How much rates vary
Facilitymedian $145 · 10th to 90th $65 to $309Professionalmedian $60 · 10th to 90th $42 to $112
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 $63.10 Median $64.57 Typical High $109.65 | Facility | None | $63.10 | $64.57 | $109.65 |
Aetna Setting Professional Modifier None (both parts) Typical Low $33.88 Median $57.54 Typical High $64.57 | Professional | None (both parts) | $33.88 | $57.54 | $64.57 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $19.95 Typical High $22.39 | Professional | 26 · Professional part | $17.38 | $19.95 | $22.39 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $16.98 Median $30.20 Typical High $31.62 | Professional | 52 · Reduced service | $16.98 | $30.20 | $31.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.76 Median $12.02 Typical High $12.88 | Professional | 53 · Discontinued | $6.76 | $12.02 | $12.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $75.86 Typical High $81.28 | Professional | TC · Technical part | $64.57 | $75.86 | $81.28 |
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 $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 TC · Technical part Typical Low $109.65 Median $109.65 Typical High $117.49 | Professional | TC · Technical part | $109.65 | $109.65 | $117.49 |
Cigna Setting Facility Modifier None Typical Low $79.43 Median $125.89 Typical High $302.00 | Facility | None | $79.43 | $125.89 | $302.00 |
Cigna Setting Professional Modifier None (both parts) Typical Low $46.77 Median $79.43 Typical High $218.78 | Professional | None (both parts) | $46.77 | $79.43 | $218.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $27.54 Typical High $79.43 | Professional | 26 · Professional part | $16.60 | $27.54 | $79.43 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $51.29 Typical High $141.25 | Professional | TC · Technical part | $30.20 | $51.29 | $141.25 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $141.25 Typical High $141.25 | Professional | TC · Technical part | $83.18 | $141.25 | $141.25 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | TC · Technical part | $97.72 | $97.72 | $97.72 |
Highmark BCBS Setting Facility Modifier None Typical Low $190.55 Median $190.55 Typical High $190.55 | Facility | None | $190.55 | $190.55 | $190.55 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $22.91 Typical High $22.91 | Professional | 26 · Professional part | $22.91 | $22.91 | $22.91 |
Martin's Point Setting Facility Modifier None Typical Low $63.10 Median $64.57 Typical High $109.65 | Facility | None | $63.10 | $64.57 | $109.65 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $37.15 Median $60.26 Typical High $64.57 | Professional | None (both parts) | $37.15 | $60.26 | $64.57 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $20.89 Typical High $22.39 | Professional | 26 · Professional part | $17.38 | $20.89 | $22.39 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $26.30 Median $30.20 Typical High $31.62 | Professional | 52 · Reduced service | $26.30 | $30.20 | $31.62 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $10.47 Median $12.30 Typical High $12.88 | Professional | 53 · Discontinued | $10.47 | $12.30 | $12.88 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $75.86 Typical High $81.28 | Professional | TC · Technical part | $64.57 | $75.86 | $81.28 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $234.42 Median $234.42 Typical High $234.42 | Professional | None (both parts) | $234.42 | $234.42 | $234.42 |
UPMC Health Plan Setting Facility Modifier None Typical Low $239.88 Median $239.88 Typical High $251.19 | Facility | None | $239.88 | $239.88 | $251.19 |
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 $72.44 Median $72.44 Typical High $72.44 | Professional | None (both parts) | $72.44 | $72.44 | $72.44 |
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 $41.69 Median $48.98 Typical High $51.29 | Professional | FX · Film X-ray | $41.69 | $48.98 | $51.29 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $41.69 Median $48.98 Typical High $51.29 | Professional | FX · Film X-ray | $41.69 | $48.98 | $51.29 |
Where Pennsylvania sits
The same service costs 7.2 times more in Wisconsin than in Connecticut. 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
$61.66
WI $269CT $37.15
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.