How much rates vary
Facilitymedian $741 · 10th to 90th $138 to $9,550Professionalmedian $141 · 10th to 90th $120 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 $138.04 Median $323.59 Typical High $549.54 | Facility | None | $138.04 | $323.59 | $549.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $134.90 Typical High $158.49 | Professional | None (both parts) | $114.82 | $134.90 | $158.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $63.10 Typical High $64.57 | Professional | 26 · Professional part | $54.95 | $63.10 | $64.57 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $72.44 Typical High $93.33 | Professional | TC · Technical part | $58.88 | $72.44 | $93.33 |
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 $134.90 Median $141.25 Typical High $371.54 | Professional | None (both parts) | $134.90 | $141.25 | $371.54 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $67.61 Typical High $138.04 | Professional | 26 · Professional part | $66.07 | $67.61 | $138.04 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $72.44 Typical High $204.17 | Professional | TC · Technical part | $69.18 | $72.44 | $204.17 |
Cigna Setting Facility Modifier None Typical Low $91.20 Median $239.88 Typical High $8,317.64 | Facility | None | $91.20 | $239.88 | $8,317.64 |
Cigna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $204.17 Typical High $446.68 | Professional | None (both parts) | $112.20 | $204.17 | $446.68 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $70.79 Typical High $125.89 | Professional | 26 · Professional part | $44.67 | $70.79 | $125.89 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $112.20 Typical High $309.03 | Professional | TC · Technical part | $57.54 | $112.20 | $309.03 |
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 $57.54 Median $77.62 Typical High $138.04 | Professional | 26 · Professional part | $57.54 | $77.62 | $138.04 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $165.96 Typical High $478.63 | Professional | TC · Technical part | $72.44 | $165.96 | $478.63 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | 26 · Professional part | $69.18 | $69.18 | $69.18 |
Martin's Point Setting Facility Modifier None Typical Low $138.04 Median $323.59 Typical High $549.54 | Facility | None | $138.04 | $323.59 | $549.54 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $114.82 Median $134.90 Typical High $138.04 | Professional | None (both parts) | $114.82 | $134.90 | $138.04 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $63.10 Typical High $64.57 | Professional | 26 · Professional part | $54.95 | $63.10 | $64.57 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $72.44 Typical High $74.13 | Professional | TC · Technical part | $58.88 | $72.44 | $74.13 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $162.18 Median $645.65 Typical High $741.31 | Professional | None (both parts) | $162.18 | $645.65 | $741.31 |
UPMC Health Plan Setting Facility Modifier None Typical Low $134.90 Median $1,258.93 Typical High $2,137.96 | Facility | None | $134.90 | $1,258.93 | $2,137.96 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $134.90 Median $501.19 Typical High $501.19 | Professional | None (both parts) | $134.90 | $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 $70.79 Typical High $128.82 | Professional | 26 · Professional part | $61.66 | $70.79 | $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 $57.54 Median $67.61 Typical High $70.79 | Professional | 52 · Reduced service | $57.54 | $67.61 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $26.92 Typical High $28.18 | Professional | 53 · Discontinued | $22.91 | $26.92 | $28.18 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $91.20 Median $107.15 Typical High $109.65 | Professional | FX · Film X-ray | $91.20 | $107.15 | $109.65 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $57.54 Median $67.61 Typical High $69.18 | Professional | 52 · Reduced service | $57.54 | $67.61 | $69.18 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $26.92 Typical High $27.54 | Professional | 53 · Discontinued | $22.91 | $26.92 | $27.54 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $91.20 Median $107.15 Typical High $109.65 | Professional | FX · Film X-ray | $91.20 | $107.15 | $109.65 |
Where Pennsylvania sits
The same service costs 4.5 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
$141
AK $427UT $95.50
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.