How much rates vary
Facilitymedian $955 · 10th to 90th $302 to $9,772Professionalmedian $2,455 · 10th to 90th $263 to $3,236
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 $1,445.44 Median $2,511.89 Typical High $2,884.03 | Facility | None | $1,445.44 | $2,511.89 | $2,884.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,737.80 Median $2,511.89 Typical High $2,884.03 | Professional | None (both parts) | $1,737.80 | $2,511.89 | $2,884.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $51.29 Typical High $54.95 | Professional | 26 · Professional part | $44.67 | $51.29 | $54.95 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $1,737.80 Median $2,630.27 Typical High $2,884.03 | Professional | TC · Technical part | $1,737.80 | $2,630.27 | $2,884.03 |
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 $1,288.25 Median $1,584.89 Typical High $5,011.87 | Facility | TC · Technical part | $1,288.25 | $1,584.89 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $549.54 Median $3,162.28 Typical High $3,235.94 | Professional | None (both parts) | $549.54 | $3,162.28 | $3,235.94 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $53.70 Typical High $117.49 | Professional | 26 · Professional part | $52.48 | $53.70 | $117.49 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $446.68 Median $3,090.30 Typical High $3,235.94 | Professional | TC · Technical part | $446.68 | $3,090.30 | $3,235.94 |
Cigna Setting Facility Modifier None Typical Low $257.04 Median $691.83 Typical High $9,549.93 | Facility | None | $257.04 | $691.83 | $9,549.93 |
Cigna Setting Professional Modifier None (both parts) Typical Low $199.53 Median $288.40 Typical High $501.19 | Professional | None (both parts) | $199.53 | $288.40 | $501.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $60.26 Typical High $102.33 | Professional | 26 · Professional part | $35.48 | $60.26 | $102.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $229.09 Typical High $407.38 | Professional | TC · Technical part | $162.18 | $229.09 | $407.38 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $346.74 Median $512.86 Typical High $4,786.30 | Professional | None (both parts) | $346.74 | $512.86 | $4,786.30 |
Geisinger Setting Facility Modifier None Typical Low $363.08 Median $363.08 Typical High $363.08 | Facility | None | $363.08 | $363.08 | $363.08 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $208.93 Median $223.87 Typical High $575.44 | Professional | None (both parts) | $208.93 | $223.87 | $575.44 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $64.57 Typical High $114.82 | Professional | 26 · Professional part | $46.77 | $64.57 | $114.82 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $173.78 Typical High $467.74 | Professional | TC · Technical part | $162.18 | $173.78 | $467.74 |
Highmark BCBS Setting Facility Modifier None Typical Low $6,918.31 Median $6,918.31 Typical High $6,918.31 | Facility | None | $6,918.31 | $6,918.31 | $6,918.31 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $67.61 Typical High $104.71 | Professional | 26 · Professional part | $67.61 | $67.61 | $104.71 |
Martin's Point Setting Facility Modifier None Typical Low $1,445.44 Median $2,511.89 Typical High $2,884.03 | Facility | None | $1,445.44 | $2,511.89 | $2,884.03 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $2,290.87 Median $2,630.27 Typical High $2,884.03 | Professional | None (both parts) | $2,290.87 | $2,630.27 | $2,884.03 |
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 $2,290.87 Median $2,630.27 Typical High $2,884.03 | Professional | TC · Technical part | $2,290.87 | $2,630.27 | $2,884.03 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $363.08 Median $446.68 Typical High $691.83 | Professional | None (both parts) | $363.08 | $446.68 | $691.83 |
UPMC Health Plan Setting Facility Modifier None Typical Low $295.12 Median $691.83 Typical High $8,709.64 | Facility | None | $295.12 | $691.83 | $8,709.64 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $295.12 Median $295.12 Typical High $302.00 | Professional | None (both parts) | $295.12 | $295.12 | $302.00 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $63.10 Typical High $63.10 | Professional | 26 · Professional part | $52.48 | $63.10 | $63.10 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $234.42 Typical High $251.19 | Professional | TC · Technical part | $234.42 | $234.42 | $251.19 |
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 $257.04 Median $2,630.27 Typical High $4,897.79 | Professional | None (both parts) | $257.04 | $2,630.27 | $4,897.79 |
United Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $57.54 Typical High $104.71 | Professional | 26 · Professional part | $50.12 | $57.54 | $104.71 |
United Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $2,630.27 Typical High $4,786.30 | Professional | TC · Technical part | $204.17 | $2,630.27 | $4,786.30 |
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 $1,071.52 Median $1,318.26 Typical High $1,445.44 | Professional | 52 · Reduced service | $1,071.52 | $1,318.26 | $1,445.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $426.58 Median $524.81 Typical High $575.44 | Professional | 53 · Discontinued | $426.58 | $524.81 | $575.44 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $1,862.09 Median $2,137.96 Typical High $2,290.87 | Professional | FX · Film X-ray | $1,862.09 | $2,137.96 | $2,290.87 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $1,148.15 Median $1,348.96 Typical High $1,445.44 | Professional | 52 · Reduced service | $1,148.15 | $1,348.96 | $1,445.44 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $467.74 Median $537.03 Typical High $575.44 | Professional | 53 · Discontinued | $467.74 | $537.03 | $575.44 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $1,862.09 Median $2,137.96 Typical High $2,290.87 | Professional | FX · Film X-ray | $1,862.09 | $2,137.96 | $2,290.87 |
Where Pennsylvania sits
The same service costs 15.1 times more in Colorado 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· 11th of 51
$2,455
CO $3,890NJ $257
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.