How much rates vary
Facilitymedian $759 · 10th to 90th $129 to $2,570Professionalmedian $129 · 10th to 90th $112 to $372
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 $128.82 Median $288.40 Typical High $501.19 | Facility | None | $128.82 | $288.40 | $501.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $125.89 Typical High $131.83 | Professional | None (both parts) | $107.15 | $125.89 | $131.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $51.29 Typical High $52.48 | Professional | 26 · Professional part | $45.71 | $51.29 | $52.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $74.13 Typical High $77.62 | Professional | TC · Technical part | $61.66 | $74.13 | $77.62 |
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 $1,230.27 Median $1,513.56 Typical High $5,011.87 | Facility | TC · Technical part | $1,230.27 | $1,513.56 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $125.89 Median $128.82 Typical High $363.08 | Professional | None (both parts) | $125.89 | $128.82 | $363.08 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $56.23 Typical High $107.15 | Professional | 26 · Professional part | $53.70 | $56.23 | $107.15 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $74.13 Typical High $223.87 | Professional | TC · Technical part | $70.79 | $74.13 | $223.87 |
Cigna Setting Facility Modifier None Typical Low $95.50 Median $245.47 Typical High $1,819.70 | Facility | None | $95.50 | $245.47 | $1,819.70 |
Cigna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $190.55 Typical High $457.09 | Professional | None (both parts) | $102.33 | $190.55 | $457.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $54.95 Typical High $102.33 | Professional | 26 · Professional part | $38.02 | $54.95 | $102.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $114.82 Typical High $346.74 | Professional | TC · Technical part | $58.88 | $114.82 | $346.74 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $147.91 Median $177.83 Typical High $223.87 | Professional | None (both parts) | $147.91 | $177.83 | $223.87 |
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 $128.82 Median $275.42 Typical High $537.03 | Professional | None (both parts) | $128.82 | $275.42 | $537.03 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $66.07 Typical High $112.20 | Professional | 26 · Professional part | $47.86 | $66.07 | $112.20 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $177.83 Typical High $478.63 | Professional | TC · Technical part | $74.13 | $177.83 | $478.63 |
Martin's Point Setting Facility Modifier None Typical Low $128.82 Median $288.40 Typical High $501.19 | Facility | None | $128.82 | $288.40 | $501.19 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $107.15 Median $125.89 Typical High $128.82 | Professional | None (both parts) | $107.15 | $125.89 | $128.82 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $51.29 Typical High $52.48 | Professional | 26 · Professional part | $45.71 | $51.29 | $52.48 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $74.13 Typical High $75.86 | Professional | TC · Technical part | $61.66 | $74.13 | $75.86 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $151.36 Median $660.69 Typical High $724.44 | Professional | None (both parts) | $151.36 | $660.69 | $724.44 |
UPMC Health Plan Setting Facility Modifier None Typical Low $125.89 Median $1,230.27 Typical High $2,089.30 | Facility | None | $125.89 | $1,230.27 | $2,089.30 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $125.89 Median $489.78 Typical High $489.78 | Professional | None (both parts) | $125.89 | $489.78 | $489.78 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $57.54 Typical High $57.54 | Professional | 26 · Professional part | $53.70 | $57.54 | $57.54 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $426.58 Typical High $426.58 | Professional | TC · Technical part | $70.79 | $426.58 | $426.58 |
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 $123.03 Median $165.96 Typical High $524.81 | Professional | None (both parts) | $123.03 | $165.96 | $524.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $58.88 Typical High $107.15 | Professional | 26 · Professional part | $51.29 | $58.88 | $107.15 |
United Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $93.33 Typical High $416.87 | Professional | TC · Technical part | $70.79 | $93.33 | $416.87 |
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 $53.70 Median $63.10 Typical High $66.07 | Professional | 52 · Reduced service | $53.70 | $63.10 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $25.12 Typical High $26.30 | Professional | 53 · Discontinued | $21.38 | $25.12 | $26.30 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $85.11 Median $100.00 Typical High $102.33 | Professional | FX · Film X-ray | $85.11 | $100.00 | $102.33 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $53.70 Median $61.66 Typical High $64.57 | Professional | 52 · Reduced service | $53.70 | $61.66 | $64.57 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $25.12 Typical High $25.70 | Professional | 53 · Discontinued | $21.38 | $25.12 | $25.70 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $85.11 Median $100.00 Typical High $102.33 | Professional | FX · Film X-ray | $85.11 | $100.00 | $102.33 |
Where Pennsylvania sits
The same service costs 4.9 times more in Alaska than in Texas. 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· 48th of 51
$129
AK $398TX $81.28
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.