How much rates vary
Facilitymedian $372 · 10th to 90th $141 to $1,000Professionalmedian $141 · 10th to 90th $117 to $275
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 $141.25 Median $269.15 Typical High $1,000.00 | Facility | None | $141.25 | $269.15 | $1,000.00 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $72.44 Median $93.33 Typical High $263.03 | Facility | TC · Technical part | $72.44 | $93.33 | $263.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $141.25 Typical High $190.55 | Professional | None (both parts) | $114.82 | $141.25 | $190.55 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $48.98 Typical High $60.26 | Professional | 26 · Professional part | $42.66 | $48.98 | $60.26 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $93.33 Typical High $128.82 | Professional | TC · Technical part | $72.44 | $93.33 | $128.82 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $70.79 Typical High $87.10 | Professional | 26 · Professional part | $70.79 | $70.79 | $87.10 |
AmeriHealth Setting Facility Modifier None Typical Low $223.87 Median $512.86 Typical High $1,202.26 | Facility | None | $223.87 | $512.86 | $1,202.26 |
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 $549.54 Median $676.08 Typical High $5,011.87 | Facility | TC · Technical part | $549.54 | $676.08 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $128.82 Median $134.90 Typical High $275.42 | Professional | None (both parts) | $128.82 | $134.90 | $275.42 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $46.77 Typical High $97.72 | Professional | 26 · Professional part | $44.67 | $46.77 | $97.72 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $87.10 Typical High $177.83 | Professional | TC · Technical part | $83.18 | $87.10 | $177.83 |
Cigna Setting Facility Modifier None Typical Low $165.96 Median $275.42 Typical High $416.87 | Facility | None | $165.96 | $275.42 | $416.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $141.25 Typical High $288.40 | Professional | None (both parts) | $114.82 | $141.25 | $288.40 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $50.12 Typical High $89.13 | Professional | 26 · Professional part | $29.51 | $50.12 | $89.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $104.71 Typical High $204.17 | Professional | TC · Technical part | $74.13 | $104.71 | $204.17 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $158.49 Median $186.21 Typical High $234.42 | Professional | None (both parts) | $158.49 | $186.21 | $234.42 |
Geisinger Setting Facility Modifier None Typical Low $208.93 Median $208.93 Typical High $1,819.70 | Facility | None | $208.93 | $208.93 | $1,819.70 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $123.03 Median $158.49 Typical High $288.40 | Professional | None (both parts) | $123.03 | $158.49 | $288.40 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $53.70 Typical High $97.72 | Professional | 26 · Professional part | $39.81 | $53.70 | $97.72 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $107.15 Typical High $194.98 | Professional | TC · Technical part | $79.43 | $107.15 | $194.98 |
Highmark BCBS Setting Facility Modifier None Typical Low $41.69 Median $338.84 Typical High $691.83 | Facility | None | $41.69 | $338.84 | $691.83 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $57.54 Typical High $288.40 | Professional | 26 · Professional part | $46.77 | $57.54 | $288.40 |
Independence Blue Cross Setting Facility Modifier None Typical Low $123.03 Median $501.19 Typical High $1,202.26 | Facility | None | $123.03 | $501.19 | $1,202.26 |
Martin's Point Setting Facility Modifier None Typical Low $141.25 Median $269.15 Typical High $2,344.23 | Facility | None | $141.25 | $269.15 | $2,344.23 |
Martin's Point Setting Facility Modifier TC · Technical part Typical Low $72.44 Median $74.13 Typical High $263.03 | Facility | TC · Technical part | $72.44 | $74.13 | $263.03 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $114.82 Median $141.25 Typical High $177.83 | Professional | None (both parts) | $114.82 | $141.25 | $177.83 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $48.98 Typical High $54.95 | Professional | 26 · Professional part | $42.66 | $48.98 | $54.95 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $93.33 Typical High $128.82 | Professional | TC · Technical part | $72.44 | $93.33 | $128.82 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $50.12 Median $141.25 Typical High $323.59 | Professional | None (both parts) | $50.12 | $141.25 | $323.59 |
UPMC Health Plan Setting Facility Modifier None Typical Low $125.89 Median $239.88 Typical High $707.95 | Facility | None | $125.89 | $239.88 | $707.95 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $125.89 Median $186.21 Typical High $186.21 | Professional | None (both parts) | $125.89 | $186.21 | $186.21 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $52.48 Typical High $52.48 | Professional | 26 · Professional part | $44.67 | $52.48 | $52.48 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $134.90 Typical High $134.90 | Professional | TC · Technical part | $81.28 | $134.90 | $134.90 |
United Setting Facility Modifier None Typical Low $120.23 Median $257.04 Typical High $295.12 | Facility | None | $120.23 | $257.04 | $295.12 |
United Setting Professional Modifier None (both parts) Typical Low $125.89 Median $162.18 Typical High $275.42 | Professional | None (both parts) | $125.89 | $162.18 | $275.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $48.98 Typical High $89.13 | Professional | 26 · Professional part | $41.69 | $48.98 | $89.13 |
United Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $109.65 Typical High $181.97 | Professional | TC · Technical part | $81.28 | $109.65 | $181.97 |
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 $36.31 Median $54.95 Typical High $173.78 | Facility | 52 · Reduced service | $36.31 | $54.95 | $173.78 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $14.45 Median $21.88 Typical High $69.18 | Facility | 53 · Discontinued | $14.45 | $21.88 | $69.18 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $57.54 Median $66.07 Typical High $70.79 | Professional | 52 · Reduced service | $57.54 | $66.07 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $26.30 Typical High $28.18 | Professional | 53 · Discontinued | $22.91 | $26.30 | $28.18 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $91.20 Median $104.71 Typical High $114.82 | Professional | FX · Film X-ray | $91.20 | $104.71 | $114.82 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $57.54 Median $66.07 Typical High $70.79 | Professional | 52 · Reduced service | $57.54 | $66.07 | $70.79 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $26.30 Typical High $28.18 | Professional | 53 · Discontinued | $22.91 | $26.30 | $28.18 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $91.20 Median $104.71 Typical High $114.82 | Professional | FX · Film X-ray | $91.20 | $104.71 | $114.82 |
Where Pennsylvania sits
The same service costs 4.3 times more in Alaska than in Utah. 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· 43rd of 51
$141
AK $447UT $105
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.