How much rates vary
Facilitymedian $851 · 10th to 90th $158 to $9,772Professionalmedian $162 · 10th to 90th $138 to $398
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 $158.49 Median $354.81 Typical High $616.60 | Facility | None | $158.49 | $354.81 | $616.60 |
Aetna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $158.49 Typical High $190.55 | Professional | None (both parts) | $131.83 | $158.49 | $190.55 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $53.70 Typical High $57.54 | Professional | 26 · Professional part | $45.71 | $53.70 | $57.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $104.71 Typical High $162.18 | Professional | TC · Technical part | $85.11 | $104.71 | $162.18 |
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 $1,230.27 Median $1,513.56 Typical High $5,011.87 | Facility | TC · Technical part | $1,230.27 | $1,513.56 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $158.49 Median $162.18 Typical High $398.11 | Professional | None (both parts) | $158.49 | $162.18 | $398.11 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $56.23 Typical High $112.20 | Professional | 26 · Professional part | $54.95 | $56.23 | $112.20 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $107.15 Typical High $257.04 | Professional | TC · Technical part | $102.33 | $107.15 | $257.04 |
Cigna Setting Facility Modifier None Typical Low $131.83 Median $338.84 Typical High $9,549.93 | Facility | None | $131.83 | $338.84 | $9,549.93 |
Cigna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $245.47 Typical High $478.63 | Professional | None (both parts) | $131.83 | $245.47 | $478.63 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $57.54 Typical High $104.71 | Professional | 26 · Professional part | $37.15 | $57.54 | $104.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $165.96 Typical High $346.74 | Professional | TC · Technical part | $87.10 | $165.96 | $346.74 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $199.53 Median $239.88 Typical High $295.12 | Professional | None (both parts) | $199.53 | $239.88 | $295.12 |
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 $173.78 Median $346.74 Typical High $537.03 | Professional | None (both parts) | $173.78 | $346.74 | $537.03 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $66.07 Typical High $120.23 | Professional | 26 · Professional part | $47.86 | $66.07 | $120.23 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $229.09 Typical High $478.63 | Professional | TC · Technical part | $114.82 | $229.09 | $478.63 |
Highmark BCBS Setting Facility Modifier None Typical Low $1,698.24 Median $1,698.24 Typical High $1,698.24 | Facility | None | $1,698.24 | $1,698.24 | $1,698.24 |
Martin's Point Setting Facility Modifier None Typical Low $158.49 Median $354.81 Typical High $616.60 | Facility | None | $158.49 | $354.81 | $616.60 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $131.83 Median $158.49 Typical High $190.55 | Professional | None (both parts) | $131.83 | $158.49 | $190.55 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $53.70 Typical High $56.23 | Professional | 26 · Professional part | $45.71 | $53.70 | $56.23 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $104.71 Typical High $131.83 | Professional | TC · Technical part | $85.11 | $104.71 | $131.83 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $194.98 Median $676.08 Typical High $724.44 | Professional | None (both parts) | $194.98 | $676.08 | $724.44 |
UPMC Health Plan Setting Facility Modifier None Typical Low $154.88 Median $1,230.27 Typical High $2,089.30 | Facility | None | $154.88 | $1,230.27 | $2,089.30 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $154.88 Median $489.78 Typical High $489.78 | Professional | None (both parts) | $154.88 | $489.78 | $489.78 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $60.26 Typical High $60.26 | Professional | 26 · Professional part | $53.70 | $60.26 | $60.26 |
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 $144.54 Median $194.98 Typical High $512.86 | Professional | None (both parts) | $144.54 | $194.98 | $512.86 |
United Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $57.54 Typical High $104.71 | Professional | 26 · Professional part | $51.29 | $57.54 | $104.71 |
United Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $123.03 Typical High $371.54 | Professional | TC · Technical part | $91.20 | $123.03 | $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 $64.57 Median $77.62 Typical High $83.18 | Professional | 52 · Reduced service | $64.57 | $77.62 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $30.90 Typical High $33.11 | Professional | 53 · Discontinued | $26.30 | $30.90 | $33.11 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $104.71 Median $123.03 Typical High $125.89 | Professional | FX · Film X-ray | $104.71 | $123.03 | $125.89 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $64.57 Median $75.86 Typical High $79.43 | Professional | 52 · Reduced service | $64.57 | $75.86 | $79.43 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $30.20 Typical High $31.62 | Professional | 53 · Discontinued | $26.30 | $30.20 | $31.62 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $104.71 Median $123.03 Typical High $125.89 | Professional | FX · Film X-ray | $104.71 | $123.03 | $125.89 |
Where Pennsylvania sits
The same service costs 4.0 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· 48th of 51
$162
AK $479TX $120
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.