How much rates vary
Facilitymedian $129 · 10th to 90th $32 to $380Professionalmedian $76 · 10th to 90th $55 to $141
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 $31.62 Median $54.95 Typical High $208.93 | Facility | None | $31.62 | $54.95 | $208.93 |
Aetna Setting Professional Modifier None (both parts) Typical Low $54.95 Median $66.07 Typical High $87.10 | Professional | None (both parts) | $54.95 | $66.07 | $87.10 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $28.84 Typical High $35.48 | Professional | 26 · Professional part | $25.12 | $28.84 | $35.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $37.15 Typical High $54.95 | Professional | TC · Technical part | $30.20 | $37.15 | $54.95 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $52.48 Median $61.66 Typical High $61.66 | Professional | None (both parts) | $52.48 | $61.66 | $61.66 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $83.18 Median $83.18 Typical High $107.15 | Professional | None (both parts) | $83.18 | $83.18 | $107.15 |
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 $229.09 Median $281.84 Typical High $5,011.87 | Facility | TC · Technical part | $229.09 | $281.84 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $131.83 Median $141.25 Typical High $199.53 | Professional | None (both parts) | $131.83 | $141.25 | $199.53 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $51.29 Typical High $70.79 | Professional | 26 · Professional part | $30.20 | $51.29 | $70.79 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $57.54 Typical High $97.72 | Professional | TC · Technical part | $36.31 | $57.54 | $97.72 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $120.23 Typical High $363.08 | Facility | None | $50.12 | $120.23 | $363.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $50.12 Median $77.62 Typical High $125.89 | Professional | None (both parts) | $50.12 | $77.62 | $125.89 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $31.62 Typical High $53.70 | Professional | 26 · Professional part | $16.98 | $31.62 | $53.70 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $44.67 Typical High $74.13 | Professional | TC · Technical part | $30.20 | $44.67 | $74.13 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $83.18 Median $97.72 Typical High $125.89 | Professional | None (both parts) | $83.18 | $97.72 | $125.89 |
Geisinger Setting Facility Modifier None Typical Low $74.13 Median $74.13 Typical High $870.96 | Facility | None | $74.13 | $74.13 | $870.96 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $61.66 Median $81.28 Typical High $144.54 | Professional | None (both parts) | $61.66 | $81.28 | $144.54 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $33.11 Typical High $58.88 | Professional | 26 · Professional part | $23.99 | $33.11 | $58.88 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $47.86 Typical High $81.28 | Professional | TC · Technical part | $36.31 | $47.86 | $81.28 |
Highmark BCBS Setting Facility Modifier None Typical Low $295.12 Median $398.11 Typical High $489.78 | Facility | None | $295.12 | $398.11 | $489.78 |
Independence Blue Cross Setting Professional Modifier None (both parts) Typical Low $83.18 Median $83.18 Typical High $107.15 | Professional | None (both parts) | $83.18 | $83.18 | $107.15 |
Martin's Point Setting Facility Modifier None Typical Low $31.62 Median $31.62 Typical High $281.84 | Facility | None | $31.62 | $31.62 | $281.84 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $54.95 Median $66.07 Typical High $85.11 | Professional | None (both parts) | $54.95 | $66.07 | $85.11 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $28.84 Typical High $35.48 | Professional | 26 · Professional part | $25.12 | $28.84 | $35.48 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $37.15 Typical High $54.95 | Professional | TC · Technical part | $30.20 | $37.15 | $54.95 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $95.50 Median $117.49 Typical High $158.49 | Professional | None (both parts) | $95.50 | $117.49 | $158.49 |
UPMC Health Plan Setting Facility Modifier None Typical Low $64.57 Median $147.91 Typical High $309.03 | Facility | None | $64.57 | $147.91 | $309.03 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $64.57 Median $66.07 Typical High $87.10 | Professional | None (both parts) | $64.57 | $66.07 | $87.10 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $29.51 Typical High $29.51 | Professional | 26 · Professional part | $29.51 | $29.51 | $29.51 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $36.31 Typical High $58.88 | Professional | TC · Technical part | $35.48 | $36.31 | $58.88 |
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 $51.29 Median $66.07 Typical High $120.23 | Professional | None (both parts) | $51.29 | $66.07 | $120.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $30.90 Typical High $54.95 | Professional | 26 · Professional part | $24.55 | $30.90 | $54.95 |
United Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $36.31 Typical High $66.07 | Professional | TC · Technical part | $26.92 | $36.31 | $66.07 |
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 $27.54 Median $32.36 Typical High $33.11 | Professional | 52 · Reduced service | $27.54 | $32.36 | $33.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.96 Median $12.88 Typical High $13.18 | Professional | 53 · Discontinued | $10.96 | $12.88 | $13.18 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $43.65 Median $51.29 Typical High $53.70 | Professional | FX · Film X-ray | $43.65 | $51.29 | $53.70 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $27.54 Median $32.36 Typical High $33.11 | Professional | 52 · Reduced service | $27.54 | $32.36 | $33.11 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $10.96 Median $12.88 Typical High $13.18 | Professional | 53 · Discontinued | $10.96 | $12.88 | $13.18 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $43.65 Median $51.29 Typical High $53.70 | Professional | FX · Film X-ray | $43.65 | $51.29 | $53.70 |
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· 35th of 51
$77.62
AK $204TX $53.70
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.