How much rates vary
Facilitymedian $170 · 10th to 90th $76 to $372Professionalmedian $78 · 10th to 90th $63 to $174
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 $75.86 Median $186.21 Typical High $316.23 | Facility | None | $75.86 | $186.21 | $316.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $61.66 Median $75.86 Typical High $95.50 | Professional | None (both parts) | $61.66 | $75.86 | $95.50 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $30.90 Typical High $36.31 | Professional | 26 · Professional part | $26.92 | $30.90 | $36.31 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $44.67 Typical High $61.66 | Professional | TC · Technical part | $35.48 | $44.67 | $61.66 |
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 $269.15 Median $323.59 Typical High $5,011.87 | Facility | TC · Technical part | $269.15 | $323.59 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $72.44 Median $104.71 Typical High $177.83 | Professional | None (both parts) | $72.44 | $104.71 | $177.83 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $45.71 Typical High $69.18 | Professional | 26 · Professional part | $32.36 | $45.71 | $69.18 |
Capital Blue Cross Setting Professional Modifier 50 · Both sides Typical Low $144.54 Median $208.93 Typical High $363.08 | Professional | 50 · Both sides | $144.54 | $208.93 | $363.08 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $58.88 Typical High $109.65 | Professional | TC · Technical part | $40.74 | $58.88 | $109.65 |
Cigna Setting Facility Modifier None Typical Low $56.23 Median $141.25 Typical High $363.08 | Facility | None | $56.23 | $141.25 | $363.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $60.26 Median $89.13 Typical High $154.88 | Professional | None (both parts) | $60.26 | $89.13 | $154.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $36.31 Typical High $58.88 | Professional | 26 · Professional part | $20.89 | $36.31 | $58.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $53.70 Typical High $93.33 | Professional | TC · Technical part | $33.88 | $53.70 | $93.33 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $91.20 Median $109.65 Typical High $138.04 | Professional | None (both parts) | $91.20 | $109.65 | $138.04 |
Geisinger Setting Facility Modifier None Typical Low $109.65 Median $109.65 Typical High $109.65 | Facility | None | $109.65 | $109.65 | $109.65 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $72.44 Median $97.72 Typical High $158.49 | Professional | None (both parts) | $72.44 | $97.72 | $158.49 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $38.02 Typical High $66.07 | Professional | 26 · Professional part | $28.84 | $38.02 | $66.07 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $56.23 Typical High $93.33 | Professional | TC · Technical part | $41.69 | $56.23 | $93.33 |
Martin's Point Setting Facility Modifier None Typical Low $75.86 Median $186.21 Typical High $316.23 | Facility | None | $75.86 | $186.21 | $316.23 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $61.66 Median $75.86 Typical High $93.33 | Professional | None (both parts) | $61.66 | $75.86 | $93.33 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $30.90 Typical High $36.31 | Professional | 26 · Professional part | $26.92 | $30.90 | $36.31 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $44.67 Typical High $57.54 | Professional | TC · Technical part | $35.48 | $44.67 | $57.54 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $131.83 Median $141.25 Typical High $186.21 | Professional | None (both parts) | $131.83 | $141.25 | $186.21 |
UPMC Health Plan Setting Facility Modifier None Typical Low $72.44 Median $177.83 Typical High $371.54 | Facility | None | $72.44 | $177.83 | $371.54 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $72.44 Median $74.13 Typical High $128.82 | Professional | None (both parts) | $72.44 | $74.13 | $128.82 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $32.36 Typical High $35.48 | Professional | 26 · Professional part | $31.62 | $32.36 | $35.48 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $41.69 Typical High $91.20 | Professional | TC · Technical part | $40.74 | $41.69 | $91.20 |
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 $70.79 Median $100.00 Typical High $169.82 | Professional | None (both parts) | $70.79 | $100.00 | $169.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $35.48 Typical High $64.57 | Professional | 26 · Professional part | $28.84 | $35.48 | $64.57 |
United Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $63.10 Typical High $112.20 | Professional | TC · Technical part | $40.74 | $63.10 | $112.20 |
7 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 $30.90 Median $36.31 Typical High $38.02 | Professional | 52 · Reduced service | $30.90 | $36.31 | $38.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.30 Median $14.45 Typical High $15.14 | Professional | 53 · Discontinued | $12.30 | $14.45 | $15.14 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $50.12 Median $57.54 Typical High $60.26 | Professional | FX · Film X-ray | $50.12 | $57.54 | $60.26 |
Highmark BCBS Setting Facility Modifier PN · Off-campus dept, non-excepted Typical Low $123.03 Median $123.03 Typical High $131.83 | Facility | PN · Off-campus dept, non-excepted | $123.03 | $123.03 | $131.83 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $30.90 Median $36.31 Typical High $38.02 | Professional | 52 · Reduced service | $30.90 | $36.31 | $38.02 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $12.30 Median $14.45 Typical High $15.14 | Professional | 53 · Discontinued | $12.30 | $14.45 | $15.14 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $50.12 Median $57.54 Typical High $60.26 | Professional | FX · Film X-ray | $50.12 | $57.54 | $60.26 |
Where Pennsylvania sits
The same service costs 3.7 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· 47th of 51
$79.43
AK $229TX $61.66
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.