $758.58 | Professional | None (both parts) | $281.84 | $407.38 | $758.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $120.23 Typical High $218.78 | Professional | 26 · Professional part | $77.62 | $120.23 | $218.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $323.59 Typical High $588.84 | Professional | TC · Technical part | $181.97 | $323.59 | $588.84 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $389.05 Median $457.09 Typical High $588.84 | Professional | None (both parts) | $389.05 | $457.09 | $588.84 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $288.40 Median $389.05 Typical High $741.31 | Professional | None (both parts) | $288.40 | $389.05 | $741.31 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $125.89 Typical High $239.88 | Professional | 26 · Professional part | $97.72 | $125.89 | $239.88 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $251.19 Typical High $501.19 | Professional | TC · Technical part | $199.53 | $251.19 | $501.19 |
Highmark BCBS Setting Facility Modifier None Typical Low $416.87 Median $831.76 Typical High $1,548.82 | Facility | None | $416.87 | $831.76 | $1,548.82 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $398.11 Median $416.87 Typical High $467.74 | Professional | None (both parts) | $398.11 | $416.87 | $467.74 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $131.83 Typical High $194.98 | Professional | 26 · Professional part | $117.49 | $131.83 | $194.98 |
Independence Blue Cross Setting Facility Modifier None Typical Low $457.09 Median $1,047.13 Typical High $2,511.89 | Facility | None | $457.09 | $1,047.13 | $2,511.89 |
Independence Blue Cross Setting Professional Modifier None (both parts) Typical Low $363.08 Median $467.74 Typical High $707.95 | Professional | None (both parts) | $363.08 | $467.74 | $707.95 |
Independence Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $141.25 Typical High $177.83 | Professional | 26 · Professional part | $141.25 | $141.25 | $177.83 |
Martin's Point Setting Facility Modifier None Typical Low $331.13 Median $741.31 Typical High $1,513.56 | Facility | None | $331.13 | $741.31 | $1,513.56 |
Martin's Point Setting Facility Modifier 26 · Professional part Typical Low $107.15 Median $165.96 Typical High $263.03 | Facility | 26 · Professional part | $107.15 | $165.96 | $263.03 |
Martin's Point Setting Facility Modifier TC · Technical part Typical Low $158.49 Median $234.42 Typical High $724.44 | Facility | TC · Technical part | $158.49 | $234.42 | $724.44 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $263.03 Median $331.13 Typical High $426.58 | Professional | None (both parts) | $263.03 | $331.13 | $426.58 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $117.49 Typical High $158.49 | Professional | 26 · Professional part | $104.71 | $117.49 | $158.49 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $204.17 Typical High $295.12 | Professional | TC · Technical part | $158.49 | $204.17 | $295.12 |
Oscar Health Setting Facility Modifier None Typical Low $3,090.30 Median $3,235.94 Typical High $4,265.80 | Facility | None | $3,090.30 | $3,235.94 | $4,265.80 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $120.23 Median $338.84 Typical High $588.84 | Professional | None (both parts) | $120.23 | $338.84 | $588.84 |
UPMC Health Plan Setting Facility Modifier None Typical Low $281.84 Median $575.44 Typical High $1,621.81 | Facility | None | $281.84 | $575.44 | $1,621.81 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $281.84 Median $524.81 Typical High $524.81 | Professional | None (both parts) | $281.84 | $524.81 | $524.81 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $109.65 Typical High $112.20 | Professional | 26 · Professional part | $109.65 | $109.65 | $112.20 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $416.87 Typical High $416.87 | Professional | TC · Technical part | $169.82 | $416.87 | $416.87 |
United Setting Facility Modifier None Typical Low $478.63 Median $1,023.29 Typical High $1,174.90 | Facility | None | $478.63 | $1,023.29 | $1,174.90 |
United Setting Professional Modifier None (both parts) Typical Low $316.23 Median $436.52 Typical High $741.31 | Professional | None (both parts) | $316.23 | $436.52 | $741.31 |
United Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $117.49 Typical High $218.78 | Professional | 26 · Professional part | $102.33 | $117.49 | $218.78 |
United Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $275.42 Typical High $575.44 | Professional | TC · Technical part | $204.17 | $275.42 | $575.44 |
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 $223.87 Median $263.03 Typical High $275.42 | Professional | CT · Older CT scanner | $223.87 | $263.03 | $275.42 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $213.80 Median $245.47 Typical High $263.03 | Professional | FX · Film X-ray | $213.80 | $245.47 | $263.03 |
Martin's Point Setting Professional Modifier CT · Older CT scanner Typical Low $223.87 Median $263.03 Typical High $275.42 | Professional | CT · Older CT scanner | $223.87 | $263.03 | $275.42 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $213.80 Median $251.19 Typical High $263.03 | Professional | FX · Film X-ray | $213.80 | $251.19 | $263.03 |
Where Pennsylvania sits
The same service costs 5.1 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
$398
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.