How much rates vary
Facilitymedian $234 · 10th to 90th $102 to $468Professionalmedian $117 · 10th to 90th $91 to $214
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 $100.00 Median $208.93 Typical High $501.19 | Facility | None | $100.00 | $208.93 | $501.19 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $24.55 Median $32.36 Typical High $63.10 | Facility | 26 · Professional part | $24.55 | $32.36 | $63.10 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $74.13 Median $107.15 Typical High $436.52 | Facility | TC · Technical part | $74.13 | $107.15 | $436.52 |
Aetna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $114.82 Typical High $162.18 | Professional | None (both parts) | $93.33 | $114.82 | $162.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $26.92 Typical High $39.81 | Professional | 26 · Professional part | $22.91 | $26.92 | $39.81 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $87.10 Typical High $123.03 | Professional | TC · Technical part | $69.18 | $87.10 | $123.03 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $85.11 Median $162.18 Typical High $162.18 | Professional | None (both parts) | $85.11 | $162.18 | $162.18 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $37.15 Typical High $44.67 | Professional | 26 · Professional part | $21.88 | $37.15 | $44.67 |
AmeriHealth Setting Facility Modifier TC · Technical part Typical Low $120.23 Median $1,659.59 Typical High $2,818.38 | Facility | TC · Technical part | $120.23 | $1,659.59 | $2,818.38 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $147.91 Median $147.91 Typical High $190.55 | Professional | None (both parts) | $147.91 | $147.91 | $190.55 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $33.88 Typical High $60.26 | Professional | 26 · Professional part | $33.88 | $33.88 | $60.26 |
AmeriHealth Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $112.20 Typical High $144.54 | Professional | TC · Technical part | $112.20 | $112.20 | $144.54 |
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 $426.58 Median $524.81 Typical High $5,011.87 | Facility | TC · Technical part | $426.58 | $524.81 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $104.71 Median $181.97 Typical High $218.78 | Professional | None (both parts) | $104.71 | $181.97 | $218.78 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $45.71 Typical High $69.18 | Professional | 26 · Professional part | $26.92 | $45.71 | $69.18 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $125.89 Typical High $162.18 | Professional | TC · Technical part | $79.43 | $125.89 | $162.18 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $234.42 Typical High $363.08 | Facility | None | $100.00 | $234.42 | $363.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $69.18 Median $112.20 Typical High $199.53 | Professional | None (both parts) | $69.18 | $112.20 | $199.53 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $28.84 Typical High $47.86 | Professional | 26 · Professional part | $16.60 | $28.84 | $47.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $81.28 Typical High $151.36 | Professional | TC · Technical part | $52.48 | $81.28 | $151.36 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $128.82 Median $154.88 Typical High $194.98 | Professional | None (both parts) | $128.82 | $154.88 | $194.98 |
Geisinger Setting Facility Modifier None Typical Low $83.18 Median $83.18 Typical High $870.96 | Facility | None | $83.18 | $83.18 | $870.96 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $72.44 Median $112.20 Typical High $208.93 | Professional | None (both parts) | $72.44 | $112.20 | $208.93 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $30.20 Typical High $52.48 | Professional | 26 · Professional part | $22.91 | $30.20 | $52.48 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $85.11 Typical High $154.88 | Professional | TC · Technical part | $46.77 | $85.11 | $154.88 |
Highmark BCBS Setting Facility Modifier None Typical Low $144.54 Median $257.04 Typical High $446.68 | Facility | None | $144.54 | $257.04 | $446.68 |
Highmark BCBS Setting Facility Modifier TC · Technical part Typical Low $186.21 Median $389.05 Typical High $537.03 | Facility | TC · Technical part | $186.21 | $389.05 | $537.03 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $114.82 Median $128.82 Typical High $154.88 | Professional | None (both parts) | $114.82 | $128.82 | $154.88 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $31.62 Typical High $46.77 | Professional | 26 · Professional part | $28.18 | $31.62 | $46.77 |
Independence Blue Cross Setting Facility Modifier None Typical Low $213.80 Median $213.80 Typical High $213.80 | Facility | None | $213.80 | $213.80 | $213.80 |
Independence Blue Cross Setting Professional Modifier None (both parts) Typical Low $147.91 Median $147.91 Typical High $190.55 | Professional | None (both parts) | $147.91 | $147.91 | $190.55 |
Independence Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $33.88 Typical High $60.26 | Professional | 26 · Professional part | $33.88 | $33.88 | $60.26 |
Independence Blue Cross Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $112.20 Typical High $134.90 | Professional | TC · Technical part | $112.20 | $112.20 | $134.90 |
Martin's Point Setting Facility Modifier None Typical Low $100.00 Median $218.78 Typical High $524.81 | Facility | None | $100.00 | $218.78 | $524.81 |
Martin's Point Setting Facility Modifier 26 · Professional part Typical Low $24.55 Median $31.62 Typical High $54.95 | Facility | 26 · Professional part | $24.55 | $31.62 | $54.95 |
Martin's Point Setting Facility Modifier TC · Technical part Typical Low $74.13 Median $102.33 Typical High $363.08 | Facility | TC · Technical part | $74.13 | $102.33 | $363.08 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $93.33 Median $114.82 Typical High $158.49 | Professional | None (both parts) | $93.33 | $114.82 | $158.49 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $26.92 Typical High $38.02 | Professional | 26 · Professional part | $22.91 | $26.92 | $38.02 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $87.10 Typical High $120.23 | Professional | TC · Technical part | $69.18 | $87.10 | $120.23 |
Oscar Health Setting Facility Modifier None Typical Low $165.96 Median $316.23 Typical High $446.68 | Facility | None | $165.96 | $316.23 | $446.68 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $28.84 Median $104.71 Typical High $218.78 | Professional | None (both parts) | $28.84 | $104.71 | $218.78 |
UPMC Health Plan Setting Facility Modifier None Typical Low $104.71 Median $223.87 Typical High $338.84 | Facility | None | $104.71 | $223.87 | $338.84 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $104.71 Median $104.71 Typical High $107.15 | Professional | None (both parts) | $104.71 | $104.71 | $107.15 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $27.54 Typical High $34.67 | Professional | 26 · Professional part | $26.92 | $27.54 | $34.67 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $79.43 Typical High $79.43 | Professional | TC · Technical part | $70.79 | $79.43 | $79.43 |
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 $83.18 Median $114.82 Typical High $204.17 | Professional | None (both parts) | $83.18 | $114.82 | $204.17 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $27.54 Typical High $51.29 | Professional | 26 · Professional part | $22.91 | $27.54 | $51.29 |
United Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $89.13 Typical High $154.88 | Professional | TC · Technical part | $64.57 | $89.13 | $154.88 |
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 $46.77 Median $53.70 Typical High $57.54 | Professional | 52 · Reduced service | $46.77 | $53.70 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $21.88 Typical High $22.91 | Professional | 53 · Discontinued | $18.62 | $21.88 | $22.91 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $74.13 Median $87.10 Typical High $91.20 | Professional | FX · Film X-ray | $74.13 | $87.10 | $91.20 |
Highmark BCBS Setting Facility Modifier PN · Off-campus dept, non-excepted Typical Low $39.81 Median $85.11 Typical High $316.23 | Facility | PN · Off-campus dept, non-excepted | $39.81 | $85.11 | $316.23 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $46.77 Median $53.70 Typical High $57.54 | Professional | 52 · Reduced service | $46.77 | $53.70 | $57.54 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $21.88 Typical High $22.91 | Professional | 53 · Discontinued | $18.62 | $21.88 | $22.91 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $74.13 Median $87.10 Typical High $91.20 | Professional | FX · Film X-ray | $74.13 | $87.10 | $91.20 |
Where Pennsylvania sits
The same service costs 4.1 times more in Minnesota 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· 33rd of 51
$123
MN $363FL $89.13
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.