How much rates vary
Facilitymedian $145 · 10th to 90th $28 to $3,548Professionalmedian $27 · 10th to 90th $21 to $78
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 $25.70 Median $37.15 Typical High $269.15 | Facility | None | $25.70 | $37.15 | $269.15 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $10.47 Median $14.13 Typical High $23.99 | Facility | 26 · Professional part | $10.47 | $14.13 | $23.99 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $12.02 Median $16.98 Typical High $46.77 | Facility | TC · Technical part | $12.02 | $16.98 | $46.77 |
Aetna Setting Professional Modifier None (both parts) Typical Low $20.89 Median $25.70 Typical High $77.62 | Professional | None (both parts) | $20.89 | $25.70 | $77.62 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $10.23 Typical High $15.49 | Professional | 26 · Professional part | $8.91 | $10.23 | $15.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $12.02 Median $15.49 Typical High $66.07 | Professional | TC · Technical part | $12.02 | $15.49 | $66.07 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $27.54 Median $43.65 Typical High $43.65 | Professional | None (both parts) | $27.54 | $43.65 | $43.65 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $15.49 Typical High $15.85 | Professional | 26 · Professional part | $9.33 | $15.49 | $15.85 |
AmeriHealth Setting Facility Modifier None Typical Low $2,754.23 Median $5,754.40 Typical High $7,585.78 | Facility | None | $2,754.23 | $5,754.40 | $7,585.78 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $28.18 Median $28.18 Typical High $34.67 | Professional | None (both parts) | $28.18 | $28.18 | $34.67 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $11.75 Typical High $18.20 | Professional | 26 · Professional part | $11.75 | $11.75 | $18.20 |
Capital Blue Cross Setting Facility Modifier None Typical Low $4,265.80 Median $5,011.87 Typical High $8,709.64 | Facility | None | $4,265.80 | $5,011.87 | $8,709.64 |
Capital Blue Cross Setting Facility Modifier TC · Technical part Typical Low $363.08 Median $446.68 Typical High $5,011.87 | Facility | TC · Technical part | $363.08 | $446.68 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $25.12 Median $25.70 Typical High $54.95 | Professional | None (both parts) | $25.12 | $25.70 | $54.95 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $9.77 Typical High $19.50 | Professional | 26 · Professional part | $9.33 | $9.77 | $19.50 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $15.49 Median $16.22 Typical High $30.90 | Professional | TC · Technical part | $15.49 | $16.22 | $30.90 |
Cigna Setting Professional Modifier None (both parts) Typical Low $19.95 Median $37.15 Typical High $120.23 | Professional | None (both parts) | $19.95 | $37.15 | $120.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.61 Median $10.00 Typical High $18.20 | Professional | 26 · Professional part | $6.61 | $10.00 | $18.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $12.30 Median $23.44 Typical High $100.00 | Professional | TC · Technical part | $12.30 | $23.44 | $100.00 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $30.20 Median $36.31 Typical High $45.71 | Professional | None (both parts) | $30.20 | $36.31 | $45.71 |
Geisinger 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 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $26.30 Median $43.65 Typical High $138.04 | Professional | None (both parts) | $26.30 | $43.65 | $138.04 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $11.75 Typical High $20.42 | Professional | 26 · Professional part | $9.12 | $11.75 | $20.42 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $28.18 Typical High $125.89 | Professional | TC · Technical part | $16.22 | $28.18 | $125.89 |
Highmark BCBS Setting Facility Modifier None Typical Low $102.33 Median $707.95 Typical High $891.25 | Facility | None | $102.33 | $707.95 | $891.25 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $48.98 Median $48.98 Typical High $54.95 | Professional | None (both parts) | $48.98 | $48.98 | $54.95 |
Independence Blue Cross Setting Facility Modifier None Typical Low $2,754.23 Median $4,365.16 Typical High $7,585.78 | Facility | None | $2,754.23 | $4,365.16 | $7,585.78 |
Independence Blue Cross Setting Professional Modifier None (both parts) Typical Low $28.18 Median $28.18 Typical High $33.88 | Professional | None (both parts) | $28.18 | $28.18 | $33.88 |
Independence Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $11.75 Typical High $18.20 | Professional | 26 · Professional part | $11.75 | $11.75 | $18.20 |
Martin's Point Setting Facility Modifier None Typical Low $25.70 Median $47.86 Typical High $1,000.00 | Facility | None | $25.70 | $47.86 | $1,000.00 |
Martin's Point Setting Facility Modifier TC · Technical part Typical Low $12.02 Median $16.98 Typical High $54.95 | Facility | TC · Technical part | $12.02 | $16.98 | $54.95 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $20.89 Median $25.70 Typical High $75.86 | Professional | None (both parts) | $20.89 | $25.70 | $75.86 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $10.23 Typical High $14.79 | Professional | 26 · Professional part | $8.91 | $10.23 | $14.79 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $12.02 Median $15.49 Typical High $64.57 | Professional | TC · Technical part | $12.02 | $15.49 | $64.57 |
Oscar Health Setting Facility Modifier None Typical Low $812.83 Median $1,096.48 Typical High $1,819.70 | Facility | None | $812.83 | $1,096.48 | $1,819.70 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $10.00 Median $25.12 Typical High $56.23 | Professional | None (both parts) | $10.00 | $25.12 | $56.23 |
UPMC Health Plan Setting Facility Modifier None Typical Low $23.44 Median $186.21 Typical High $416.87 | Facility | None | $23.44 | $186.21 | $416.87 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $23.44 Median $144.54 Typical High $144.54 | Professional | None (both parts) | $23.44 | $144.54 | $144.54 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $12.02 Typical High $12.02 | Professional | 26 · Professional part | $9.33 | $12.02 | $12.02 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $13.80 Median $131.83 Typical High $131.83 | Professional | TC · Technical part | $13.80 | $131.83 | $131.83 |
United Setting Professional Modifier None (both parts) Typical Low $20.42 Median $28.84 Typical High $128.82 | Professional | None (both parts) | $20.42 | $28.84 | $128.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $10.00 Typical High $18.20 | Professional | 26 · Professional part | $8.71 | $10.00 | $18.20 |
United Setting Professional Modifier TC · Technical part Typical Low $11.22 Median $16.22 Typical High $114.82 | Professional | TC · Technical part | $11.22 | $16.22 | $114.82 |
2 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 FX · Film X-ray Typical Low $16.60 Median $20.42 Typical High $20.89 | Professional | FX · Film X-ray | $16.60 | $20.42 | $20.89 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $16.60 Median $19.95 Typical High $20.89 | Professional | FX · Film X-ray | $16.60 | $19.95 | $20.89 |
Where Pennsylvania sits
The same service costs 4.8 times more in Kansas than in New York. 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· 45th of 51
$27.54
KS $107NY $22.39
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.