How much rates vary
Facilitymedian $1,122 · 10th to 90th $417 to $6,761Professionalmedian $501 · 10th to 90th $339 to $912
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 $416.87 Median $416.87 Typical High $1,548.82 | Facility | None | $416.87 | $416.87 | $1,548.82 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $323.59 Median $389.05 Typical High $1,412.54 | Facility | TC · Technical part | $323.59 | $389.05 | $1,412.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $338.84 Median $416.87 Typical High $478.63 | Professional | None (both parts) | $338.84 | $416.87 | $478.63 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $36.31 Typical High $40.74 | Professional | 26 · Professional part | $31.62 | $36.31 | $40.74 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $380.19 Typical High $436.52 | Professional | TC · Technical part | $302.00 | $380.19 | $436.52 |
AmeriHealth Setting Facility Modifier None Typical Low $4,265.80 Median $8,912.51 Typical High $11,748.98 | Facility | None | $4,265.80 | $8,912.51 | $11,748.98 |
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 $2,691.53 Median $3,311.31 Typical High $5,011.87 | Facility | TC · Technical part | $2,691.53 | $3,311.31 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $575.44 Median $588.84 Typical High $1,023.29 | Professional | None (both parts) | $575.44 | $588.84 | $1,023.29 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $60.26 Typical High $77.62 | Professional | 26 · Professional part | $37.15 | $60.26 | $77.62 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $524.81 Median $549.54 Typical High $933.25 | Professional | TC · Technical part | $524.81 | $549.54 | $933.25 |
Cigna Setting Facility Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $1,445.44 | Facility | None | $1,445.44 | $1,445.44 | $1,445.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $323.59 Median $478.63 Typical High $794.33 | Professional | None (both parts) | $323.59 | $478.63 | $794.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $43.65 Typical High $74.13 | Professional | 26 · Professional part | $25.70 | $43.65 | $74.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $436.52 Typical High $724.44 | Professional | TC · Technical part | $295.12 | $436.52 | $724.44 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $630.96 Median $630.96 Typical High $1,023.29 | Professional | None (both parts) | $630.96 | $630.96 | $1,023.29 |
Geisinger Setting Facility Modifier None Typical Low $676.08 Median $676.08 Typical High $676.08 | Facility | None | $676.08 | $676.08 | $676.08 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $354.81 Median $380.19 Typical High $954.99 | Professional | None (both parts) | $354.81 | $380.19 | $954.99 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $52.48 Typical High $89.13 | Professional | 26 · Professional part | $33.88 | $52.48 | $89.13 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $338.84 Typical High $870.96 | Professional | TC · Technical part | $323.59 | $338.84 | $870.96 |
Highmark BCBS Setting Facility Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $1,819.70 | Facility | None | $1,819.70 | $1,819.70 | $1,819.70 |
Independence Blue Cross Setting Facility Modifier None Typical Low $4,265.80 Median $6,760.83 Typical High $11,748.98 | Facility | None | $4,265.80 | $6,760.83 | $11,748.98 |
Martin's Point Setting Facility Modifier None Typical Low $416.87 Median $416.87 Typical High $1,548.82 | Facility | None | $416.87 | $416.87 | $1,548.82 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $338.84 Median $416.87 Typical High $478.63 | Professional | None (both parts) | $338.84 | $416.87 | $478.63 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $36.31 Typical High $40.74 | Professional | 26 · Professional part | $31.62 | $36.31 | $40.74 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $380.19 Typical High $436.52 | Professional | TC · Technical part | $302.00 | $380.19 | $436.52 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $602.56 Median $602.56 Typical High $1,096.48 | Professional | None (both parts) | $602.56 | $602.56 | $1,096.48 |
UPMC Health Plan Setting Facility Modifier None Typical Low $489.78 Median $1,122.02 Typical High $1,862.09 | Facility | None | $489.78 | $1,122.02 | $1,862.09 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $489.78 Median $501.19 Typical High $549.54 | Professional | None (both parts) | $489.78 | $501.19 | $549.54 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $38.90 Typical High $45.71 | Professional | 26 · Professional part | $37.15 | $38.90 | $45.71 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $446.68 Median $467.74 Typical High $512.86 | Professional | TC · Technical part | $446.68 | $467.74 | $512.86 |
United Setting Professional Modifier None (both parts) Typical Low $446.68 Median $616.60 Typical High $1,071.52 | Professional | None (both parts) | $446.68 | $616.60 | $1,071.52 |
United Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $42.66 Typical High $75.86 | Professional | 26 · Professional part | $35.48 | $42.66 | $75.86 |
United Setting Professional Modifier TC · Technical part Typical Low $407.38 Median $575.44 Typical High $977.24 | Professional | TC · Technical part | $407.38 | $575.44 | $977.24 |
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 $169.82 Median $199.53 Typical High $208.93 | Professional | 52 · Reduced service | $169.82 | $199.53 | $208.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $67.61 Median $79.43 Typical High $85.11 | Professional | 53 · Discontinued | $67.61 | $79.43 | $85.11 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $269.15 Median $316.23 Typical High $338.84 | Professional | FX · Film X-ray | $269.15 | $316.23 | $338.84 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $169.82 Median $194.98 Typical High $208.93 | Professional | 52 · Reduced service | $169.82 | $194.98 | $208.93 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $67.61 Median $79.43 Typical High $85.11 | Professional | 53 · Discontinued | $67.61 | $79.43 | $85.11 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $269.15 Median $316.23 Typical High $338.84 | Professional | FX · Film X-ray | $269.15 | $316.23 | $338.84 |
Where Pennsylvania sits
The same service costs 16.6 times more in Wisconsin 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· 26th of 51
$537
WI $1,202OR $72.44
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.