How much rates vary
Facilitymedian $603 · 10th to 90th $282 to $1,862Professionalmedian $417 · 10th to 90th $269 to $776
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 $269.15 Median $398.11 Typical High $1,000.00 | Facility | None | $269.15 | $398.11 | $1,000.00 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $107.15 Median $147.91 Typical High $263.03 | Facility | 26 · Professional part | $107.15 | $147.91 | $263.03 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $162.18 Median $229.09 Typical High $660.69 | Facility | TC · Technical part | $162.18 | $229.09 | $660.69 |
Aetna Setting Professional Modifier None (both parts) Typical Low $263.03 Median $323.59 Typical High $537.03 | Professional | None (both parts) | $263.03 | $323.59 | $537.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $120.23 Typical High $165.96 | Professional | 26 · Professional part | $104.71 | $120.23 | $165.96 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $204.17 Typical High $389.05 | Professional | TC · Technical part | $158.49 | $204.17 | $389.05 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $269.15 Median $275.42 Typical High $588.84 | Professional | None (both parts) | $269.15 | $275.42 | $588.84 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $177.83 Typical High $186.21 | Professional | 26 · Professional part | $100.00 | $177.83 | $186.21 |
AmeriHealth Setting Facility Modifier None Typical Low $501.19 Median $1,148.15 Typical High $6,606.93 | Facility | None | $501.19 | $1,148.15 | $6,606.93 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $141.25 Typical High $177.83 | Professional | 26 · Professional part | $131.83 | $141.25 | $177.83 |
Capital Blue Cross Setting Facility Modifier None Typical Low $2,187.76 Median $5,011.87 Typical High $56,234.13 | Facility | None | $2,187.76 | $5,011.87 | $56,234.13 |
Capital Blue Cross Setting Facility Modifier TC · Technical part Typical Low $1,862.09 Median $2,344.23 Typical High $5,011.87 | Facility | TC · Technical part | $1,862.09 | $2,344.23 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $371.54 Median $371.54 Typical High $371.54 | Professional | None (both parts) | $371.54 | $371.54 | $371.54 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $194.98 Typical High $295.12 | Professional | 26 · Professional part | $112.20 | $194.98 | $295.12 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $281.84 Typical High $660.69 | Professional | TC · Technical part | $173.78 | $281.84 | $660.69 |
Cigna Setting Facility Modifier None Typical Low $371.54 Median $870.96 Typical High $1,445.44 | Facility | None | $371.54 | $870.96 | $1,445.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $354.81 Median $436.52 Typical High $851.14 | Professional | None (both parts) | $354.81 | $436.52 | $851.14 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $123.03 Typical High $218.78 | Professional | 26 · Professional part | $74.13 | $123.03 | $218.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $363.08 Typical High $676.08 | Professional | TC · Technical part | $245.47 | $363.08 | $676.08 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $346.74 Median $407.38 Typical High $512.86 | Professional | None (both parts) | $346.74 | $407.38 | $512.86 |
Geisinger Setting Facility Modifier None Typical Low $489.78 Median $645.65 Typical High $1,819.70 | Facility | None | $489.78 | $645.65 | $1,819.70 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $302.00 Median $457.09 Typical High $851.14 | Professional | None (both parts) | $302.00 | $457.09 | $851.14 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $131.83 Typical High $239.88 | Professional | 26 · Professional part | $97.72 | $131.83 | $239.88 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $316.23 Typical High $602.56 | Professional | TC · Technical part | $181.97 | $316.23 | $602.56 |
Highmark BCBS Setting Facility Modifier None Typical Low $269.15 Median $467.74 Typical High $1,621.81 | Facility | None | $269.15 | $467.74 | $1,621.81 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $478.63 Median $524.81 Typical High $588.84 | Professional | None (both parts) | $478.63 | $524.81 | $588.84 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $131.83 Typical High $190.55 | Professional | 26 · Professional part | $117.49 | $131.83 | $190.55 |
Independence Blue Cross Setting Facility Modifier None Typical Low $251.19 Median $1,122.02 Typical High $2,691.53 | Facility | None | $251.19 | $1,122.02 | $2,691.53 |
Independence Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $141.25 Typical High $186.21 | Professional | 26 · Professional part | $141.25 | $141.25 | $186.21 |
Martin's Point Setting Facility Modifier None Typical Low $269.15 Median $398.11 Typical High $977.24 | Facility | None | $269.15 | $398.11 | $977.24 |
Martin's Point Setting Facility Modifier 26 · Professional part Typical Low $107.15 Median $147.91 Typical High $257.04 | Facility | 26 · Professional part | $107.15 | $147.91 | $257.04 |
Martin's Point Setting Facility Modifier TC · Technical part Typical Low $158.49 Median $204.17 Typical High $660.69 | Facility | TC · Technical part | $158.49 | $204.17 | $660.69 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $263.03 Median $323.59 Typical High $512.86 | Professional | None (both parts) | $263.03 | $323.59 | $512.86 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $120.23 Typical High $158.49 | Professional | 26 · Professional part | $104.71 | $120.23 | $158.49 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $204.17 Typical High $389.05 | Professional | TC · Technical part | $158.49 | $204.17 | $389.05 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $323.59 Median $338.84 Typical High $1,380.38 | Professional | None (both parts) | $323.59 | $338.84 | $1,380.38 |
UPMC Health Plan Setting Facility Modifier None Typical Low $281.84 Median $707.95 Typical High $2,137.96 | Facility | None | $281.84 | $707.95 | $2,137.96 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $281.84 Median $676.08 Typical High $676.08 | Professional | None (both parts) | $281.84 | $676.08 | $676.08 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $123.03 Typical High $123.03 | Professional | 26 · Professional part | $109.65 | $123.03 | $123.03 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $549.54 Typical High $549.54 | Professional | TC · Technical part | $169.82 | $549.54 | $549.54 |
United Setting Facility Modifier None Typical Low $239.88 Median $512.86 Typical High $588.84 | Facility | None | $239.88 | $512.86 | $588.84 |
United Setting Professional Modifier None (both parts) Typical Low $389.05 Median $501.19 Typical High $831.76 | Professional | None (both parts) | $389.05 | $501.19 | $831.76 |
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 $275.42 Median $363.08 Typical High $616.60 | Professional | TC · Technical part | $275.42 | $363.08 | $616.60 |
8 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 Facility Modifier 52 · Reduced service Typical Low $79.43 Median $123.03 Typical High $501.19 | Facility | 52 · Reduced service | $79.43 | $123.03 | $501.19 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $31.62 Median $48.98 Typical High $204.17 | Facility | 53 · Discontinued | $31.62 | $48.98 | $204.17 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $131.83 Median $158.49 Typical High $181.97 | Professional | 52 · Reduced service | $131.83 | $158.49 | $181.97 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $52.48 Median $64.57 Typical High $74.13 | Professional | 53 · Discontinued | $52.48 | $64.57 | $74.13 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $208.93 Median $239.88 Typical High $263.03 | Professional | FX · Film X-ray | $208.93 | $239.88 | $263.03 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $131.83 Median $151.36 Typical High $162.18 | Professional | 52 · Reduced service | $131.83 | $151.36 | $162.18 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $52.48 Median $60.26 Typical High $66.07 | Professional | 53 · Discontinued | $52.48 | $60.26 | $66.07 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $208.93 Median $239.88 Typical High $263.03 | Professional | FX · Film X-ray | $208.93 | $239.88 | $263.03 |
Where Pennsylvania sits
The same service costs 6.8 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· 37th of 51
$427
AK $1,148UT $170
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.