How much rates vary
Facilitymedian $1,230 · 10th to 90th $141 to $17,783Professionalmedian $174 · 10th to 90th $123 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 $141.25 Median $331.13 Typical High $562.34 | Facility | None | $141.25 | $331.13 | $562.34 |
Aetna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $141.25 Typical High $245.47 | Professional | None (both parts) | $117.49 | $141.25 | $245.47 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $50.12 Typical High $57.54 | Professional | 26 · Professional part | $43.65 | $50.12 | $57.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $91.20 Typical High $181.97 | Professional | TC · Technical part | $72.44 | $91.20 | $181.97 |
AmeriHealth Setting Facility Modifier None Typical Low $15,848.93 Median $15,848.93 Typical High $15,848.93 | Facility | None | $15,848.93 | $15,848.93 | $15,848.93 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $64.57 Typical High $83.18 | Professional | 26 · Professional part | $64.57 | $64.57 | $83.18 |
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 $1,202.26 Median $1,479.11 Typical High $5,011.87 | Facility | TC · Technical part | $1,202.26 | $1,479.11 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $141.25 Median $239.88 Typical High $380.19 | Professional | None (both parts) | $141.25 | $239.88 | $380.19 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $89.13 Typical High $138.04 | Professional | 26 · Professional part | $51.29 | $89.13 | $138.04 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $151.36 Typical High $245.47 | Professional | TC · Technical part | $89.13 | $151.36 | $245.47 |
Cigna Setting Facility Modifier None Typical Low $114.82 Median $295.12 Typical High $15,848.93 | Facility | None | $114.82 | $295.12 | $15,848.93 |
Cigna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $213.80 Typical High $446.68 | Professional | None (both parts) | $114.82 | $213.80 | $446.68 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $56.23 Typical High $102.33 | Professional | 26 · Professional part | $35.48 | $56.23 | $102.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $138.04 Typical High $338.84 | Professional | TC · Technical part | $72.44 | $138.04 | $338.84 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $169.82 Median $204.17 Typical High $257.04 | Professional | None (both parts) | $169.82 | $204.17 | $257.04 |
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 $147.91 Median $295.12 Typical High $537.03 | Professional | None (both parts) | $147.91 | $295.12 | $537.03 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $61.66 Typical High $109.65 | Professional | 26 · Professional part | $46.77 | $61.66 | $109.65 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $190.55 Typical High $478.63 | Professional | TC · Technical part | $93.33 | $190.55 | $478.63 |
Highmark BCBS Setting Facility Modifier None Typical Low $19,054.61 Median $19,054.61 Typical High $19,952.62 | Facility | None | $19,054.61 | $19,054.61 | $19,952.62 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $70.79 Typical High $102.33 | Professional | 26 · Professional part | $53.70 | $70.79 | $102.33 |
Independence Blue Cross Setting Facility Modifier None Typical Low $15,848.93 Median $15,848.93 Typical High $19,952.62 | Facility | None | $15,848.93 | $15,848.93 | $19,952.62 |
Independence Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $64.57 Typical High $83.18 | Professional | 26 · Professional part | $64.57 | $64.57 | $83.18 |
Martin's Point Setting Facility Modifier None Typical Low $141.25 Median $331.13 Typical High $562.34 | Facility | None | $141.25 | $331.13 | $562.34 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $117.49 Median $141.25 Typical High $245.47 | Professional | None (both parts) | $117.49 | $141.25 | $245.47 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $50.12 Typical High $57.54 | Professional | 26 · Professional part | $43.65 | $50.12 | $57.54 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $91.20 Typical High $181.97 | Professional | TC · Technical part | $72.44 | $91.20 | $181.97 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $169.82 Median $660.69 Typical High $724.44 | Professional | None (both parts) | $169.82 | $660.69 | $724.44 |
UPMC Health Plan Setting Facility Modifier None Typical Low $138.04 Median $1,230.27 Typical High $4,677.35 | Facility | None | $138.04 | $1,230.27 | $4,677.35 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $138.04 Median $524.81 Typical High $524.81 | Professional | None (both parts) | $138.04 | $524.81 | $524.81 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $93.33 Typical High $93.33 | Professional | 26 · Professional part | $51.29 | $93.33 | $93.33 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $426.58 Typical High $426.58 | Professional | TC · Technical part | $87.10 | $426.58 | $426.58 |
United Setting Facility Modifier None Typical Low $7,585.78 Median $16,218.10 Typical High $18,620.87 | Facility | None | $7,585.78 | $16,218.10 | $18,620.87 |
United Setting Professional Modifier None (both parts) Typical Low $131.83 Median $173.78 Typical High $501.19 | Professional | None (both parts) | $131.83 | $173.78 | $501.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $54.95 Typical High $102.33 | Professional | 26 · Professional part | $48.98 | $54.95 | $102.33 |
United Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $107.15 Typical High $363.08 | Professional | TC · Technical part | $83.18 | $107.15 | $363.08 |
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 $58.88 Median $69.18 Typical High $74.13 | Professional | 52 · Reduced service | $58.88 | $69.18 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $27.54 Typical High $29.51 | Professional | 53 · Discontinued | $23.44 | $27.54 | $29.51 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $93.33 Median $109.65 Typical High $112.20 | Professional | FX · Film X-ray | $93.33 | $109.65 | $112.20 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $58.88 Median $67.61 Typical High $70.79 | Professional | 52 · Reduced service | $58.88 | $67.61 | $70.79 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $26.92 Typical High $28.18 | Professional | 53 · Discontinued | $23.44 | $26.92 | $28.18 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $93.33 Median $109.65 Typical High $112.20 | Professional | FX · Film X-ray | $93.33 | $109.65 | $112.20 |
Where Pennsylvania sits
The same service costs 4.2 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· 36th of 51
$178
AK $437UT $105
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.