How much rates vary
Facilitymedian $186 · 10th to 90th $44 to $457Professionalmedian $66 · 10th to 90th $42 to $178
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 $15.14 Median $57.54 Typical High $177.83 | Facility | None | $15.14 | $57.54 | $177.83 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $15.14 Median $23.99 Typical High $75.86 | Facility | TC · Technical part | $15.14 | $23.99 | $75.86 |
Aetna Setting Professional Modifier None (both parts) Typical Low $39.81 Median $46.77 Typical High $95.50 | Professional | None (both parts) | $39.81 | $46.77 | $95.50 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $29.51 Typical High $53.70 | Professional | 26 · Professional part | $25.12 | $29.51 | $53.70 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $14.13 Median $17.78 Typical High $42.66 | Professional | TC · Technical part | $14.13 | $17.78 | $42.66 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $42.66 Median $83.18 Typical High $83.18 | Professional | None (both parts) | $42.66 | $83.18 | $83.18 |
AmeriHealth Setting Facility Modifier None Typical Low $109.65 Median $245.47 Typical High $933.25 | Facility | None | $109.65 | $245.47 | $933.25 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | None (both parts) | $60.26 | $60.26 | $60.26 |
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 $223.87 Median $275.42 Typical High $5,011.87 | Facility | TC · Technical part | $223.87 | $275.42 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $46.77 Median $85.11 Typical High $218.78 | Professional | None (both parts) | $46.77 | $85.11 | $218.78 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $52.48 Typical High $123.03 | Professional | 26 · Professional part | $30.20 | $52.48 | $123.03 |
Capital Blue Cross Setting Professional Modifier 50 · Both sides Typical Low $93.33 Median $169.82 Typical High $436.52 | Professional | 50 · Both sides | $93.33 | $169.82 | $436.52 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $30.20 Typical High $93.33 | Professional | TC · Technical part | $16.98 | $30.20 | $93.33 |
Cigna Setting Facility Modifier None Typical Low $37.15 Median $60.26 Typical High $363.08 | Facility | None | $37.15 | $60.26 | $363.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $38.90 Median $66.07 Typical High $141.25 | Professional | None (both parts) | $38.90 | $66.07 | $141.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $38.02 Typical High $67.61 | Professional | 26 · Professional part | $24.55 | $38.02 | $67.61 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $14.13 Median $36.31 Typical High $72.44 | Professional | TC · Technical part | $14.13 | $36.31 | $72.44 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $57.54 Median $69.18 Typical High $87.10 | Professional | None (both parts) | $57.54 | $69.18 | $87.10 |
Geisinger Setting Facility Modifier None Typical Low $91.20 Median $91.20 Typical High $870.96 | Facility | None | $91.20 | $91.20 | $870.96 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $50.12 Median $87.10 Typical High $151.36 | Professional | None (both parts) | $50.12 | $87.10 | $151.36 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $46.77 Typical High $77.62 | Professional | 26 · Professional part | $30.90 | $46.77 | $77.62 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $37.15 Typical High $83.18 | Professional | TC · Technical part | $18.62 | $37.15 | $83.18 |
Highmark BCBS Setting Facility Modifier None Typical Low $288.40 Median $426.58 Typical High $616.60 | Facility | None | $288.40 | $426.58 | $616.60 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $33.88 Typical High $63.10 | Professional | 26 · Professional part | $31.62 | $33.88 | $63.10 |
Independence Blue Cross Setting Facility Modifier None Typical Low $120.23 Median $245.47 Typical High $575.44 | Facility | None | $120.23 | $245.47 | $575.44 |
Independence Blue Cross Setting Professional Modifier None (both parts) Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | None (both parts) | $60.26 | $60.26 | $60.26 |
Martin's Point Setting Facility Modifier None Typical Low $15.14 Median $46.77 Typical High $177.83 | Facility | None | $15.14 | $46.77 | $177.83 |
Martin's Point Setting Facility Modifier TC · Technical part Typical Low $15.14 Median $25.70 Typical High $75.86 | Facility | TC · Technical part | $15.14 | $25.70 | $75.86 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $39.81 Median $46.77 Typical High $95.50 | Professional | None (both parts) | $39.81 | $46.77 | $95.50 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $29.51 Typical High $53.70 | Professional | 26 · Professional part | $25.12 | $29.51 | $53.70 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $14.13 Median $17.78 Typical High $42.66 | Professional | TC · Technical part | $14.13 | $17.78 | $42.66 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $83.18 Median $125.89 Typical High $199.53 | Professional | None (both parts) | $83.18 | $125.89 | $199.53 |
UPMC Health Plan Setting Facility Modifier None Typical Low $46.77 Median $177.83 Typical High $371.54 | Facility | None | $46.77 | $177.83 | $371.54 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $46.77 Median $47.86 Typical High $128.82 | Professional | None (both parts) | $46.77 | $47.86 | $128.82 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $30.20 Typical High $50.12 | Professional | 26 · Professional part | $29.51 | $30.20 | $50.12 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $16.98 Typical High $77.62 | Professional | TC · Technical part | $16.60 | $16.98 | $77.62 |
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 $41.69 Median $58.88 Typical High $117.49 | Professional | None (both parts) | $41.69 | $58.88 | $117.49 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $33.88 Typical High $60.26 | Professional | 26 · Professional part | $25.12 | $33.88 | $60.26 |
United Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $23.44 Typical High $54.95 | Professional | TC · Technical part | $16.22 | $23.44 | $54.95 |
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 $19.95 Median $23.44 Typical High $28.84 | Professional | 52 · Reduced service | $19.95 | $23.44 | $28.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.94 Median $9.33 Typical High $11.48 | Professional | 53 · Discontinued | $7.94 | $9.33 | $11.48 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $31.62 Median $37.15 Typical High $38.02 | Professional | FX · Film X-ray | $31.62 | $37.15 | $38.02 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $19.95 Median $22.91 Typical High $23.44 | Professional | 52 · Reduced service | $19.95 | $22.91 | $23.44 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $7.94 Median $9.12 Typical High $9.33 | Professional | 53 · Discontinued | $7.94 | $9.12 | $9.33 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $31.62 Median $37.15 Typical High $38.02 | Professional | FX · Film X-ray | $31.62 | $37.15 | $38.02 |
Where Pennsylvania sits
The same service costs 3.8 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· 38th of 51
$66.07
AK $151TX $39.81
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.