How much rates vary
Facilitymedian $692 · 10th to 90th $263 to $2,138Professionalmedian $562 · 10th to 90th $234 to $676
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 $562.34 Median $645.65 Typical High $1,096.48 | Facility | None | $562.34 | $645.65 | $1,096.48 |
Aetna Setting Professional Modifier None (both parts) Typical Low $426.58 Median $524.81 Typical High $562.34 | Professional | None (both parts) | $426.58 | $524.81 | $562.34 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $40.74 Typical High $40.74 | Professional | 26 · Professional part | $35.48 | $40.74 | $40.74 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $416.87 Median $512.86 Typical High $549.54 | Professional | TC · Technical part | $416.87 | $512.86 | $549.54 |
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 $1,148.15 Median $1,380.38 Typical High $5,011.87 | Facility | TC · Technical part | $1,148.15 | $1,380.38 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $426.58 Median $645.65 Typical High $676.08 | Professional | None (both parts) | $426.58 | $645.65 | $676.08 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $44.67 Typical High $87.10 | Professional | 26 · Professional part | $42.66 | $44.67 | $87.10 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $346.74 Median $602.56 Typical High $630.96 | Professional | TC · Technical part | $346.74 | $602.56 | $630.96 |
Cigna Setting Facility Modifier None Typical Low $257.04 Median $660.69 Typical High $1,819.70 | Facility | None | $257.04 | $660.69 | $1,819.70 |
Cigna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $257.04 Typical High $457.09 | Professional | None (both parts) | $169.82 | $257.04 | $457.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $45.71 Typical High $81.28 | Professional | 26 · Professional part | $25.70 | $45.71 | $81.28 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $208.93 Typical High $380.19 | Professional | TC · Technical part | $141.25 | $208.93 | $380.19 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $338.84 Median $489.78 Typical High $1,000.00 | Professional | None (both parts) | $338.84 | $489.78 | $1,000.00 |
Geisinger Setting Facility Modifier None Typical Low $316.23 Median $316.23 Typical High $316.23 | Facility | None | $316.23 | $316.23 | $316.23 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $177.83 Median $204.17 Typical High $512.86 | Professional | None (both parts) | $177.83 | $204.17 | $512.86 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $48.98 Typical High $91.20 | Professional | 26 · Professional part | $33.88 | $48.98 | $91.20 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $162.18 Typical High $426.58 | Professional | TC · Technical part | $147.91 | $162.18 | $426.58 |
Highmark BCBS Setting Facility Modifier None Typical Low $3,548.13 Median $3,548.13 Typical High $3,548.13 | Facility | None | $3,548.13 | $3,548.13 | $3,548.13 |
Martin's Point Setting Facility Modifier None Typical Low $562.34 Median $645.65 Typical High $1,096.48 | Facility | None | $562.34 | $645.65 | $1,096.48 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $446.68 Median $524.81 Typical High $562.34 | Professional | None (both parts) | $446.68 | $524.81 | $562.34 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $40.74 Typical High $40.74 | Professional | 26 · Professional part | $35.48 | $40.74 | $40.74 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $436.52 Median $512.86 Typical High $549.54 | Professional | TC · Technical part | $436.52 | $512.86 | $549.54 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $16.60 Median $309.03 Typical High $549.54 | Professional | None (both parts) | $16.60 | $309.03 | $549.54 |
UPMC Health Plan Setting Facility Modifier None Typical Low $251.19 Median $676.08 Typical High $1,737.80 | Facility | None | $251.19 | $676.08 | $1,737.80 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $251.19 Median $251.19 Typical High $263.03 | Professional | None (both parts) | $251.19 | $251.19 | $263.03 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $43.65 Typical High $43.65 | Professional | 26 · Professional part | $41.69 | $43.65 | $43.65 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $208.93 Typical High $218.78 | Professional | TC · Technical part | $208.93 | $208.93 | $218.78 |
United Setting Facility Modifier None Typical Low $870.96 Median $1,819.70 Typical High $2,137.96 | Facility | None | $870.96 | $1,819.70 | $2,137.96 |
United Setting Professional Modifier None (both parts) Typical Low $223.87 Median $616.60 Typical High $1,174.90 | Professional | None (both parts) | $223.87 | $616.60 | $1,174.90 |
United Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $43.65 Typical High $81.28 | Professional | 26 · Professional part | $37.15 | $43.65 | $81.28 |
United Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $588.84 Typical High $1,096.48 | Professional | TC · Technical part | $186.21 | $588.84 | $1,096.48 |
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 $213.80 Median $263.03 Typical High $281.84 | Professional | 52 · Reduced service | $213.80 | $263.03 | $281.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $87.10 Median $104.71 Typical High $112.20 | Professional | 53 · Discontinued | $87.10 | $104.71 | $112.20 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $354.81 Median $416.87 Typical High $446.68 | Professional | FX · Film X-ray | $354.81 | $416.87 | $446.68 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $223.87 Median $263.03 Typical High $281.84 | Professional | 52 · Reduced service | $223.87 | $263.03 | $281.84 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $89.13 Median $104.71 Typical High $112.20 | Professional | 53 · Discontinued | $89.13 | $104.71 | $112.20 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $354.81 Median $416.87 Typical High $446.68 | Professional | FX · Film X-ray | $354.81 | $416.87 | $446.68 |
Where Pennsylvania sits
The same service costs 4.8 times more in Alaska than in New Jersey. 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· 16th of 51
$562
AK $1,000NJ $209
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.