How much rates vary
Facilitymedian $1,000 · 10th to 90th $170 to $9,772Professionalmedian $174 · 10th to 90th $148 to $437
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 $169.82 Median $389.05 Typical High $676.08 | Facility | None | $169.82 | $389.05 | $676.08 |
Aetna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $162.18 Typical High $169.82 | Professional | None (both parts) | $138.04 | $162.18 | $169.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $58.88 Typical High $60.26 | Professional | 26 · Professional part | $51.29 | $58.88 | $60.26 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $104.71 Typical High $117.49 | Professional | TC · Technical part | $87.10 | $104.71 | $117.49 |
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 $1,380.38 Median $1,698.24 Typical High $5,011.87 | Facility | TC · Technical part | $1,380.38 | $1,698.24 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $169.82 Median $173.78 Typical High $436.52 | Professional | None (both parts) | $169.82 | $173.78 | $436.52 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $63.10 Typical High $125.89 | Professional | 26 · Professional part | $60.26 | $63.10 | $125.89 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $112.20 Typical High $275.42 | Professional | TC · Technical part | $107.15 | $112.20 | $275.42 |
Cigna Setting Facility Modifier None Typical Low $138.04 Median $354.81 Typical High $9,549.93 | Facility | None | $138.04 | $354.81 | $9,549.93 |
Cigna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $257.04 Typical High $512.86 | Professional | None (both parts) | $138.04 | $257.04 | $512.86 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $64.57 Typical High $117.49 | Professional | 26 · Professional part | $42.66 | $64.57 | $117.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $165.96 Typical High $371.54 | Professional | TC · Technical part | $89.13 | $165.96 | $371.54 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $208.93 Median $245.47 Typical High $316.23 | Professional | None (both parts) | $208.93 | $245.47 | $316.23 |
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 $181.97 Median $338.84 Typical High $549.54 | Professional | None (both parts) | $181.97 | $338.84 | $549.54 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $74.13 Typical High $128.82 | Professional | 26 · Professional part | $53.70 | $74.13 | $128.82 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $239.88 Typical High $457.09 | Professional | TC · Technical part | $117.49 | $239.88 | $457.09 |
Martin's Point Setting Facility Modifier None Typical Low $169.82 Median $389.05 Typical High $676.08 | Facility | None | $169.82 | $389.05 | $676.08 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $138.04 Median $162.18 Typical High $169.82 | Professional | None (both parts) | $138.04 | $162.18 | $169.82 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $58.88 Typical High $60.26 | Professional | 26 · Professional part | $51.29 | $58.88 | $60.26 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $104.71 Typical High $109.65 | Professional | TC · Technical part | $87.10 | $104.71 | $109.65 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $204.17 Median $741.31 Typical High $758.58 | Professional | None (both parts) | $204.17 | $741.31 | $758.58 |
UPMC Health Plan Setting Facility Modifier None Typical Low $162.18 Median $1,230.27 Typical High $4,677.35 | Facility | None | $162.18 | $1,230.27 | $4,677.35 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $162.18 Median $501.19 Typical High $501.19 | Professional | None (both parts) | $162.18 | $501.19 | $501.19 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $66.07 Typical High $66.07 | Professional | 26 · Professional part | $60.26 | $66.07 | $66.07 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $426.58 Typical High $426.58 | Professional | TC · Technical part | $102.33 | $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 $57.54 Median $64.57 Typical High $120.23 | Professional | 26 · Professional part | $57.54 | $64.57 | $120.23 |
United Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $125.89 Typical High $426.58 | Professional | TC · Technical part | $95.50 | $125.89 | $426.58 |
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 $69.18 Median $81.28 Typical High $89.13 | Professional | 52 · Reduced service | $69.18 | $81.28 | $89.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $32.36 Typical High $35.48 | Professional | 53 · Discontinued | $27.54 | $32.36 | $35.48 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $112.20 Median $128.82 Typical High $134.90 | Professional | FX · Film X-ray | $112.20 | $128.82 | $134.90 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $69.18 Median $81.28 Typical High $85.11 | Professional | 52 · Reduced service | $69.18 | $81.28 | $85.11 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $32.36 Typical High $33.88 | Professional | 53 · Discontinued | $27.54 | $32.36 | $33.88 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $112.20 Median $128.82 Typical High $134.90 | Professional | FX · Film X-ray | $112.20 | $128.82 | $134.90 |
Where Pennsylvania sits
The same service costs 4.4 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· 46th of 51
$174
AK $513TX $117
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.