How much rates vary
Facilitymedian $191 · 10th to 90th $98 to $7,586Professionalmedian $98 · 10th to 90th $76 to $174
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 $97.72 Median $131.83 Typical High $275.42 | Facility | None | $97.72 | $131.83 | $275.42 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $36.31 Median $45.71 Typical High $87.10 | Facility | 26 · Professional part | $36.31 | $45.71 | $87.10 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $52.48 Median $77.62 Typical High $223.87 | Facility | TC · Technical part | $52.48 | $77.62 | $223.87 |
Aetna Setting Professional Modifier None (both parts) Typical Low $81.28 Median $97.72 Typical High $114.82 | Professional | None (both parts) | $81.28 | $97.72 | $114.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $36.31 Typical High $37.15 | Professional | 26 · Professional part | $31.62 | $36.31 | $37.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $61.66 Typical High $72.44 | Professional | TC · Technical part | $48.98 | $61.66 | $72.44 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | 26 · Professional part | $63.10 | $63.10 | $63.10 |
AmeriHealth Setting Facility Modifier None Typical Low $7,585.78 Median $15,488.17 Typical High $20,417.38 | Facility | None | $7,585.78 | $15,488.17 | $20,417.38 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $46.77 Typical High $58.88 | Professional | 26 · Professional part | $46.77 | $46.77 | $58.88 |
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 $407.38 Median $489.78 Typical High $5,011.87 | Facility | TC · Technical part | $407.38 | $489.78 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $165.96 Median $173.78 Typical High $245.47 | Professional | None (both parts) | $165.96 | $173.78 | $245.47 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $60.26 Typical High $85.11 | Professional | 26 · Professional part | $38.02 | $60.26 | $85.11 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $100.00 Typical High $131.83 | Professional | TC · Technical part | $54.95 | $100.00 | $131.83 |
Cigna Setting Facility Modifier None Typical Low $245.47 Median $245.47 Typical High $245.47 | Facility | None | $245.47 | $245.47 | $245.47 |
Cigna Setting Professional Modifier None (both parts) Typical Low $75.86 Median $79.43 Typical High $186.21 | Professional | None (both parts) | $75.86 | $79.43 | $186.21 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $30.90 Typical High $67.61 | Professional | 26 · Professional part | $21.88 | $30.90 | $67.61 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $53.70 Typical High $120.23 | Professional | TC · Technical part | $45.71 | $53.70 | $120.23 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $112.20 Median $138.04 Typical High $190.55 | Professional | None (both parts) | $112.20 | $138.04 | $190.55 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $52.48 Typical High $72.44 | Professional | 26 · Professional part | $43.65 | $52.48 | $72.44 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $85.11 Typical High $117.49 | Professional | TC · Technical part | $69.18 | $85.11 | $117.49 |
Geisinger Setting Facility Modifier None Typical Low $114.82 Median $114.82 Typical High $114.82 | Facility | None | $114.82 | $114.82 | $114.82 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $85.11 Median $107.15 Typical High $190.55 | Professional | None (both parts) | $85.11 | $107.15 | $190.55 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $38.90 Typical High $66.07 | Professional | 26 · Professional part | $30.90 | $38.90 | $66.07 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $70.79 Typical High $117.49 | Professional | TC · Technical part | $53.70 | $70.79 | $117.49 |
Highmark BCBS Setting Facility Modifier None Typical Low $194.98 Median $501.19 Typical High $1,047.13 | Facility | None | $194.98 | $501.19 | $1,047.13 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $56.23 Typical High $66.07 | Professional | 26 · Professional part | $50.12 | $56.23 | $66.07 |
Independence Blue Cross Setting Facility Modifier None Typical Low $7,585.78 Median $12,022.64 Typical High $20,417.38 | Facility | None | $7,585.78 | $12,022.64 | $20,417.38 |
Independence Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $46.77 Typical High $58.88 | Professional | 26 · Professional part | $46.77 | $46.77 | $58.88 |
Martin's Point Setting Facility Modifier None Typical Low $97.72 Median $134.90 Typical High $371.54 | Facility | None | $97.72 | $134.90 | $371.54 |
Martin's Point Setting Facility Modifier TC · Technical part Typical Low $52.48 Median $61.66 Typical High $234.42 | Facility | TC · Technical part | $52.48 | $61.66 | $234.42 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $81.28 Median $97.72 Typical High $104.71 | Professional | None (both parts) | $81.28 | $97.72 | $104.71 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $35.48 Typical High $36.31 | Professional | 26 · Professional part | $31.62 | $35.48 | $36.31 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $61.66 Typical High $70.79 | Professional | TC · Technical part | $48.98 | $61.66 | $70.79 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $138.04 Median $147.91 Typical High $257.04 | Professional | None (both parts) | $138.04 | $147.91 | $257.04 |
UPMC Health Plan Setting Facility Modifier None Typical Low $93.33 Median $204.17 Typical High $426.58 | Facility | None | $93.33 | $204.17 | $426.58 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $93.33 Median $95.50 Typical High $112.20 | Professional | None (both parts) | $93.33 | $95.50 | $112.20 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $38.02 Typical High $38.90 | Professional | 26 · Professional part | $37.15 | $38.02 | $38.90 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $57.54 Typical High $74.13 | Professional | TC · Technical part | $56.23 | $57.54 | $74.13 |
United Setting Professional Modifier None (both parts) Typical Low $87.10 Median $97.72 Typical High $147.91 | Professional | None (both parts) | $87.10 | $97.72 | $147.91 |
United Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $34.67 Typical High $48.98 | Professional | 26 · Professional part | $31.62 | $34.67 | $48.98 |
United Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $64.57 Typical High $95.50 | Professional | TC · Technical part | $54.95 | $64.57 | $95.50 |
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 $40.74 Median $46.77 Typical High $48.98 | Professional | 52 · Reduced service | $40.74 | $46.77 | $48.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $19.05 Typical High $19.50 | Professional | 53 · Discontinued | $16.22 | $19.05 | $19.50 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $64.57 Median $75.86 Typical High $77.62 | Professional | FX · Film X-ray | $64.57 | $75.86 | $77.62 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $40.74 Median $46.77 Typical High $48.98 | Professional | 52 · Reduced service | $40.74 | $46.77 | $48.98 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $19.05 Typical High $19.50 | Professional | 53 · Discontinued | $16.22 | $19.05 | $19.50 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $64.57 Median $75.86 Typical High $77.62 | Professional | FX · Film X-ray | $64.57 | $75.86 | $77.62 |
Where Pennsylvania sits
The same service costs 4.5 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· 39th of 51
$97.72
AK $295TX $66.07
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.