How much rates vary
Facilitymedian $380 · 10th to 90th $129 to $2,455Professionalmedian $129 · 10th to 90th $105 to $229
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 $128.82 Median $281.84 Typical High $2,344.23 | Facility | None | $128.82 | $281.84 | $2,344.23 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $53.70 Median $54.95 Typical High $223.87 | Facility | TC · Technical part | $53.70 | $54.95 | $223.87 |
Aetna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $128.82 Typical High $165.96 | Professional | None (both parts) | $104.71 | $128.82 | $165.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $60.26 Typical High $75.86 | Professional | 26 · Professional part | $51.29 | $60.26 | $75.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $69.18 Typical High $89.13 | Professional | TC · Technical part | $53.70 | $69.18 | $89.13 |
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 $436.52 Median $537.03 Typical High $5,011.87 | Facility | TC · Technical part | $436.52 | $537.03 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $109.65 Median $190.55 Typical High $288.40 | Professional | None (both parts) | $109.65 | $190.55 | $288.40 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $95.50 Typical High $144.54 | Professional | 26 · Professional part | $54.95 | $95.50 | $144.54 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $95.50 Typical High $144.54 | Professional | TC · Technical part | $53.70 | $95.50 | $144.54 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $398.11 Typical High $398.11 | Facility | None | $100.00 | $398.11 | $398.11 |
Cigna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $123.03 Typical High $218.78 | Professional | None (both parts) | $89.13 | $123.03 | $218.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $60.26 Typical High $107.15 | Professional | 26 · Professional part | $36.31 | $60.26 | $107.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $69.18 Typical High $125.89 | Professional | TC · Technical part | $44.67 | $69.18 | $125.89 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $158.49 Median $158.49 Typical High $190.55 | Professional | None (both parts) | $158.49 | $158.49 | $190.55 |
Geisinger Setting Facility Modifier None Typical Low $186.21 Median $186.21 Typical High $1,819.70 | Facility | None | $186.21 | $186.21 | $1,819.70 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $112.20 Median $158.49 Typical High $269.15 | Professional | None (both parts) | $112.20 | $158.49 | $269.15 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $74.13 Typical High $120.23 | Professional | 26 · Professional part | $47.86 | $74.13 | $120.23 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $89.13 Typical High $158.49 | Professional | TC · Technical part | $56.23 | $89.13 | $158.49 |
Highmark BCBS Setting Facility Modifier None Typical Low $602.56 Median $707.95 Typical High $1,819.70 | Facility | None | $602.56 | $707.95 | $1,819.70 |
Martin's Point Setting Facility Modifier None Typical Low $128.82 Median $281.84 Typical High $2,344.23 | Facility | None | $128.82 | $281.84 | $2,344.23 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $104.71 Median $128.82 Typical High $165.96 | Professional | None (both parts) | $104.71 | $128.82 | $165.96 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $58.88 Typical High $74.13 | Professional | 26 · Professional part | $51.29 | $58.88 | $74.13 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $69.18 Typical High $89.13 | Professional | TC · Technical part | $53.70 | $69.18 | $89.13 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $131.83 Median $323.59 Typical High $323.59 | Professional | None (both parts) | $131.83 | $323.59 | $323.59 |
UPMC Health Plan Setting Facility Modifier None Typical Low $109.65 Median $346.74 Typical High $724.44 | Facility | None | $109.65 | $346.74 | $724.44 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $109.65 Median $186.21 Typical High $186.21 | Professional | None (both parts) | $109.65 | $186.21 | $186.21 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $64.57 Typical High $64.57 | Professional | 26 · Professional part | $54.95 | $64.57 | $64.57 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $120.23 Typical High $120.23 | Professional | TC · Technical part | $54.95 | $120.23 | $120.23 |
United Setting Professional Modifier None (both parts) Typical Low $107.15 Median $123.03 Typical High $229.09 | Professional | None (both parts) | $107.15 | $123.03 | $229.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $58.88 Typical High $109.65 | Professional | 26 · Professional part | $52.48 | $58.88 | $109.65 |
United Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $63.10 Typical High $120.23 | Professional | TC · Technical part | $53.70 | $63.10 | $120.23 |
8 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 Facility Modifier 52 · Reduced service Typical Low $26.92 Median $40.74 Typical High $154.88 | Facility | 52 · Reduced service | $26.92 | $40.74 | $154.88 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $10.72 Median $16.60 Typical High $61.66 | Facility | 53 · Discontinued | $10.72 | $16.60 | $61.66 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $52.48 Median $60.26 Typical High $64.57 | Professional | 52 · Reduced service | $52.48 | $60.26 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $24.55 Typical High $25.70 | Professional | 53 · Discontinued | $20.89 | $24.55 | $25.70 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $85.11 Median $97.72 Typical High $104.71 | Professional | FX · Film X-ray | $85.11 | $97.72 | $104.71 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $52.48 Median $60.26 Typical High $64.57 | Professional | 52 · Reduced service | $52.48 | $60.26 | $64.57 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $24.55 Typical High $25.70 | Professional | 53 · Discontinued | $20.89 | $24.55 | $25.70 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $85.11 Median $97.72 Typical High $104.71 | Professional | FX · Film X-ray | $85.11 | $97.72 | $104.71 |
Where Pennsylvania sits
The same service costs 5.6 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· 37th of 51
$129
AK $447TX $79.43
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.