How much rates vary
Facilitymedian $1,096 · 10th to 90th $162 to $11,482Professionalmedian $195 · 10th to 90th $145 to $490
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 $162.18 Median $239.88 Typical High $691.83 | Facility | None | $162.18 | $239.88 | $691.83 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $61.66 Median $100.00 Typical High $331.13 | Facility | TC · Technical part | $61.66 | $100.00 | $331.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $162.18 Typical High $281.84 | Professional | None (both parts) | $134.90 | $162.18 | $281.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $89.13 Typical High $114.82 | Professional | 26 · Professional part | $63.10 | $89.13 | $114.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $74.13 Typical High $213.80 | Professional | TC · Technical part | $58.88 | $74.13 | $213.80 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $85.11 Typical High $102.33 | Professional | 26 · Professional part | $61.66 | $85.11 | $102.33 |
AmeriHealth Setting Facility Modifier None Typical Low $10,471.29 Median $21,877.62 Typical High $28,840.32 | Facility | None | $10,471.29 | $21,877.62 | $28,840.32 |
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 $1,348.96 Median $1,659.59 Typical High $5,011.87 | Facility | TC · Technical part | $1,348.96 | $1,659.59 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $158.49 Median $275.42 Typical High $446.68 | Professional | None (both parts) | $158.49 | $275.42 | $446.68 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $109.65 Typical High $162.18 | Professional | 26 · Professional part | $91.20 | $109.65 | $162.18 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $123.03 Typical High $281.84 | Professional | TC · Technical part | $67.61 | $123.03 | $281.84 |
Cigna Setting Facility Modifier None Typical Low $112.20 Median $234.42 Typical High $9,549.93 | Facility | None | $112.20 | $234.42 | $9,549.93 |
Cigna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $239.88 Typical High $524.81 | Professional | None (both parts) | $131.83 | $239.88 | $524.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $75.86 Typical High $154.88 | Professional | 26 · Professional part | $40.74 | $75.86 | $154.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $131.83 Typical High $363.08 | Professional | TC · Technical part | $56.23 | $131.83 | $363.08 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $194.98 Median $229.09 Typical High $288.40 | Professional | None (both parts) | $194.98 | $229.09 | $288.40 |
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 $169.82 Median $338.84 Typical High $549.54 | Professional | None (both parts) | $169.82 | $338.84 | $549.54 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $97.72 Typical High $162.18 | Professional | 26 · Professional part | $53.70 | $97.72 | $162.18 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $194.98 Typical High $478.63 | Professional | TC · Technical part | $72.44 | $194.98 | $478.63 |
Highmark BCBS Setting Facility Modifier None Typical Low $1,513.56 Median $7,244.36 Typical High $32,359.37 | Facility | None | $1,513.56 | $7,244.36 | $32,359.37 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $114.82 Typical High $158.49 | Professional | 26 · Professional part | $104.71 | $114.82 | $158.49 |
Independence Blue Cross Setting Facility Modifier None Typical Low $3,235.94 Median $11,220.18 Typical High $32,359.37 | Facility | None | $3,235.94 | $11,220.18 | $32,359.37 |
Martin's Point Setting Facility Modifier None Typical Low $162.18 Median $245.47 Typical High $691.83 | Facility | None | $162.18 | $245.47 | $691.83 |
Martin's Point Setting Facility Modifier TC · Technical part Typical Low $61.66 Median $102.33 Typical High $309.03 | Facility | TC · Technical part | $61.66 | $102.33 | $309.03 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $134.90 Median $162.18 Typical High $281.84 | Professional | None (both parts) | $134.90 | $162.18 | $281.84 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $89.13 Typical High $100.00 | Professional | 26 · Professional part | $64.57 | $89.13 | $100.00 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $74.13 Typical High $213.80 | Professional | TC · Technical part | $58.88 | $74.13 | $213.80 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $190.55 Median $724.44 Typical High $741.31 | Professional | None (both parts) | $190.55 | $724.44 | $741.31 |
UPMC Health Plan Setting Facility Modifier None Typical Low $158.49 Median $1,258.93 Typical High $4,677.35 | Facility | None | $158.49 | $1,258.93 | $4,677.35 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $158.49 Median $537.03 Typical High $537.03 | Professional | None (both parts) | $158.49 | $537.03 | $537.03 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $107.15 Typical High $107.15 | Professional | 26 · Professional part | $89.13 | $107.15 | $107.15 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $426.58 Typical High $426.58 | Professional | TC · Technical part | $67.61 | $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 $154.88 Median $208.93 Typical High $537.03 | Professional | None (both parts) | $154.88 | $208.93 | $537.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $95.50 Typical High $173.78 | Professional | 26 · Professional part | $63.10 | $95.50 | $173.78 |
United Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $91.20 Typical High $416.87 | Professional | TC · Technical part | $67.61 | $91.20 | $416.87 |
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 $67.61 Median $79.43 Typical High $83.18 | Professional | 52 · Reduced service | $67.61 | $79.43 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $31.62 Typical High $33.11 | Professional | 53 · Discontinued | $27.54 | $31.62 | $33.11 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $109.65 Median $125.89 Typical High $131.83 | Professional | FX · Film X-ray | $109.65 | $125.89 | $131.83 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $67.61 Median $79.43 Typical High $81.28 | Professional | 52 · Reduced service | $67.61 | $79.43 | $81.28 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $31.62 Typical High $32.36 | Professional | 53 · Discontinued | $27.54 | $31.62 | $32.36 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $109.65 Median $125.89 Typical High $131.83 | Professional | FX · Film X-ray | $109.65 | $125.89 | $131.83 |
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· 37th of 51
$204
AK $513UT $100
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.