How much rates vary
Facilitymedian $2,291 · 10th to 90th $1,023 to $5,012Professionalmedian $708 · 10th to 90th $174 to $1,230
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 $1,023.29 Median $1,862.09 Typical High $3,235.94 | Facility | None | $1,023.29 | $1,862.09 | $3,235.94 |
Aetna Setting Professional Modifier None (both parts) Typical Low $457.09 Median $933.25 Typical High $1,023.29 | Professional | None (both parts) | $457.09 | $933.25 | $1,023.29 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $69.18 Typical High $141.25 | Professional | 26 · Professional part | $58.88 | $69.18 | $141.25 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $870.96 Typical High $933.25 | Professional | TC · Technical part | $269.15 | $870.96 | $933.25 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | 26 · Professional part | $91.20 | $91.20 | $91.20 |
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 $4,897.79 Median $6,760.83 Typical High $7,943.28 | Facility | TC · Technical part | $4,897.79 | $6,760.83 | $7,943.28 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $165.96 Median $186.21 Typical High $398.11 | Professional | None (both parts) | $165.96 | $186.21 | $398.11 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $114.82 Typical High $162.18 | Professional | 26 · Professional part | $70.79 | $114.82 | $162.18 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $104.71 Typical High $229.09 | Professional | TC · Technical part | $95.50 | $104.71 | $229.09 |
Cigna Setting Facility Modifier None Typical Low $3,019.95 Median $3,019.95 Typical High $3,019.95 | Facility | None | $3,019.95 | $3,019.95 | $3,019.95 |
Cigna Setting Professional Modifier None (both parts) Typical Low $660.69 Median $912.01 Typical High $1,862.09 | Professional | None (both parts) | $660.69 | $912.01 | $1,862.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $74.13 Typical High $138.04 | Professional | 26 · Professional part | $40.74 | $74.13 | $138.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $616.60 Median $851.14 Typical High $1,737.80 | Professional | TC · Technical part | $616.60 | $851.14 | $1,737.80 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $446.68 Median $446.68 Typical High $549.54 | Professional | None (both parts) | $446.68 | $446.68 | $549.54 |
Geisinger Setting Facility Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $1,412.54 | Facility | None | $1,412.54 | $1,412.54 | $1,412.54 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $309.03 Median $512.86 Typical High $1,202.26 | Professional | None (both parts) | $309.03 | $512.86 | $1,202.26 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $134.90 Typical High $218.78 | Professional | 26 · Professional part | $61.66 | $134.90 | $218.78 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $309.03 Typical High $1,122.02 | Professional | TC · Technical part | $181.97 | $309.03 | $1,122.02 |
Highmark BCBS Setting Facility Modifier None Typical Low $3,715.35 Median $3,715.35 Typical High $3,715.35 | Facility | None | $3,715.35 | $3,715.35 | $3,715.35 |
Independence Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | 26 · Professional part | $91.20 | $91.20 | $91.20 |
Martin's Point Setting Facility Modifier None Typical Low $1,023.29 Median $1,862.09 Typical High $3,235.94 | Facility | None | $1,023.29 | $1,862.09 | $3,235.94 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $562.34 Median $933.25 Typical High $1,023.29 | Professional | None (both parts) | $562.34 | $933.25 | $1,023.29 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $67.61 Typical High $141.25 | Professional | 26 · Professional part | $58.88 | $67.61 | $141.25 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $371.54 Median $870.96 Typical High $933.25 | Professional | TC · Technical part | $371.54 | $870.96 | $933.25 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $1,230.27 Median $1,230.27 Typical High $2,238.72 | Professional | None (both parts) | $1,230.27 | $1,230.27 | $2,238.72 |
UPMC Health Plan Setting Facility Modifier None Typical Low $169.82 Median $2,290.87 Typical High $3,801.89 | Facility | None | $169.82 | $2,290.87 | $3,801.89 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $169.82 Median $1,122.02 Typical High $1,122.02 | Professional | None (both parts) | $169.82 | $1,122.02 | $1,122.02 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $70.79 Typical High $70.79 | Professional | 26 · Professional part | $69.18 | $70.79 | $70.79 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $1,047.13 Typical High $1,047.13 | Professional | TC · Technical part | $100.00 | $1,047.13 | $1,047.13 |
United Setting Professional Modifier None (both parts) Typical Low $151.36 Median $263.03 Typical High $1,174.90 | Professional | None (both parts) | $151.36 | $263.03 | $1,174.90 |
United Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $72.44 Typical High $134.90 | Professional | 26 · Professional part | $61.66 | $72.44 | $134.90 |
United Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $131.83 Typical High $1,096.48 | Professional | TC · Technical part | $87.10 | $131.83 | $1,096.48 |
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 $407.38 Median $489.78 Typical High $501.19 | Professional | 52 · Reduced service | $407.38 | $489.78 | $501.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $162.18 Median $194.98 Typical High $204.17 | Professional | 53 · Discontinued | $162.18 | $194.98 | $204.17 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $645.65 Median $758.58 Typical High $812.83 | Professional | FX · Film X-ray | $645.65 | $758.58 | $812.83 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $407.38 Median $489.78 Typical High $501.19 | Professional | 52 · Reduced service | $407.38 | $489.78 | $501.19 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $162.18 Median $194.98 Typical High $204.17 | Professional | 53 · Discontinued | $162.18 | $194.98 | $204.17 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $645.65 Median $758.58 Typical High $812.83 | Professional | FX · Film X-ray | $645.65 | $758.58 | $812.83 |
Where Pennsylvania sits
The same service costs 20.4 times more in Alaska than in Oregon. 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· 40th of 51
$794
AK $2,754OR $135
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.