How much rates vary
Facilitymedian $741 · 10th to 90th $115 to $9,772Professionalmedian $145 · 10th to 90th $100 to $437
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 $114.82 Median $114.82 Typical High $478.63 | Facility | None | $114.82 | $114.82 | $478.63 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $53.70 Median $63.10 Typical High $239.88 | Facility | TC · Technical part | $53.70 | $63.10 | $239.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $114.82 Typical High $223.87 | Professional | None (both parts) | $95.50 | $114.82 | $223.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $51.29 Typical High $58.88 | Professional | 26 · Professional part | $43.65 | $51.29 | $58.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $63.10 Typical High $158.49 | Professional | TC · Technical part | $50.12 | $63.10 | $158.49 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $75.86 Median $75.86 Typical High $213.80 | Professional | None (both parts) | $75.86 | $75.86 | $213.80 |
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 $1,096.48 Median $1,348.96 Typical High $5,011.87 | Facility | TC · Technical part | $1,096.48 | $1,348.96 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $112.20 Median $199.53 Typical High $323.59 | Professional | None (both parts) | $112.20 | $199.53 | $323.59 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $91.20 Typical High $138.04 | Professional | 26 · Professional part | $53.70 | $91.20 | $138.04 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $107.15 Typical High $181.97 | Professional | TC · Technical part | $57.54 | $107.15 | $181.97 |
Cigna Setting Facility Modifier None Typical Low $77.62 Median $204.17 Typical High $9,549.93 | Facility | None | $77.62 | $204.17 | $9,549.93 |
Cigna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $169.82 Typical High $416.87 | Professional | None (both parts) | $91.20 | $169.82 | $416.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $57.54 Typical High $102.33 | Professional | 26 · Professional part | $35.48 | $57.54 | $102.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $97.72 Typical High $295.12 | Professional | TC · Technical part | $48.98 | $97.72 | $295.12 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $134.90 Median $158.49 Typical High $204.17 | Professional | None (both parts) | $134.90 | $158.49 | $204.17 |
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 $117.49 Median $239.88 Typical High $537.03 | Professional | None (both parts) | $117.49 | $239.88 | $537.03 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $63.10 Typical High $112.20 | Professional | 26 · Professional part | $46.77 | $63.10 | $112.20 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $144.54 Typical High $478.63 | Professional | TC · Technical part | $61.66 | $144.54 | $478.63 |
Highmark BCBS Setting Facility Modifier None Typical Low $6,760.83 Median $6,760.83 Typical High $19,498.45 | Facility | None | $6,760.83 | $6,760.83 | $19,498.45 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $66.07 Typical High $81.28 | Professional | 26 · Professional part | $60.26 | $66.07 | $81.28 |
Martin's Point Setting Facility Modifier None Typical Low $114.82 Median $114.82 Typical High $478.63 | Facility | None | $114.82 | $114.82 | $478.63 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $95.50 Median $114.82 Typical High $213.80 | Professional | None (both parts) | $95.50 | $114.82 | $213.80 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $51.29 Typical High $57.54 | Professional | 26 · Professional part | $43.65 | $51.29 | $57.54 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $63.10 Typical High $158.49 | Professional | TC · Technical part | $50.12 | $63.10 | $158.49 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $134.90 Median $602.56 Typical High $724.44 | Professional | None (both parts) | $134.90 | $602.56 | $724.44 |
UPMC Health Plan Setting Facility Modifier None Typical Low $109.65 Median $1,230.27 Typical High $4,677.35 | Facility | None | $109.65 | $1,230.27 | $4,677.35 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $109.65 Median $537.03 Typical High $537.03 | Professional | None (both parts) | $109.65 | $537.03 | $537.03 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $102.33 Typical High $102.33 | Professional | 26 · Professional part | $52.48 | $102.33 | $102.33 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $426.58 Typical High $426.58 | Professional | TC · Technical part | $58.88 | $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 $109.65 Median $144.54 Typical High $478.63 | Professional | None (both parts) | $109.65 | $144.54 | $478.63 |
United Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $56.23 Typical High $104.71 | Professional | 26 · Professional part | $50.12 | $56.23 | $104.71 |
United Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $79.43 Typical High $346.74 | Professional | TC · Technical part | $60.26 | $79.43 | $346.74 |
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 $47.86 Median $54.95 Typical High $58.88 | Professional | 52 · Reduced service | $47.86 | $54.95 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $22.39 Typical High $23.44 | Professional | 53 · Discontinued | $19.05 | $22.39 | $23.44 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $75.86 Median $89.13 Typical High $91.20 | Professional | FX · Film X-ray | $75.86 | $89.13 | $91.20 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $47.86 Median $54.95 Typical High $57.54 | Professional | 52 · Reduced service | $47.86 | $54.95 | $57.54 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $21.88 Typical High $22.91 | Professional | 53 · Discontinued | $19.05 | $21.88 | $22.91 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $75.86 Median $89.13 Typical High $91.20 | Professional | FX · Film X-ray | $75.86 | $89.13 | $91.20 |
Where Pennsylvania sits
The same service costs 4.8 times more in Kansas 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· 35th of 51
$148
KS $363UT $75.86
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.