How much rates vary
Facilitymedian $214 · 10th to 90th $66 to $490Professionalmedian $62 · 10th to 90th $48 to $115
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 $57.54 Median $125.89 Typical High $524.81 | Facility | None | $57.54 | $125.89 | $524.81 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $24.55 Median $33.11 Typical High $64.57 | Facility | 26 · Professional part | $24.55 | $33.11 | $64.57 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $26.30 Median $38.02 Typical High $154.88 | Facility | TC · Technical part | $26.30 | $38.02 | $154.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $47.86 Median $57.54 Typical High $117.49 | Professional | None (both parts) | $47.86 | $57.54 | $117.49 |
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 $24.55 Median $30.90 Typical High $87.10 | Professional | TC · Technical part | $24.55 | $30.90 | $87.10 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $40.74 Median $40.74 Typical High $47.86 | Professional | None (both parts) | $40.74 | $40.74 | $47.86 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $40.74 Typical High $45.71 | Professional | 26 · Professional part | $22.39 | $40.74 | $45.71 |
AmeriHealth Setting Facility Modifier None Typical Low $512.86 Median $512.86 Typical High $724.44 | Facility | None | $512.86 | $512.86 | $724.44 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $67.61 Median $75.86 Typical High $181.97 | Professional | None (both parts) | $67.61 | $75.86 | $181.97 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $34.67 Typical High $45.71 | Professional | 26 · Professional part | $33.11 | $34.67 | $45.71 |
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 $512.86 Typical High $5,011.87 | Facility | TC · Technical part | $426.58 | $512.86 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $58.88 Median $61.66 Typical High $61.66 | Professional | None (both parts) | $58.88 | $61.66 | $61.66 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $46.77 Typical High $70.79 | Professional | 26 · Professional part | $27.54 | $46.77 | $70.79 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $48.98 Typical High $95.50 | Professional | TC · Technical part | $31.62 | $48.98 | $95.50 |
Cigna Setting Facility Modifier None Typical Low $40.74 Median $100.00 Typical High $363.08 | Facility | None | $40.74 | $100.00 | $363.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $47.86 Median $66.07 Typical High $131.83 | Professional | None (both parts) | $47.86 | $66.07 | $131.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $29.51 Typical High $50.12 | Professional | 26 · Professional part | $17.78 | $29.51 | $50.12 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $43.65 Typical High $83.18 | Professional | TC · Technical part | $25.70 | $43.65 | $83.18 |
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 $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 $60.26 Median $83.18 Typical High $144.54 | Professional | None (both parts) | $60.26 | $83.18 | $144.54 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $31.62 Typical High $54.95 | Professional | 26 · Professional part | $23.99 | $31.62 | $54.95 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $47.86 Typical High $91.20 | Professional | TC · Technical part | $33.88 | $47.86 | $91.20 |
Highmark BCBS Setting Facility Modifier None Typical Low $125.89 Median $239.88 Typical High $398.11 | Facility | None | $125.89 | $239.88 | $398.11 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $64.57 Median $77.62 Typical High $87.10 | Professional | None (both parts) | $64.57 | $77.62 | $87.10 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $32.36 Typical High $47.86 | Professional | 26 · Professional part | $28.84 | $32.36 | $47.86 |
Independence Blue Cross Setting Facility Modifier None Typical Low $154.88 Median $218.78 Typical High $1,445.44 | Facility | None | $154.88 | $218.78 | $1,445.44 |
Independence Blue Cross Setting Professional Modifier None (both parts) Typical Low $34.67 Median $69.18 Typical High $131.83 | Professional | None (both parts) | $34.67 | $69.18 | $131.83 |
Independence Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $34.67 Typical High $45.71 | Professional | 26 · Professional part | $32.36 | $34.67 | $45.71 |
Martin's Point Setting Facility Modifier None Typical Low $57.54 Median $147.91 Typical High $562.34 | Facility | None | $57.54 | $147.91 | $562.34 |
Martin's Point Setting Facility Modifier 26 · Professional part Typical Low $24.55 Median $34.67 Typical High $56.23 | Facility | 26 · Professional part | $24.55 | $34.67 | $56.23 |
Martin's Point Setting Facility Modifier TC · Technical part Typical Low $26.30 Median $36.31 Typical High $128.82 | Facility | TC · Technical part | $26.30 | $36.31 | $128.82 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $47.86 Median $57.54 Typical High $117.49 | Professional | None (both parts) | $47.86 | $57.54 | $117.49 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $26.92 Typical High $39.81 | Professional | 26 · Professional part | $23.44 | $26.92 | $39.81 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $30.90 Typical High $87.10 | Professional | TC · Technical part | $24.55 | $30.90 | $87.10 |
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 $29.51 Median $60.26 Typical High $125.89 | Professional | None (both parts) | $29.51 | $60.26 | $125.89 |
UPMC Health Plan Setting Facility Modifier None Typical Low $57.54 Median $162.18 Typical High $338.84 | Facility | None | $57.54 | $162.18 | $338.84 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $57.54 Median $58.88 Typical High $109.65 | Professional | None (both parts) | $57.54 | $58.88 | $109.65 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $27.54 Typical High $41.69 | Professional | 26 · Professional part | $26.92 | $27.54 | $41.69 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $30.90 Typical High $67.61 | Professional | TC · Technical part | $30.20 | $30.90 | $67.61 |
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 $47.86 Median $66.07 Typical High $114.82 | Professional | None (both parts) | $47.86 | $66.07 | $114.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $28.84 Typical High $52.48 | Professional | 26 · Professional part | $23.44 | $28.84 | $52.48 |
United Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $33.11 Typical High $74.13 | Professional | TC · Technical part | $23.99 | $33.11 | $74.13 |
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 PN · Off-campus dept, non-excepted Typical Low $40.74 Median $229.09 Typical High $239.88 | Facility | PN · Off-campus dept, non-excepted | $40.74 | $229.09 | $239.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $23.99 Median $28.18 Typical High $31.62 | Professional | 52 · Reduced service | $23.99 | $28.18 | $31.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.55 Median $11.22 Typical High $12.59 | Professional | 53 · Discontinued | $9.55 | $11.22 | $12.59 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $38.90 Median $44.67 Typical High $46.77 | Professional | FX · Film X-ray | $38.90 | $44.67 | $46.77 |
Highmark BCBS Setting Facility Modifier PN · Off-campus dept, non-excepted Typical Low $39.81 Median $79.43 Typical High $257.04 | Facility | PN · Off-campus dept, non-excepted | $39.81 | $79.43 | $257.04 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $23.99 Median $28.18 Typical High $28.84 | Professional | 52 · Reduced service | $23.99 | $28.18 | $28.84 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $9.55 Median $11.22 Typical High $11.48 | Professional | 53 · Discontinued | $9.55 | $11.22 | $11.48 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $38.90 Median $44.67 Typical High $46.77 | Professional | FX · Film X-ray | $38.90 | $44.67 | $46.77 |
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· 43rd of 51
$61.66
AK $182TX $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.