How much rates vary
Facilitymedian $692 · 10th to 90th $120 to $9,772Professionalmedian $891 · 10th to 90th $115 to $3,311
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 $1,621.81 Median $2,818.38 Typical High $2,884.03 | Facility | None | $1,621.81 | $2,818.38 | $2,884.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $2,454.71 Typical High $2,884.03 | Professional | None (both parts) | $109.65 | $2,454.71 | $2,884.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $87.10 Typical High $117.49 | Professional | 26 · Professional part | $74.13 | $87.10 | $117.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $2,454.71 Typical High $2,884.03 | Professional | TC · Technical part | $79.43 | $2,454.71 | $2,884.03 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | 26 · Professional part | $109.65 | $109.65 | $109.65 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $114.82 Typical High $190.55 | Professional | 26 · Professional part | $114.82 | $114.82 | $190.55 |
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 $257.04 Median $316.23 Typical High $5,011.87 | Facility | TC · Technical part | $257.04 | $316.23 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $229.09 Median $3,162.28 Typical High $3,311.31 | Professional | None (both parts) | $229.09 | $3,162.28 | $3,311.31 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $144.54 Typical High $208.93 | Professional | 26 · Professional part | $91.20 | $144.54 | $208.93 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $3,090.30 Typical High $3,235.94 | Professional | TC · Technical part | $77.62 | $3,090.30 | $3,235.94 |
Cigna Setting Facility Modifier None Typical Low $54.95 Median $141.25 Typical High $8,317.64 | Facility | None | $54.95 | $141.25 | $8,317.64 |
Cigna Setting Professional Modifier None (both parts) Typical Low $79.43 Median $125.89 Typical High $269.15 | Professional | None (both parts) | $79.43 | $125.89 | $269.15 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $85.11 Typical High $165.96 | Professional | 26 · Professional part | $51.29 | $85.11 | $165.96 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $40.74 Typical High $97.72 | Professional | TC · Technical part | $29.51 | $40.74 | $97.72 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $323.59 Median $389.05 Typical High $478.63 | Professional | None (both parts) | $323.59 | $389.05 | $478.63 |
Geisinger Setting Facility Modifier None Typical Low $61.66 Median $61.66 Typical High $61.66 | Facility | None | $61.66 | $61.66 | $61.66 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $97.72 Median $269.15 Typical High $562.34 | Professional | None (both parts) | $97.72 | $269.15 | $562.34 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $112.20 Typical High $199.53 | Professional | 26 · Professional part | $67.61 | $112.20 | $199.53 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $151.36 Typical High $338.84 | Professional | TC · Technical part | $30.20 | $151.36 | $338.84 |
Highmark BCBS Setting Facility Modifier None Typical Low $12,882.50 Median $14,791.08 Typical High $28,840.32 | Facility | None | $12,882.50 | $14,791.08 | $28,840.32 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $112.20 Typical High $128.82 | Professional | 26 · Professional part | $102.33 | $112.20 | $128.82 |
Independence Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $114.82 Typical High $199.53 | Professional | 26 · Professional part | $114.82 | $114.82 | $199.53 |
Martin's Point Setting Facility Modifier None Typical Low $1,621.81 Median $2,818.38 Typical High $5,370.32 | Facility | None | $1,621.81 | $2,818.38 | $5,370.32 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $117.49 Median $2,454.71 Typical High $2,884.03 | Professional | None (both parts) | $117.49 | $2,454.71 | $2,884.03 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $87.10 Typical High $117.49 | Professional | 26 · Professional part | $74.13 | $87.10 | $117.49 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $2,454.71 Typical High $2,884.03 | Professional | TC · Technical part | $87.10 | $2,454.71 | $2,884.03 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $154.88 Median $186.21 Typical High $371.54 | Professional | None (both parts) | $154.88 | $186.21 | $371.54 |
UPMC Health Plan Setting Facility Modifier None Typical Low $131.83 Median $398.11 Typical High $8,709.64 | Facility | None | $131.83 | $398.11 | $8,709.64 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $131.83 Median $131.83 Typical High $138.04 | Professional | None (both parts) | $131.83 | $131.83 | $138.04 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $89.13 Typical High $89.13 | Professional | 26 · Professional part | $87.10 | $89.13 | $89.13 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $41.69 Typical High $50.12 | Professional | TC · Technical part | $41.69 | $41.69 | $50.12 |
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 $112.20 Median $1,621.81 Typical High $3,019.95 | Professional | None (both parts) | $112.20 | $1,621.81 | $3,019.95 |
United Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $91.20 Typical High $169.82 | Professional | 26 · Professional part | $75.86 | $91.20 | $169.82 |
United Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $1,548.82 Typical High $2,884.03 | Professional | TC · Technical part | $39.81 | $1,548.82 | $2,884.03 |
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 $489.78 Median $1,318.26 Typical High $1,445.44 | Professional | 52 · Reduced service | $489.78 | $1,318.26 | $1,445.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $199.53 Median $537.03 Typical High $588.84 | Professional | 53 · Discontinued | $199.53 | $537.03 | $588.84 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $1,862.09 Median $2,187.76 Typical High $2,344.23 | Professional | FX · Film X-ray | $1,862.09 | $2,187.76 | $2,344.23 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $1,174.90 Median $1,348.96 Typical High $1,445.44 | Professional | 52 · Reduced service | $1,174.90 | $1,348.96 | $1,445.44 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $467.74 Median $549.54 Typical High $588.84 | Professional | 53 · Discontinued | $467.74 | $549.54 | $588.84 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $1,862.09 Median $2,187.76 Typical High $2,344.23 | Professional | FX · Film X-ray | $1,862.09 | $2,187.76 | $2,344.23 |
Where Pennsylvania sits
The same service costs 26.3 times more in Colorado than in New Mexico. 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· 12th of 51
$891
CO $3,467NM $132
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.