How much rates vary
Facilitymedian $741 · 10th to 90th $135 to $9,550Professionalmedian $138 · 10th to 90th $117 to $355
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 $323.59 Typical High $549.54 | Facility | None | $134.90 | $323.59 | $549.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $131.83 Typical High $173.78 | Professional | None (both parts) | $109.65 | $131.83 | $173.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $51.29 Typical High $52.48 | Professional | 26 · Professional part | $44.67 | $51.29 | $52.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $81.28 Typical High $117.49 | Professional | TC · Technical part | $66.07 | $81.28 | $117.49 |
Capital Blue Cross Setting Facility Modifier None Typical Low $213.80 Median $5,011.87 Typical High $56,234.13 | Facility | None | $213.80 | $5,011.87 | $56,234.13 |
Capital Blue Cross Setting Facility Modifier TC · Technical part Typical Low $1,174.90 Median $1,445.44 Typical High $5,011.87 | Facility | TC · Technical part | $1,174.90 | $1,445.44 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $131.83 Median $138.04 Typical High $354.81 | Professional | None (both parts) | $131.83 | $138.04 | $354.81 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $53.70 Typical High $109.65 | Professional | 26 · Professional part | $52.48 | $53.70 | $109.65 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $83.18 Typical High $218.78 | Professional | TC · Technical part | $79.43 | $83.18 | $218.78 |
Cigna Setting Facility Modifier None Typical Low $104.71 Median $263.03 Typical High $8,317.64 | Facility | None | $104.71 | $263.03 | $8,317.64 |
Cigna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $199.53 Typical High $436.52 | Professional | None (both parts) | $107.15 | $199.53 | $436.52 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $57.54 Typical High $102.33 | Professional | 26 · Professional part | $34.67 | $57.54 | $102.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $125.89 Typical High $323.59 | Professional | TC · Technical part | $64.57 | $125.89 | $323.59 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $158.49 Median $190.55 Typical High $239.88 | Professional | None (both parts) | $158.49 | $190.55 | $239.88 |
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 $138.04 Median $281.84 Typical High $537.03 | Professional | None (both parts) | $138.04 | $281.84 | $537.03 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $63.10 Typical High $109.65 | Professional | 26 · Professional part | $46.77 | $63.10 | $109.65 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $177.83 Typical High $478.63 | Professional | TC · Technical part | $83.18 | $177.83 | $478.63 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $54.95 Typical High $67.61 | Professional | 26 · Professional part | $54.95 | $54.95 | $67.61 |
Martin's Point Setting Facility Modifier None Typical Low $134.90 Median $323.59 Typical High $549.54 | Facility | None | $134.90 | $323.59 | $549.54 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $109.65 Median $128.82 Typical High $134.90 | Professional | None (both parts) | $109.65 | $128.82 | $134.90 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $51.29 Typical High $52.48 | Professional | 26 · Professional part | $44.67 | $51.29 | $52.48 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $81.28 Typical High $83.18 | Professional | TC · Technical part | $66.07 | $81.28 | $83.18 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $158.49 Median $630.96 Typical High $724.44 | Professional | None (both parts) | $158.49 | $630.96 | $724.44 |
UPMC Health Plan Setting Facility Modifier None Typical Low $128.82 Median $1,230.27 Typical High $2,041.74 | Facility | None | $128.82 | $1,230.27 | $2,041.74 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $128.82 Median $489.78 Typical High $489.78 | Professional | None (both parts) | $128.82 | $489.78 | $489.78 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $57.54 Typical High $57.54 | Professional | 26 · Professional part | $52.48 | $57.54 | $57.54 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $426.58 Typical High $426.58 | Professional | TC · Technical part | $77.62 | $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 $125.89 Median $169.82 Typical High $489.78 | Professional | None (both parts) | $125.89 | $169.82 | $489.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $56.23 Typical High $104.71 | Professional | 26 · Professional part | $50.12 | $56.23 | $104.71 |
United Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $100.00 Typical High $354.81 | Professional | TC · Technical part | $75.86 | $100.00 | $354.81 |
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 $54.95 Median $64.57 Typical High $69.18 | Professional | 52 · Reduced service | $54.95 | $64.57 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $26.30 Typical High $27.54 | Professional | 53 · Discontinued | $22.39 | $26.30 | $27.54 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $89.13 Median $102.33 Typical High $107.15 | Professional | FX · Film X-ray | $89.13 | $102.33 | $107.15 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $54.95 Median $64.57 Typical High $67.61 | Professional | 52 · Reduced service | $54.95 | $64.57 | $67.61 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $25.70 Typical High $26.92 | Professional | 53 · Discontinued | $22.39 | $25.70 | $26.92 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $89.13 Median $102.33 Typical High $107.15 | Professional | FX · Film X-ray | $89.13 | $102.33 | $107.15 |
Where Pennsylvania sits
The same service costs 4.3 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· 45th of 51
$138
AK $407UT $95.50
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.