How much rates vary
Facilitymedian $30 · 10th to 90th $10 to $98Professionalmedian $12 · 10th to 90th $10 to $28
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 $11.48 Median $29.51 Typical High $50.12 | Facility | None | $11.48 | $29.51 | $50.12 |
Aetna Setting Professional Modifier None (both parts) Typical Low $9.55 Median $11.48 Typical High $15.49 | Professional | None (both parts) | $9.55 | $11.48 | $15.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.46 Median $7.59 Typical High $10.47 | Professional | 26 · Professional part | $6.46 | $7.59 | $10.47 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $3.02 Median $3.80 Typical High $5.62 | Professional | TC · Technical part | $3.02 | $3.80 | $5.62 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $9.55 Median $11.75 Typical High $19.95 | Professional | None (both parts) | $9.55 | $11.75 | $19.95 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $12.02 Median $14.45 Typical High $19.05 | Professional | None (both parts) | $12.02 | $14.45 | $19.05 |
Capital Blue Cross Setting Facility Modifier None Typical Low $16.60 Median $5,011.87 Typical High $5,011.87 | Facility | None | $16.60 | $5,011.87 | $5,011.87 |
Capital Blue Cross Setting Facility Modifier TC · Technical part Typical Low $19.05 Median $23.44 Typical High $5,011.87 | Facility | TC · Technical part | $19.05 | $23.44 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $11.22 Median $19.50 Typical High $28.84 | Professional | None (both parts) | $11.22 | $19.50 | $28.84 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $13.18 Typical High $23.44 | Professional | 26 · Professional part | $7.59 | $13.18 | $23.44 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $3.47 Median $5.01 Typical High $10.00 | Professional | TC · Technical part | $3.47 | $5.01 | $10.00 |
Cigna Setting Facility Modifier None Typical Low $5.01 Median $12.30 Typical High $83.18 | Facility | None | $5.01 | $12.30 | $83.18 |
Cigna Setting Professional Modifier None (both parts) Typical Low $7.94 Median $13.18 Typical High $21.88 | Professional | None (both parts) | $7.94 | $13.18 | $21.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $5.62 Median $9.12 Typical High $15.14 | Professional | 26 · Professional part | $5.62 | $9.12 | $15.14 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $2.34 Median $3.89 Typical High $7.08 | Professional | TC · Technical part | $2.34 | $3.89 | $7.08 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $13.80 Median $16.22 Typical High $20.89 | Professional | None (both parts) | $13.80 | $16.22 | $20.89 |
Geisinger Setting Facility Modifier None Typical Low $870.96 Median $870.96 Typical High $870.96 | Facility | None | $870.96 | $870.96 | $870.96 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $10.23 Median $13.80 Typical High $24.55 | Professional | None (both parts) | $10.23 | $13.80 | $24.55 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $9.77 Typical High $16.22 | Professional | 26 · Professional part | $7.41 | $9.77 | $16.22 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $2.00 Median $4.17 Typical High $7.94 | Professional | TC · Technical part | $2.00 | $4.17 | $7.94 |
Highmark BCBS Setting Facility Modifier None Typical Low $45.71 Median $63.10 Typical High $91.20 | Facility | None | $45.71 | $63.10 | $91.20 |
Independence Blue Cross Setting Professional Modifier None (both parts) Typical Low $13.80 Median $14.45 Typical High $19.05 | Professional | None (both parts) | $13.80 | $14.45 | $19.05 |
Martin's Point Setting Facility Modifier None Typical Low $11.48 Median $29.51 Typical High $50.12 | Facility | None | $11.48 | $29.51 | $50.12 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $9.55 Median $11.48 Typical High $15.49 | Professional | None (both parts) | $9.55 | $11.48 | $15.49 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $6.46 Median $7.59 Typical High $9.77 | Professional | 26 · Professional part | $6.46 | $7.59 | $9.77 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $3.02 Median $3.80 Typical High $5.62 | Professional | TC · Technical part | $3.02 | $3.80 | $5.62 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $13.18 Median $17.78 Typical High $27.54 | Professional | None (both parts) | $13.18 | $17.78 | $27.54 |
UPMC Health Plan Setting Facility Modifier None Typical Low $10.00 Median $28.84 Typical High $64.57 | Facility | None | $10.00 | $28.84 | $64.57 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $10.96 Median $11.22 Typical High $12.88 | Professional | None (both parts) | $10.96 | $11.22 | $12.88 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $7.76 Typical High $8.91 | Professional | 26 · Professional part | $7.59 | $7.76 | $8.91 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $3.47 Median $3.55 Typical High $3.89 | Professional | TC · Technical part | $3.47 | $3.55 | $3.89 |
United Setting Facility Modifier None Typical Low $39.81 Median $85.11 Typical High $97.72 | Facility | None | $39.81 | $85.11 | $97.72 |
United Setting Professional Modifier None (both parts) Typical Low $9.55 Median $12.02 Typical High $20.89 | Professional | None (both parts) | $9.55 | $12.02 | $20.89 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.46 Median $8.32 Typical High $15.14 | Professional | 26 · Professional part | $6.46 | $8.32 | $15.14 |
United Setting Professional Modifier TC · Technical part Typical Low $2.95 Median $3.98 Typical High $7.08 | Professional | TC · Technical part | $2.95 | $3.98 | $7.08 |
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 $4.79 Median $5.50 Typical High $5.75 | Professional | 52 · Reduced service | $4.79 | $5.50 | $5.75 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.91 Median $2.24 Typical High $2.29 | Professional | 53 · Discontinued | $1.91 | $2.24 | $2.29 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $7.59 Median $8.91 Typical High $9.12 | Professional | FX · Film X-ray | $7.59 | $8.91 | $9.12 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $4.79 Median $5.50 Typical High $5.75 | Professional | 52 · Reduced service | $4.79 | $5.50 | $5.75 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $1.91 Median $2.24 Typical High $2.29 | Professional | 53 · Discontinued | $1.91 | $2.24 | $2.29 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $7.59 Median $8.91 Typical High $9.12 | Professional | FX · Film X-ray | $7.59 | $8.91 | $9.12 |
Where Pennsylvania sits
The same service costs 3.9 times more in Alaska than in Florida. 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· 39th of 51
$12.59
AK $35.48FL $9.12
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.