How much rates vary
Facilitymedian $245 · 10th to 90th $112 to $631Professionalmedian $129 · 10th to 90th $98 to $234
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 $104.71 Median $234.42 Typical High $676.08 | Facility | None | $104.71 | $234.42 | $676.08 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $34.67 Median $45.71 Typical High $77.62 | Facility | 26 · Professional part | $34.67 | $45.71 | $77.62 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $69.18 Median $100.00 Typical High $562.34 | Facility | TC · Technical part | $69.18 | $100.00 | $562.34 |
Aetna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $120.23 Typical High $177.83 | Professional | None (both parts) | $97.72 | $120.23 | $177.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $37.15 Typical High $56.23 | Professional | 26 · Professional part | $32.36 | $37.15 | $56.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $81.28 Typical High $123.03 | Professional | TC · Technical part | $64.57 | $81.28 | $123.03 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $79.43 Median $128.82 Typical High $213.80 | Professional | None (both parts) | $79.43 | $128.82 | $213.80 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $52.48 Typical High $63.10 | Professional | 26 · Professional part | $30.90 | $52.48 | $63.10 |
AmeriHealth Setting Facility Modifier None Typical Low $134.90 Median $309.03 Typical High $3,467.37 | Facility | None | $134.90 | $309.03 | $3,467.37 |
AmeriHealth Setting Facility Modifier TC · Technical part Typical Low $134.90 Median $309.03 Typical High $1,778.28 | Facility | TC · Technical part | $134.90 | $309.03 | $1,778.28 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $128.82 Median $154.88 Typical High $204.17 | Professional | None (both parts) | $128.82 | $154.88 | $204.17 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $47.86 Typical High $60.26 | Professional | 26 · Professional part | $45.71 | $47.86 | $60.26 |
AmeriHealth Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $104.71 Typical High $144.54 | Professional | TC · Technical part | $89.13 | $104.71 | $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 $501.19 Median $602.56 Typical High $5,011.87 | Facility | TC · Technical part | $501.19 | $602.56 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $112.20 Median $194.98 Typical High $275.42 | Professional | None (both parts) | $112.20 | $194.98 | $275.42 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $66.07 Typical High $100.00 | Professional | 26 · Professional part | $38.02 | $66.07 | $100.00 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $128.82 Typical High $173.78 | Professional | TC · Technical part | $74.13 | $128.82 | $173.78 |
Cigna Setting Facility Modifier None Typical Low $95.50 Median $223.87 Typical High $380.19 | Facility | None | $95.50 | $223.87 | $380.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $120.23 Typical High $218.78 | Professional | None (both parts) | $87.10 | $120.23 | $218.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $40.74 Typical High $69.18 | Professional | 26 · Professional part | $24.55 | $40.74 | $69.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $79.43 Typical High $147.91 | Professional | TC · Technical part | $61.66 | $79.43 | $147.91 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $134.90 Median $162.18 Typical High $204.17 | Professional | None (both parts) | $134.90 | $162.18 | $204.17 |
Geisinger Setting Facility Modifier None Typical Low $117.49 Median $117.49 Typical High $870.96 | Facility | None | $117.49 | $117.49 | $870.96 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $91.20 Median $131.83 Typical High $234.42 | Professional | None (both parts) | $91.20 | $131.83 | $234.42 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $43.65 Typical High $75.86 | Professional | 26 · Professional part | $33.11 | $43.65 | $75.86 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $89.13 Typical High $154.88 | Professional | TC · Technical part | $60.26 | $89.13 | $154.88 |
Highmark BCBS Setting Facility Modifier None Typical Low $144.54 Median $269.15 Typical High $524.81 | Facility | None | $144.54 | $269.15 | $524.81 |
Highmark BCBS Setting Facility Modifier TC · Technical part Typical Low $239.88 Median $398.11 Typical High $645.65 | Facility | TC · Technical part | $239.88 | $398.11 | $645.65 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $123.03 Median $131.83 Typical High $162.18 | Professional | None (both parts) | $123.03 | $131.83 | $162.18 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $43.65 Typical High $66.07 | Professional | 26 · Professional part | $39.81 | $43.65 | $66.07 |
Independence Blue Cross Setting Facility Modifier None Typical Low $134.90 Median $302.00 Typical High $724.44 | Facility | None | $134.90 | $302.00 | $724.44 |
Independence Blue Cross Setting Facility Modifier TC · Technical part Typical Low $134.90 Median $302.00 Typical High $724.44 | Facility | TC · Technical part | $134.90 | $302.00 | $724.44 |
Independence Blue Cross Setting Professional Modifier None (both parts) Typical Low $117.49 Median $154.88 Typical High $194.98 | Professional | None (both parts) | $117.49 | $154.88 | $194.98 |
Independence Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $47.86 Typical High $58.88 | Professional | 26 · Professional part | $43.65 | $47.86 | $58.88 |
Independence Blue Cross Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $104.71 Typical High $177.83 | Professional | TC · Technical part | $89.13 | $104.71 | $177.83 |
Martin's Point Setting Facility Modifier None Typical Low $104.71 Median $239.88 Typical High $676.08 | Facility | None | $104.71 | $239.88 | $676.08 |
Martin's Point Setting Facility Modifier 26 · Professional part Typical Low $34.67 Median $46.77 Typical High $77.62 | Facility | 26 · Professional part | $34.67 | $46.77 | $77.62 |
Martin's Point Setting Facility Modifier TC · Technical part Typical Low $69.18 Median $97.72 Typical High $588.84 | Facility | TC · Technical part | $69.18 | $97.72 | $588.84 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $97.72 Median $120.23 Typical High $173.78 | Professional | None (both parts) | $97.72 | $120.23 | $173.78 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $37.15 Typical High $52.48 | Professional | 26 · Professional part | $32.36 | $37.15 | $52.48 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $81.28 Typical High $114.82 | Professional | TC · Technical part | $64.57 | $81.28 | $114.82 |
Oscar Health Setting Facility Modifier None Typical Low $162.18 Median $213.80 Typical High $234.42 | Facility | None | $162.18 | $213.80 | $234.42 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $40.74 Median $117.49 Typical High $229.09 | Professional | None (both parts) | $40.74 | $117.49 | $229.09 |
UPMC Health Plan Setting Facility Modifier None Typical Low $112.20 Median $275.42 Typical High $446.68 | Facility | None | $112.20 | $275.42 | $446.68 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $112.20 Median $114.82 Typical High $120.23 | Professional | None (both parts) | $112.20 | $114.82 | $120.23 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $38.90 Typical High $43.65 | Professional | 26 · Professional part | $38.02 | $38.90 | $43.65 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $75.86 Typical High $75.86 | Professional | TC · Technical part | $74.13 | $75.86 | $75.86 |
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 $95.50 Median $123.03 Typical High $213.80 | Professional | None (both parts) | $95.50 | $123.03 | $213.80 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $40.74 Typical High $74.13 | Professional | 26 · Professional part | $33.11 | $40.74 | $74.13 |
United Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $83.18 Typical High $147.91 | Professional | TC · Technical part | $63.10 | $83.18 | $147.91 |
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 Professional Modifier 52 · Reduced service Typical Low $48.98 Median $57.54 Typical High $58.88 | Professional | 52 · Reduced service | $48.98 | $57.54 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $22.91 Typical High $23.99 | Professional | 53 · Discontinued | $19.50 | $22.91 | $23.99 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $77.62 Median $91.20 Typical High $95.50 | Professional | FX · Film X-ray | $77.62 | $91.20 | $95.50 |
Highmark BCBS Setting Facility Modifier PN · Off-campus dept, non-excepted Typical Low $53.70 Median $95.50 Typical High $501.19 | Facility | PN · Off-campus dept, non-excepted | $53.70 | $95.50 | $501.19 |
Highmark BCBS Setting Facility Modifier XU · Unusual separate service Typical Low $173.78 Median $389.05 Typical High $831.76 | Facility | XU · Unusual separate service | $173.78 | $389.05 | $831.76 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $48.98 Median $57.54 Typical High $58.88 | Professional | 52 · Reduced service | $48.98 | $57.54 | $58.88 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $22.91 Typical High $23.99 | Professional | 53 · Discontinued | $19.50 | $22.91 | $23.99 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $77.62 Median $91.20 Typical High $95.50 | Professional | FX · Film X-ray | $77.62 | $91.20 | $95.50 |
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· 29th of 51
$138
AK $355TX $93.33
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.