How much rates vary
Facilitymedian $170 · 10th to 90th $83 to $363Professionalmedian $81 · 10th to 90th $68 to $182
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 $83.18 Median $229.09 Typical High $346.74 | Facility | None | $83.18 | $229.09 | $346.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $67.61 Median $79.43 Typical High $85.11 | Professional | None (both parts) | $67.61 | $79.43 | $85.11 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $22.39 Typical High $22.39 | Professional | 26 · Professional part | $19.50 | $22.39 | $22.39 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $58.88 Typical High $64.57 | Professional | TC · Technical part | $48.98 | $58.88 | $64.57 |
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 $323.59 Median $398.11 Typical High $5,011.87 | Facility | TC · Technical part | $323.59 | $398.11 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $77.62 Median $81.28 Typical High $186.21 | Professional | None (both parts) | $77.62 | $81.28 | $186.21 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $23.44 Typical High $46.77 | Professional | 26 · Professional part | $22.91 | $23.44 | $46.77 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $57.54 Typical High $138.04 | Professional | TC · Technical part | $56.23 | $57.54 | $138.04 |
Cigna Setting Facility Modifier None Typical Low $70.79 Median $169.82 Typical High $363.08 | Facility | None | $70.79 | $169.82 | $363.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $50.12 Median $87.10 Typical High $162.18 | Professional | None (both parts) | $50.12 | $87.10 | $162.18 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $24.55 Typical High $43.65 | Professional | 26 · Professional part | $14.13 | $24.55 | $43.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $63.10 Typical High $117.49 | Professional | TC · Technical part | $36.31 | $63.10 | $117.49 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $102.33 Median $120.23 Typical High $151.36 | Professional | None (both parts) | $102.33 | $120.23 | $151.36 |
Geisinger Setting Facility Modifier None Typical Low $46.77 Median $46.77 Typical High $46.77 | Facility | None | $46.77 | $46.77 | $46.77 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $41.69 Median $89.13 Typical High $173.78 | Professional | None (both parts) | $41.69 | $89.13 | $173.78 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $26.92 Typical High $50.12 | Professional | 26 · Professional part | $19.05 | $26.92 | $50.12 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $64.57 Typical High $125.89 | Professional | TC · Technical part | $22.91 | $64.57 | $125.89 |
Highmark BCBS Setting Facility Modifier None Typical Low $223.87 Median $223.87 Typical High $223.87 | Facility | None | $223.87 | $223.87 | $223.87 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | 26 · Professional part | $42.66 | $42.66 | $42.66 |
Martin's Point Setting Facility Modifier None Typical Low $83.18 Median $229.09 Typical High $346.74 | Facility | None | $83.18 | $229.09 | $346.74 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $67.61 Median $79.43 Typical High $83.18 | Professional | None (both parts) | $67.61 | $79.43 | $83.18 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $22.39 Typical High $22.39 | Professional | 26 · Professional part | $19.50 | $22.39 | $22.39 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $58.88 Typical High $60.26 | Professional | TC · Technical part | $48.98 | $58.88 | $60.26 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $67.61 Median $81.28 Typical High $194.98 | Professional | None (both parts) | $67.61 | $81.28 | $194.98 |
UPMC Health Plan Setting Facility Modifier None Typical Low $79.43 Median $147.91 Typical High $204.17 | Facility | None | $79.43 | $147.91 | $204.17 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $79.43 Median $85.11 Typical High $85.11 | Professional | None (both parts) | $79.43 | $85.11 | $85.11 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $25.12 Typical High $25.12 | Professional | 26 · Professional part | $22.91 | $25.12 | $25.12 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $60.26 Typical High $60.26 | Professional | TC · Technical part | $56.23 | $60.26 | $60.26 |
United Setting Facility Modifier None Typical Low $144.54 Median $309.03 Typical High $354.81 | Facility | None | $144.54 | $309.03 | $354.81 |
United Setting Professional Modifier None (both parts) Typical Low $58.88 Median $91.20 Typical High $165.96 | Professional | None (both parts) | $58.88 | $91.20 | $165.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $23.99 Typical High $44.67 | Professional | 26 · Professional part | $20.89 | $23.99 | $44.67 |
United Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $67.61 Typical High $120.23 | Professional | TC · Technical part | $48.98 | $67.61 | $120.23 |
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 $33.88 Median $39.81 Typical High $41.69 | Professional | 52 · Reduced service | $33.88 | $39.81 | $41.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $15.85 Typical High $16.60 | Professional | 53 · Discontinued | $13.49 | $15.85 | $16.60 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $54.95 Median $63.10 Typical High $66.07 | Professional | FX · Film X-ray | $54.95 | $63.10 | $66.07 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $33.88 Median $39.81 Typical High $41.69 | Professional | 52 · Reduced service | $33.88 | $39.81 | $41.69 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $15.85 Typical High $16.60 | Professional | 53 · Discontinued | $13.49 | $15.85 | $16.60 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $54.95 Median $63.10 Typical High $66.07 | Professional | FX · Film X-ray | $54.95 | $63.10 | $66.07 |
Where Pennsylvania sits
The same service costs 3.8 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· 41st of 51
$83.18
AK $245UT $64.57
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.