How much rates vary
Facilitymedian $1,479 · 10th to 90th $151 to $12,882Professionalmedian $186 · 10th to 90th $135 to $457
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 $134.90 Median $218.78 Typical High $575.44 | Facility | None | $134.90 | $218.78 | $575.44 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $74.13 Median $104.71 Typical High $147.91 | Facility | 26 · Professional part | $74.13 | $104.71 | $147.91 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $60.26 Median $91.20 Typical High $269.15 | Facility | TC · Technical part | $60.26 | $91.20 | $269.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $151.36 Typical High $257.04 | Professional | None (both parts) | $125.89 | $151.36 | $257.04 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $79.43 Typical High $114.82 | Professional | 26 · Professional part | $53.70 | $79.43 | $114.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $70.79 Typical High $186.21 | Professional | TC · Technical part | $56.23 | $70.79 | $186.21 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $64.57 Typical High $81.28 | Professional | 26 · Professional part | $54.95 | $64.57 | $81.28 |
AmeriHealth Setting Facility Modifier None Typical Low $3,388.44 Median $16,218.10 Typical High $27,542.29 | Facility | None | $3,388.44 | $16,218.10 | $27,542.29 |
Capital Blue Cross Setting Facility Modifier None Typical Low $4,265.80 Median $5,011.87 Typical High $79,432.82 | Facility | None | $4,265.80 | $5,011.87 | $79,432.82 |
Capital Blue Cross Setting Facility Modifier TC · Technical part Typical Low $1,230.27 Median $1,479.11 Typical High $5,011.87 | Facility | TC · Technical part | $1,230.27 | $1,479.11 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $144.54 Median $257.04 Typical High $389.05 | Professional | None (both parts) | $144.54 | $257.04 | $389.05 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $109.65 Typical High $144.54 | Professional | 26 · Professional part | $81.28 | $109.65 | $144.54 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $117.49 Typical High $245.47 | Professional | TC · Technical part | $64.57 | $117.49 | $245.47 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $229.09 Typical High $9,549.93 | Facility | None | $100.00 | $229.09 | $9,549.93 |
Cigna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $223.87 Typical High $457.09 | Professional | None (both parts) | $123.03 | $223.87 | $457.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $67.61 Typical High $138.04 | Professional | 26 · Professional part | $36.31 | $67.61 | $138.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $123.03 Typical High $346.74 | Professional | TC · Technical part | $53.70 | $123.03 | $346.74 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $177.83 Median $208.93 Typical High $269.15 | Professional | None (both parts) | $177.83 | $208.93 | $269.15 |
Geisinger Setting Facility Modifier None Typical Low $741.31 Median $741.31 Typical High $741.31 | Facility | None | $741.31 | $741.31 | $741.31 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $154.88 Median $316.23 Typical High $537.03 | Professional | None (both parts) | $154.88 | $316.23 | $537.03 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $87.10 Typical High $144.54 | Professional | 26 · Professional part | $46.77 | $87.10 | $144.54 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $169.82 Typical High $478.63 | Professional | TC · Technical part | $69.18 | $169.82 | $478.63 |
Highmark BCBS Setting Facility Modifier None Typical Low $1,905.46 Median $7,762.47 Typical High $23,442.29 | Facility | None | $1,905.46 | $7,762.47 | $23,442.29 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $100.00 Typical High $109.65 | Professional | 26 · Professional part | $85.11 | $100.00 | $109.65 |
Independence Blue Cross Setting Facility Modifier None Typical Low $3,235.94 Median $4,466.84 Typical High $21,877.62 | Facility | None | $3,235.94 | $4,466.84 | $21,877.62 |
Martin's Point Setting Facility Modifier None Typical Low $134.90 Median $223.87 Typical High $6,309.57 | Facility | None | $134.90 | $223.87 | $6,309.57 |
Martin's Point Setting Facility Modifier TC · Technical part Typical Low $60.26 Median $91.20 Typical High $269.15 | Facility | TC · Technical part | $60.26 | $91.20 | $269.15 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $125.89 Median $151.36 Typical High $257.04 | Professional | None (both parts) | $125.89 | $151.36 | $257.04 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $79.43 Typical High $114.82 | Professional | 26 · Professional part | $54.95 | $79.43 | $114.82 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $70.79 Typical High $186.21 | Professional | TC · Technical part | $56.23 | $70.79 | $186.21 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $173.78 Median $660.69 Typical High $724.44 | Professional | None (both parts) | $173.78 | $660.69 | $724.44 |
UPMC Health Plan Setting Facility Modifier None Typical Low $144.54 Median $1,230.27 Typical High $4,677.35 | Facility | None | $144.54 | $1,230.27 | $4,677.35 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $144.54 Median $501.19 Typical High $501.19 | Professional | None (both parts) | $144.54 | $501.19 | $501.19 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $74.13 Typical High $81.28 | Professional | 26 · Professional part | $74.13 | $74.13 | $81.28 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $426.58 Typical High $426.58 | Professional | TC · Technical part | $66.07 | $426.58 | $426.58 |
United Setting Facility Modifier None Typical Low $4,365.16 Median $9,332.54 Typical High $10,715.19 | Facility | None | $4,365.16 | $9,332.54 | $10,715.19 |
United Setting Professional Modifier None (both parts) Typical Low $144.54 Median $186.21 Typical High $501.19 | Professional | None (both parts) | $144.54 | $186.21 | $501.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $85.11 Typical High $158.49 | Professional | 26 · Professional part | $54.95 | $85.11 | $158.49 |
United Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $87.10 Typical High $371.54 | Professional | TC · Technical part | $66.07 | $87.10 | $371.54 |
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 $63.10 Median $74.13 Typical High $77.62 | Professional | 52 · Reduced service | $63.10 | $74.13 | $77.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $29.51 Typical High $30.90 | Professional | 53 · Discontinued | $25.12 | $29.51 | $30.90 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $100.00 Median $117.49 Typical High $120.23 | Professional | FX · Film X-ray | $100.00 | $117.49 | $120.23 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $63.10 Median $74.13 Typical High $75.86 | Professional | 52 · Reduced service | $63.10 | $74.13 | $75.86 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $29.51 Typical High $30.20 | Professional | 53 · Discontinued | $25.12 | $29.51 | $30.20 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $100.00 Median $117.49 Typical High $120.23 | Professional | FX · Film X-ray | $100.00 | $117.49 | $120.23 |
Where Pennsylvania sits
The same service costs 4.1 times more in Alaska 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· 36th of 51
$195
AK $468TX $115
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.