How much rates vary
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 $109.65 Median $112.20 Typical High $446.68 | Facility | None | $109.65 | $112.20 | $446.68 |
Aetna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $104.71 Typical High $109.65 | Professional | None (both parts) | $89.13 | $104.71 | $109.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $32.36 Typical High $33.11 | Professional | 26 · Professional part | $28.18 | $32.36 | $33.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $74.13 Typical High $77.62 | Professional | TC · Technical part | $60.26 | $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 $446.68 Median $537.03 Typical High $5,011.87 | Facility | TC · Technical part | $446.68 | $537.03 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $104.71 Median $107.15 Typical High $269.15 | Professional | None (both parts) | $104.71 | $107.15 | $269.15 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $34.67 Typical High $70.79 | Professional | 26 · Professional part | $33.88 | $34.67 | $70.79 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $74.13 Typical High $194.98 | Professional | TC · Technical part | $70.79 | $74.13 | $194.98 |
Cigna Setting Facility Modifier None Typical Low $102.33 Median $245.47 Typical High $1,819.70 | Facility | None | $102.33 | $245.47 | $1,819.70 |
Cigna Setting Professional Modifier None (both parts) Typical Low $72.44 Median $112.20 Typical High $223.87 | Professional | None (both parts) | $72.44 | $112.20 | $223.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $37.15 Typical High $66.07 | Professional | 26 · Professional part | $21.88 | $37.15 | $66.07 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $77.62 Typical High $158.49 | Professional | TC · Technical part | $51.29 | $77.62 | $158.49 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $125.89 Median $147.91 Typical High $186.21 | Professional | None (both parts) | $125.89 | $147.91 | $186.21 |
Geisinger Setting Facility Modifier None Typical Low $56.23 Median $56.23 Typical High $56.23 | Facility | None | $56.23 | $56.23 | $56.23 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $56.23 Median $112.20 Typical High $218.78 | Professional | None (both parts) | $56.23 | $112.20 | $218.78 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $38.90 Typical High $72.44 | Professional | 26 · Professional part | $28.18 | $38.90 | $72.44 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $75.86 Typical High $147.91 | Professional | TC · Technical part | $27.54 | $75.86 | $147.91 |
Martin's Point Setting Facility Modifier None Typical Low $109.65 Median $112.20 Typical High $446.68 | Facility | None | $109.65 | $112.20 | $446.68 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $89.13 Median $104.71 Typical High $109.65 | Professional | None (both parts) | $89.13 | $104.71 | $109.65 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $32.36 Typical High $33.11 | Professional | 26 · Professional part | $28.18 | $32.36 | $33.11 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $74.13 Typical High $75.86 | Professional | TC · Technical part | $60.26 | $74.13 | $75.86 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $89.13 Median $109.65 Typical High $269.15 | Professional | None (both parts) | $89.13 | $109.65 | $269.15 |
UPMC Health Plan Setting Facility Modifier None Typical Low $69.18 Median $199.53 Typical High $1,479.11 | Facility | None | $69.18 | $199.53 | $1,479.11 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $69.18 Median $69.18 Typical High $104.71 | Professional | None (both parts) | $69.18 | $69.18 | $104.71 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $36.31 Typical High $36.31 | Professional | 26 · Professional part | $33.11 | $36.31 | $36.31 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $32.36 Typical High $70.79 | Professional | TC · Technical part | $32.36 | $32.36 | $70.79 |
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 $81.28 Median $117.49 Typical High $213.80 | Professional | None (both parts) | $81.28 | $117.49 | $213.80 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $35.48 Typical High $66.07 | Professional | 26 · Professional part | $30.90 | $35.48 | $66.07 |
United Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $85.11 Typical High $147.91 | Professional | TC · Technical part | $60.26 | $85.11 | $147.91 |
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 $44.67 Median $52.48 Typical High $54.95 | Professional | 52 · Reduced service | $44.67 | $52.48 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $20.89 Typical High $21.88 | Professional | 53 · Discontinued | $17.78 | $20.89 | $21.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $70.79 Median $83.18 Typical High $87.10 | Professional | FX · Film X-ray | $70.79 | $83.18 | $87.10 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $44.67 Median $52.48 Typical High $54.95 | Professional | 52 · Reduced service | $44.67 | $52.48 | $54.95 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $20.89 Typical High $21.88 | Professional | 53 · Discontinued | $17.78 | $20.89 | $21.88 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $70.79 Median $83.18 Typical High $87.10 | Professional | FX · Film X-ray | $70.79 | $83.18 | $87.10 |
Where Pennsylvania sits
The same service costs 4.6 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· 44th of 51
$107
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.