How much rates vary
Facilitymedian $219 · 10th to 90th $69 to $513Professionalmedian $60 · 10th to 90th $51 to $110
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 $58.88 Median $208.93 Typical High $323.59 | Facility | None | $58.88 | $208.93 | $323.59 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $24.55 Median $35.48 Typical High $60.26 | Facility | 26 · Professional part | $24.55 | $35.48 | $60.26 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $26.30 Median $42.66 Typical High $151.36 | Facility | TC · Technical part | $26.30 | $42.66 | $151.36 |
Aetna Setting Professional Modifier None (both parts) Typical Low $48.98 Median $58.88 Typical High $100.00 | Professional | None (both parts) | $48.98 | $58.88 | $100.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $26.92 Typical High $41.69 | Professional | 26 · Professional part | $23.44 | $26.92 | $41.69 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $31.62 Typical High $66.07 | Professional | TC · Technical part | $25.12 | $31.62 | $66.07 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $47.86 Median $47.86 Typical High $57.54 | Professional | None (both parts) | $47.86 | $47.86 | $57.54 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $38.90 Typical High $46.77 | Professional | 26 · Professional part | $22.91 | $38.90 | $46.77 |
AmeriHealth Setting Facility Modifier None Typical Low $114.82 Median $3,019.95 Typical High $5,248.07 | Facility | None | $114.82 | $3,019.95 | $5,248.07 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $109.65 Median $109.65 Typical High $162.18 | Professional | None (both parts) | $109.65 | $109.65 | $162.18 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $34.67 Typical High $43.65 | Professional | 26 · Professional part | $32.36 | $34.67 | $43.65 |
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 $302.00 Median $371.54 Typical High $5,011.87 | Facility | TC · Technical part | $302.00 | $371.54 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $56.23 Median $58.88 Typical High $100.00 | Professional | None (both parts) | $56.23 | $58.88 | $100.00 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $44.67 Typical High $67.61 | Professional | 26 · Professional part | $26.92 | $44.67 | $67.61 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $50.12 Typical High $112.20 | Professional | TC · Technical part | $29.51 | $50.12 | $112.20 |
Cigna Setting Facility Modifier None Typical Low $56.23 Median $100.00 Typical High $363.08 | Facility | None | $56.23 | $100.00 | $363.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $45.71 Median $74.13 Typical High $128.82 | Professional | None (both parts) | $45.71 | $74.13 | $128.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $27.54 Typical High $48.98 | Professional | 26 · Professional part | $16.60 | $27.54 | $48.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $42.66 Typical High $81.28 | Professional | TC · Technical part | $23.99 | $42.66 | $81.28 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $72.44 Median $85.11 Typical High $109.65 | Professional | None (both parts) | $72.44 | $85.11 | $109.65 |
Geisinger Setting Facility Modifier None Typical Low $77.62 Median $77.62 Typical High $870.96 | Facility | None | $77.62 | $77.62 | $870.96 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $57.54 Median $79.43 Typical High $128.82 | Professional | None (both parts) | $57.54 | $79.43 | $128.82 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $30.90 Typical High $52.48 | Professional | 26 · Professional part | $22.39 | $30.90 | $52.48 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $46.77 Typical High $79.43 | Professional | TC · Technical part | $33.88 | $46.77 | $79.43 |
Highmark BCBS Setting Facility Modifier None Typical Low $138.04 Median $257.04 Typical High $446.68 | Facility | None | $138.04 | $257.04 | $446.68 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $66.07 Median $66.07 Typical High $102.33 | Professional | None (both parts) | $66.07 | $66.07 | $102.33 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $30.90 Typical High $45.71 | Professional | 26 · Professional part | $15.49 | $30.90 | $45.71 |
Independence Blue Cross Setting Facility Modifier None Typical Low $1,380.38 Median $2,344.23 Typical High $4,168.69 | Facility | None | $1,380.38 | $2,344.23 | $4,168.69 |
Independence Blue Cross Setting Professional Modifier None (both parts) Typical Low $107.15 Median $107.15 Typical High $162.18 | Professional | None (both parts) | $107.15 | $107.15 | $162.18 |
Independence Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $34.67 Typical High $43.65 | Professional | 26 · Professional part | $32.36 | $34.67 | $43.65 |
Martin's Point Setting Facility Modifier None Typical Low $58.88 Median $229.09 Typical High $346.74 | Facility | None | $58.88 | $229.09 | $346.74 |
Martin's Point Setting Facility Modifier 26 · Professional part Typical Low $24.55 Median $41.69 Typical High $54.95 | Facility | 26 · Professional part | $24.55 | $41.69 | $54.95 |
Martin's Point Setting Facility Modifier TC · Technical part Typical Low $26.30 Median $42.66 Typical High $181.97 | Facility | TC · Technical part | $26.30 | $42.66 | $181.97 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $48.98 Median $58.88 Typical High $97.72 | Professional | None (both parts) | $48.98 | $58.88 | $97.72 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $26.92 Typical High $38.02 | Professional | 26 · Professional part | $23.44 | $26.92 | $38.02 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $31.62 Typical High $64.57 | Professional | TC · Technical part | $25.12 | $31.62 | $64.57 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $30.90 Median $63.10 Typical High $194.98 | Professional | None (both parts) | $30.90 | $63.10 | $194.98 |
UPMC Health Plan Setting Facility Modifier None Typical Low $54.95 Median $141.25 Typical High $309.03 | Facility | None | $54.95 | $141.25 | $309.03 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $54.95 Median $56.23 Typical High $79.43 | Professional | None (both parts) | $54.95 | $56.23 | $79.43 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $27.54 Typical High $30.20 | Professional | 26 · Professional part | $27.54 | $27.54 | $30.20 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $28.18 Typical High $50.12 | Professional | TC · Technical part | $27.54 | $28.18 | $50.12 |
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 $61.66 Median $79.43 Typical High $138.04 | Professional | None (both parts) | $61.66 | $79.43 | $138.04 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $28.18 Typical High $50.12 | Professional | 26 · Professional part | $23.44 | $28.18 | $50.12 |
United Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $50.12 Typical High $89.13 | Professional | TC · Technical part | $38.02 | $50.12 | $89.13 |
8 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 Facility Modifier 52 · Reduced service Typical Low $13.18 Median $29.51 Typical High $288.40 | Facility | 52 · Reduced service | $13.18 | $29.51 | $288.40 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $23.99 Median $29.51 Typical High $34.67 | Professional | 52 · Reduced service | $23.99 | $29.51 | $34.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.77 Median $11.75 Typical High $14.13 | Professional | 53 · Discontinued | $9.77 | $11.75 | $14.13 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $38.90 Median $45.71 Typical High $46.77 | Professional | FX · Film X-ray | $38.90 | $45.71 | $46.77 |
Martin's Point Setting Facility Modifier 52 · Reduced service Typical Low $13.18 Median $29.51 Typical High $288.40 | Facility | 52 · Reduced service | $13.18 | $29.51 | $288.40 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $23.99 Median $28.18 Typical High $29.51 | Professional | 52 · Reduced service | $23.99 | $28.18 | $29.51 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $9.77 Median $11.48 Typical High $11.75 | Professional | 53 · Discontinued | $9.77 | $11.48 | $11.75 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $38.90 Median $45.71 Typical High $46.77 | Professional | FX · Film X-ray | $38.90 | $45.71 | $46.77 |
Where Pennsylvania sits
The same service costs 4.1 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· 45th of 51
$64.57
AK $195TX $47.86
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.