How much rates vary
Facilitymedian $148 · 10th to 90th $46 to $363Professionalmedian $47 · 10th to 90th $41 to $132
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 $45.71 Median $151.36 Typical High $257.04 | Facility | None | $45.71 | $151.36 | $257.04 |
Aetna Setting Professional Modifier None (both parts) Typical Low $38.02 Median $45.71 Typical High $74.13 | Professional | None (both parts) | $38.02 | $45.71 | $74.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $21.38 Typical High $29.51 | Professional | 26 · Professional part | $18.62 | $21.38 | $29.51 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $24.55 Typical High $44.67 | Professional | TC · Technical part | $19.50 | $24.55 | $44.67 |
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 $208.93 Median $251.19 Typical High $5,011.87 | Facility | TC · Technical part | $208.93 | $251.19 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $45.71 Median $64.57 Typical High $147.91 | Professional | None (both parts) | $45.71 | $64.57 | $147.91 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $31.62 Typical High $60.26 | Professional | 26 · Professional part | $22.39 | $31.62 | $60.26 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $33.11 Typical High $87.10 | Professional | TC · Technical part | $23.44 | $33.11 | $87.10 |
Cigna Setting Facility Modifier None Typical Low $44.67 Median $79.43 Typical High $363.08 | Facility | None | $44.67 | $79.43 | $363.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $37.15 Median $60.26 Typical High $104.71 | Professional | None (both parts) | $37.15 | $60.26 | $104.71 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $26.30 Typical High $43.65 | Professional | 26 · Professional part | $16.60 | $26.30 | $43.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $31.62 Typical High $64.57 | Professional | TC · Technical part | $19.50 | $31.62 | $64.57 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $48.98 Median $67.61 Typical High $85.11 | Professional | None (both parts) | $48.98 | $67.61 | $85.11 |
Geisinger Setting Facility Modifier None Typical Low $67.61 Median $67.61 Typical High $870.96 | Facility | None | $67.61 | $67.61 | $870.96 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $48.98 Median $67.61 Typical High $112.20 | Professional | None (both parts) | $48.98 | $67.61 | $112.20 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $28.84 Typical High $47.86 | Professional | 26 · Professional part | $21.88 | $28.84 | $47.86 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $37.15 Typical High $69.18 | Professional | TC · Technical part | $25.70 | $37.15 | $69.18 |
Martin's Point Setting Facility Modifier None Typical Low $45.71 Median $151.36 Typical High $257.04 | Facility | None | $45.71 | $151.36 | $257.04 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $38.02 Median $45.71 Typical High $74.13 | Professional | None (both parts) | $38.02 | $45.71 | $74.13 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $21.38 Typical High $29.51 | Professional | 26 · Professional part | $18.62 | $21.38 | $29.51 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $24.55 Typical High $44.67 | Professional | TC · Technical part | $19.50 | $24.55 | $44.67 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $83.18 Median $97.72 Typical High $147.91 | Professional | None (both parts) | $83.18 | $97.72 | $147.91 |
UPMC Health Plan Setting Facility Modifier None Typical Low $44.67 Median $138.04 Typical High $288.40 | Facility | None | $44.67 | $138.04 | $288.40 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $44.67 Median $45.71 Typical High $93.33 | Professional | None (both parts) | $44.67 | $45.71 | $93.33 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $22.39 Typical High $29.51 | Professional | 26 · Professional part | $21.88 | $22.39 | $29.51 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $23.44 Typical High $63.10 | Professional | TC · Technical part | $22.91 | $23.44 | $63.10 |
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 $38.02 Median $51.29 Typical High $93.33 | Professional | None (both parts) | $38.02 | $51.29 | $93.33 |
United Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $23.99 Typical High $42.66 | Professional | 26 · Professional part | $18.20 | $23.99 | $42.66 |
United Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $26.30 Typical High $52.48 | Professional | TC · Technical part | $19.50 | $26.30 | $52.48 |
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 $19.05 Median $22.91 Typical High $27.54 | Professional | 52 · Reduced service | $19.05 | $22.91 | $27.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.59 Median $9.12 Typical High $10.96 | Professional | 53 · Discontinued | $7.59 | $9.12 | $10.96 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $30.20 Median $35.48 Typical High $37.15 | Professional | FX · Film X-ray | $30.20 | $35.48 | $37.15 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $19.05 Median $22.39 Typical High $22.91 | Professional | 52 · Reduced service | $19.05 | $22.39 | $22.91 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $7.59 Median $8.91 Typical High $9.12 | Professional | 53 · Discontinued | $7.59 | $8.91 | $9.12 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $30.20 Median $35.48 Typical High $37.15 | Professional | FX · Film X-ray | $30.20 | $35.48 | $37.15 |
Where Pennsylvania sits
The same service costs 4.5 times more in Alaska than in Utah. 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· 48th of 51
$47.86
AK $141UT $31.62
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.