How much rates vary
Facilitymedian $912 · 10th to 90th $98 to $33,113Professionalmedian $105 · 10th to 90th $81 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 $81.28 Median $97.72 Typical High $323.59 | Facility | None | $81.28 | $97.72 | $323.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $81.28 Median $97.72 Typical High $165.96 | Professional | None (both parts) | $81.28 | $97.72 | $165.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $43.65 Typical High $51.29 | Professional | 26 · Professional part | $17.38 | $43.65 | $51.29 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $52.48 Typical High $147.91 | Professional | TC · Technical part | $41.69 | $52.48 | $147.91 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $30.90 Typical High $37.15 | Professional | 26 · Professional part | $30.90 | $30.90 | $37.15 |
AmeriHealth Setting Facility Modifier None Typical Low $20,892.96 Median $43,651.58 Typical High $56,234.13 | Facility | None | $20,892.96 | $43,651.58 | $56,234.13 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $57.54 Typical High $69.18 | Professional | 26 · Professional part | $51.29 | $57.54 | $69.18 |
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 $1,071.52 Median $1,288.25 Typical High $5,011.87 | Facility | TC · Technical part | $1,071.52 | $1,288.25 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $56,234.13 Median $56,234.13 Typical High $56,234.13 | Professional | None (both parts) | $56,234.13 | $56,234.13 | $56,234.13 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $45.71 Typical High $66.07 | Professional | 26 · Professional part | $29.51 | $45.71 | $66.07 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $50.12 Typical High $154.88 | Professional | TC · Technical part | $47.86 | $50.12 | $154.88 |
Cigna Setting Facility Modifier None Typical Low $1,548.82 Median $1,548.82 Typical High $1,548.82 | Facility | None | $1,548.82 | $1,548.82 | $1,548.82 |
Cigna Setting Professional Modifier None (both parts) Typical Low $77.62 Median $138.04 Typical High $338.84 | Professional | None (both parts) | $77.62 | $138.04 | $338.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $30.20 Typical High $66.07 | Professional | 26 · Professional part | $11.48 | $30.20 | $66.07 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $83.18 Typical High $288.40 | Professional | TC · Technical part | $39.81 | $83.18 | $288.40 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $112.20 Median $134.90 Typical High $169.82 | Professional | None (both parts) | $112.20 | $134.90 | $169.82 |
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 $100.00 Median $199.53 Typical High $489.78 | Professional | None (both parts) | $100.00 | $199.53 | $489.78 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $43.65 Typical High $77.62 | Professional | 26 · Professional part | $14.79 | $43.65 | $77.62 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $134.90 Typical High $478.63 | Professional | TC · Technical part | $51.29 | $134.90 | $478.63 |
Highmark BCBS Setting Facility Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Facility | None | $1,071.52 | $1,071.52 | $1,071.52 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $56.23 Typical High $75.86 | Professional | 26 · Professional part | $47.86 | $56.23 | $75.86 |
Independence Blue Cross Setting Facility Modifier None Typical Low $20,892.96 Median $33,113.11 Typical High $56,234.13 | Facility | None | $20,892.96 | $33,113.11 | $56,234.13 |
Independence Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $57.54 Typical High $69.18 | Professional | 26 · Professional part | $45.71 | $57.54 | $69.18 |
Martin's Point Setting Facility Modifier None Typical Low $81.28 Median $97.72 Typical High $323.59 | Facility | None | $81.28 | $97.72 | $323.59 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $81.28 Median $97.72 Typical High $165.96 | Professional | None (both parts) | $81.28 | $97.72 | $165.96 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $43.65 Typical High $50.12 | Professional | 26 · Professional part | $17.78 | $43.65 | $50.12 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $52.48 Typical High $147.91 | Professional | TC · Technical part | $41.69 | $52.48 | $147.91 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $112.20 Median $501.19 Typical High $676.08 | Professional | None (both parts) | $112.20 | $501.19 | $676.08 |
UPMC Health Plan Setting Facility Modifier None Typical Low $93.33 Median $912.01 Typical High $1,905.46 | Facility | None | $93.33 | $912.01 | $1,905.46 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $93.33 Median $489.78 Typical High $489.78 | Professional | None (both parts) | $93.33 | $489.78 | $489.78 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $58.88 Typical High $58.88 | Professional | 26 · Professional part | $45.71 | $58.88 | $58.88 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $426.58 Typical High $426.58 | Professional | TC · Technical part | $48.98 | $426.58 | $426.58 |
United Setting Professional Modifier None (both parts) Typical Low $95.50 Median $123.03 Typical High $436.52 | Professional | None (both parts) | $95.50 | $123.03 | $436.52 |
United Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $47.86 Typical High $85.11 | Professional | 26 · Professional part | $17.38 | $47.86 | $85.11 |
United Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $66.07 Typical High $338.84 | Professional | TC · Technical part | $50.12 | $66.07 | $338.84 |
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 $40.74 Median $46.77 Typical High $48.98 | Professional | 52 · Reduced service | $40.74 | $46.77 | $48.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $19.05 Typical High $19.95 | Professional | 53 · Discontinued | $16.22 | $19.05 | $19.95 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $64.57 Median $75.86 Typical High $77.62 | Professional | FX · Film X-ray | $64.57 | $75.86 | $77.62 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $40.74 Median $46.77 Typical High $48.98 | Professional | 52 · Reduced service | $40.74 | $46.77 | $48.98 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $19.05 Typical High $19.50 | Professional | 53 · Discontinued | $16.22 | $19.05 | $19.50 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $64.57 Median $75.86 Typical High $77.62 | Professional | FX · Film X-ray | $64.57 | $75.86 | $77.62 |
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· 41st of 51
$107
AK $295TX $74.13
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.