How much rates vary
Facilitymedian $229 · 10th to 90th $110 to $513Professionalmedian $117 · 10th to 90th $91 to $219
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 $117.49 Median $154.88 Typical High $407.38 | Facility | None | $117.49 | $154.88 | $407.38 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $30.20 Median $43.65 Typical High $77.62 | Facility | 26 · Professional part | $30.20 | $43.65 | $77.62 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $74.13 Median $100.00 Typical High $309.03 | Facility | TC · Technical part | $74.13 | $100.00 | $309.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $117.49 Typical High $141.25 | Professional | None (both parts) | $95.50 | $117.49 | $141.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $30.20 Typical High $40.74 | Professional | 26 · Professional part | $25.70 | $30.20 | $40.74 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $85.11 Typical High $107.15 | Professional | TC · Technical part | $66.07 | $85.11 | $107.15 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $46.77 Typical High $50.12 | Professional | 26 · Professional part | $31.62 | $46.77 | $50.12 |
AmeriHealth Setting Facility Modifier None Typical Low $102.33 Median $229.09 Typical High $1,047.13 | Facility | None | $102.33 | $229.09 | $1,047.13 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $38.02 Typical High $50.12 | Professional | 26 · Professional part | $38.02 | $38.02 | $50.12 |
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 $323.59 Median $398.11 Typical High $5,011.87 | Facility | TC · Technical part | $323.59 | $398.11 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $104.71 Median $158.49 Typical High $223.87 | Professional | None (both parts) | $104.71 | $158.49 | $223.87 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $52.48 Typical High $79.43 | Professional | 26 · Professional part | $30.20 | $52.48 | $79.43 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $114.82 Typical High $158.49 | Professional | TC · Technical part | $75.86 | $114.82 | $158.49 |
Cigna Setting Facility Modifier None Typical Low $93.33 Median $234.42 Typical High $363.08 | Facility | None | $93.33 | $234.42 | $363.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $72.44 Median $114.82 Typical High $204.17 | Professional | None (both parts) | $72.44 | $114.82 | $204.17 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $33.11 Typical High $54.95 | Professional | 26 · Professional part | $20.42 | $33.11 | $54.95 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $81.28 Typical High $147.91 | Professional | TC · Technical part | $52.48 | $81.28 | $147.91 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $128.82 Median $154.88 Typical High $194.98 | Professional | None (both parts) | $128.82 | $154.88 | $194.98 |
Geisinger Setting Facility Modifier None Typical Low $83.18 Median $83.18 Typical High $870.96 | Facility | None | $83.18 | $83.18 | $870.96 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $75.86 Median $112.20 Typical High $190.55 | Professional | None (both parts) | $75.86 | $112.20 | $190.55 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $35.48 Typical High $60.26 | Professional | 26 · Professional part | $26.92 | $35.48 | $60.26 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $79.43 Typical High $131.83 | Professional | TC · Technical part | $43.65 | $79.43 | $131.83 |
Highmark BCBS Setting Facility Modifier None Typical Low $199.53 Median $338.84 Typical High $478.63 | Facility | None | $199.53 | $338.84 | $478.63 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $50.12 Median $50.12 Typical High $144.54 | Professional | None (both parts) | $50.12 | $50.12 | $144.54 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $38.02 Typical High $52.48 | Professional | 26 · Professional part | $32.36 | $38.02 | $52.48 |
Independence Blue Cross Setting Facility Modifier None Typical Low $114.82 Median $229.09 Typical High $537.03 | Facility | None | $114.82 | $229.09 | $537.03 |
Independence Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $38.02 Typical High $48.98 | Professional | 26 · Professional part | $35.48 | $38.02 | $48.98 |
Martin's Point Setting Facility Modifier None Typical Low $117.49 Median $169.82 Typical High $407.38 | Facility | None | $117.49 | $169.82 | $407.38 |
Martin's Point Setting Facility Modifier TC · Technical part Typical Low $74.13 Median $112.20 Typical High $309.03 | Facility | TC · Technical part | $74.13 | $112.20 | $309.03 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $95.50 Median $112.20 Typical High $134.90 | Professional | None (both parts) | $95.50 | $112.20 | $134.90 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $30.20 Typical High $38.02 | Professional | 26 · Professional part | $25.70 | $30.20 | $38.02 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $81.28 Typical High $100.00 | Professional | TC · Technical part | $66.07 | $81.28 | $100.00 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $33.11 Median $109.65 Typical High $239.88 | Professional | None (both parts) | $33.11 | $109.65 | $239.88 |
UPMC Health Plan Setting Facility Modifier None Typical Low $89.13 Median $208.93 Typical High $346.74 | Facility | None | $89.13 | $208.93 | $346.74 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $89.13 Median $107.15 Typical High $109.65 | Professional | None (both parts) | $89.13 | $107.15 | $109.65 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $30.20 Typical High $34.67 | Professional | 26 · Professional part | $29.51 | $30.20 | $34.67 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $77.62 Typical High $79.43 | Professional | TC · Technical part | $54.95 | $77.62 | $79.43 |
United Setting Facility Modifier None Typical Low $144.54 Median $309.03 Typical High $354.81 | Facility | None | $144.54 | $309.03 | $354.81 |
United Setting Professional Modifier None (both parts) Typical Low $87.10 Median $114.82 Typical High $204.17 | Professional | None (both parts) | $87.10 | $114.82 | $204.17 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $31.62 Typical High $57.54 | Professional | 26 · Professional part | $25.70 | $31.62 | $57.54 |
United Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $83.18 Typical High $147.91 | Professional | TC · Technical part | $61.66 | $83.18 | $147.91 |
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 $47.86 Median $56.23 Typical High $58.88 | Professional | 52 · Reduced service | $47.86 | $56.23 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $22.39 Typical High $23.44 | Professional | 53 · Discontinued | $19.05 | $22.39 | $23.44 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $75.86 Median $89.13 Typical High $93.33 | Professional | FX · Film X-ray | $75.86 | $89.13 | $93.33 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $47.86 Median $56.23 Typical High $58.88 | Professional | 52 · Reduced service | $47.86 | $56.23 | $58.88 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $22.39 Typical High $23.44 | Professional | 53 · Discontinued | $19.05 | $22.39 | $23.44 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $75.86 Median $89.13 Typical High $93.33 | Professional | FX · Film X-ray | $75.86 | $89.13 | $93.33 |
Where Pennsylvania sits
The same service costs 3.9 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· 40th of 51
$117
AK $339TX $87.10
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.