How much rates vary
Facilitymedian $1,096 · 10th to 90th $135 to $9,772Professionalmedian $138 · 10th to 90th $120 to $363
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 $134.90 Median $323.59 Typical High $562.34 | Facility | None | $134.90 | $323.59 | $562.34 |
Aetna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $134.90 Typical High $169.82 | Professional | None (both parts) | $112.20 | $134.90 | $169.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $61.66 Typical High $63.10 | Professional | 26 · Professional part | $53.70 | $61.66 | $63.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $72.44 Typical High $95.50 | Professional | TC · Technical part | $58.88 | $72.44 | $95.50 |
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 $1,348.96 Typical High $5,011.87 | Facility | TC · Technical part | $1,122.02 | $1,348.96 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $134.90 Median $138.04 Typical High $363.08 | Professional | None (both parts) | $134.90 | $138.04 | $363.08 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $67.61 Typical High $138.04 | Professional | 26 · Professional part | $64.57 | $67.61 | $138.04 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $72.44 Typical High $199.53 | Professional | TC · Technical part | $69.18 | $72.44 | $199.53 |
Cigna Setting Facility Modifier None Typical Low $91.20 Median $234.42 Typical High $9,549.93 | Facility | None | $91.20 | $234.42 | $9,549.93 |
Cigna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $199.53 Typical High $446.68 | Professional | None (both parts) | $109.65 | $199.53 | $446.68 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $70.79 Typical High $125.89 | Professional | 26 · Professional part | $43.65 | $70.79 | $125.89 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $112.20 Typical High $302.00 | Professional | TC · Technical part | $57.54 | $112.20 | $302.00 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $162.18 Median $190.55 Typical High $245.47 | Professional | None (both parts) | $162.18 | $190.55 | $245.47 |
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 $141.25 Median $281.84 Typical High $549.54 | Professional | None (both parts) | $141.25 | $281.84 | $549.54 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $79.43 Typical High $138.04 | Professional | 26 · Professional part | $58.88 | $79.43 | $138.04 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $162.18 Typical High $478.63 | Professional | TC · Technical part | $72.44 | $162.18 | $478.63 |
Highmark BCBS Setting Facility Modifier None Typical Low $2,238.72 Median $2,238.72 Typical High $6,918.31 | Facility | None | $2,238.72 | $2,238.72 | $6,918.31 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | 26 · Professional part | $112.20 | $112.20 | $112.20 |
Martin's Point Setting Facility Modifier None Typical Low $134.90 Median $323.59 Typical High $562.34 | Facility | None | $134.90 | $323.59 | $562.34 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $112.20 Median $131.83 Typical High $134.90 | Professional | None (both parts) | $112.20 | $131.83 | $134.90 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $61.66 Typical High $63.10 | Professional | 26 · Professional part | $53.70 | $61.66 | $63.10 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $70.79 Typical High $72.44 | Professional | TC · Technical part | $58.88 | $70.79 | $72.44 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $158.49 Median $645.65 Typical High $741.31 | Professional | None (both parts) | $158.49 | $645.65 | $741.31 |
UPMC Health Plan Setting Facility Modifier None Typical Low $131.83 Median $1,258.93 Typical High $4,677.35 | Facility | None | $131.83 | $1,258.93 | $4,677.35 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $131.83 Median $501.19 Typical High $501.19 | Professional | None (both parts) | $131.83 | $501.19 | $501.19 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $72.44 Typical High $72.44 | Professional | 26 · Professional part | $64.57 | $72.44 | $72.44 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $426.58 Typical High $426.58 | Professional | TC · Technical part | $69.18 | $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 $131.83 Median $173.78 Typical High $501.19 | Professional | None (both parts) | $131.83 | $173.78 | $501.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $69.18 Typical High $128.82 | Professional | 26 · Professional part | $61.66 | $69.18 | $128.82 |
United Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $91.20 Typical High $346.74 | Professional | TC · Technical part | $69.18 | $91.20 | $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 $56.23 Median $66.07 Typical High $69.18 | Professional | 52 · Reduced service | $56.23 | $66.07 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $26.30 Typical High $27.54 | Professional | 53 · Discontinued | $22.39 | $26.30 | $27.54 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $89.13 Median $104.71 Typical High $107.15 | Professional | FX · Film X-ray | $89.13 | $104.71 | $107.15 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $56.23 Median $66.07 Typical High $67.61 | Professional | 52 · Reduced service | $56.23 | $66.07 | $67.61 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $26.30 Typical High $26.92 | Professional | 53 · Discontinued | $22.39 | $26.30 | $26.92 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $89.13 Median $104.71 Typical High $107.15 | Professional | FX · Film X-ray | $89.13 | $104.71 | $107.15 |
Where Pennsylvania sits
The same service costs 4.7 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· 45th of 51
$141
AK $427TX $91.20
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.