How much rates vary
Facilitymedian $1,096 · 10th to 90th $162 to $9,550Professionalmedian $166 · 10th to 90th $141 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 $162.18 Median $302.00 Typical High $15,488.17 | Facility | None | $162.18 | $302.00 | $15,488.17 |
Aetna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $162.18 Typical High $208.93 | Professional | None (both parts) | $131.83 | $162.18 | $208.93 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $56.23 Typical High $57.54 | Professional | 26 · Professional part | $48.98 | $56.23 | $57.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $104.71 Typical High $144.54 | Professional | TC · Technical part | $83.18 | $104.71 | $144.54 |
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 $1,122.02 Median $1,380.38 Typical High $5,011.87 | Facility | TC · Technical part | $1,122.02 | $1,380.38 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $158.49 Median $165.96 Typical High $346.74 | Professional | None (both parts) | $158.49 | $165.96 | $346.74 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $61.66 Typical High $112.20 | Professional | 26 · Professional part | $60.26 | $61.66 | $112.20 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $102.33 Typical High $208.93 | Professional | TC · Technical part | $100.00 | $102.33 | $208.93 |
Cigna Setting Facility Modifier None Typical Low $123.03 Median $331.13 Typical High $8,317.64 | Facility | None | $123.03 | $331.13 | $8,317.64 |
Cigna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $229.09 Typical High $426.58 | Professional | None (both parts) | $125.89 | $229.09 | $426.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $58.88 Typical High $109.65 | Professional | 26 · Professional part | $34.67 | $58.88 | $109.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $147.91 Typical High $309.03 | Professional | TC · Technical part | $77.62 | $147.91 | $309.03 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $218.78 Median $263.03 Typical High $323.59 | Professional | None (both parts) | $218.78 | $263.03 | $323.59 |
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 $190.55 Median $323.59 Typical High $537.03 | Professional | None (both parts) | $190.55 | $323.59 | $537.03 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $69.18 Typical High $125.89 | Professional | 26 · Professional part | $46.77 | $69.18 | $125.89 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $234.42 Typical High $457.09 | Professional | TC · Technical part | $123.03 | $234.42 | $457.09 |
Highmark BCBS Setting Facility Modifier None Typical Low $6,918.31 Median $7,943.28 Typical High $9,120.11 | Facility | None | $6,918.31 | $7,943.28 | $9,120.11 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $63.10 Typical High $79.43 | Professional | 26 · Professional part | $63.10 | $63.10 | $79.43 |
Martin's Point Setting Facility Modifier None Typical Low $162.18 Median $302.00 Typical High $18,197.01 | Facility | None | $162.18 | $302.00 | $18,197.01 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $131.83 Median $162.18 Typical High $165.96 | Professional | None (both parts) | $131.83 | $162.18 | $165.96 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $57.54 Typical High $57.54 | Professional | 26 · Professional part | $48.98 | $57.54 | $57.54 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $104.71 Typical High $109.65 | Professional | TC · Technical part | $83.18 | $104.71 | $109.65 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $190.55 Median $616.60 Typical High $724.44 | Professional | None (both parts) | $190.55 | $616.60 | $724.44 |
UPMC Health Plan Setting Facility Modifier None Typical Low $151.36 Median $1,230.27 Typical High $2,089.30 | Facility | None | $151.36 | $1,230.27 | $2,089.30 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $151.36 Median $489.78 Typical High $489.78 | Professional | None (both parts) | $151.36 | $489.78 | $489.78 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $58.88 Typical High $58.88 | Professional | 26 · Professional part | $57.54 | $58.88 | $58.88 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $426.58 Typical High $426.58 | Professional | TC · Technical part | $93.33 | $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 $158.49 Median $204.17 Typical High $489.78 | Professional | None (both parts) | $158.49 | $204.17 | $489.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $64.57 Typical High $120.23 | Professional | 26 · Professional part | $52.48 | $64.57 | $120.23 |
United Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $131.83 Typical High $346.74 | Professional | TC · Technical part | $102.33 | $131.83 | $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 $66.07 Median $77.62 Typical High $81.28 | Professional | 52 · Reduced service | $66.07 | $77.62 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $31.62 Typical High $32.36 | Professional | 53 · Discontinued | $26.92 | $31.62 | $32.36 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $107.15 Median $123.03 Typical High $128.82 | Professional | FX · Film X-ray | $107.15 | $123.03 | $128.82 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $66.07 Median $77.62 Typical High $81.28 | Professional | 52 · Reduced service | $66.07 | $77.62 | $81.28 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $30.90 Typical High $32.36 | Professional | 53 · Discontinued | $26.92 | $30.90 | $32.36 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $107.15 Median $123.03 Typical High $128.82 | Professional | FX · Film X-ray | $107.15 | $123.03 | $128.82 |
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· 44th of 51
$166
AK $468UT $123
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.