How much rates vary
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 $151.36 Median $204.17 Typical High $524.81 | Facility | None | $151.36 | $204.17 | $524.81 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $35.48 Median $52.48 Typical High $93.33 | Facility | 26 · Professional part | $35.48 | $52.48 | $93.33 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $100.00 Median $138.04 Typical High $288.40 | Facility | TC · Technical part | $100.00 | $138.04 | $288.40 |
Aetna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $151.36 Typical High $199.53 | Professional | None (both parts) | $123.03 | $151.36 | $199.53 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $35.48 Typical High $48.98 | Professional | 26 · Professional part | $30.20 | $35.48 | $48.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $117.49 Typical High $154.88 | Professional | TC · Technical part | $93.33 | $117.49 | $154.88 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | 26 · Professional part | $58.88 | $58.88 | $58.88 |
AmeriHealth Setting Facility Modifier None Typical Low $138.04 Median $316.23 Typical High $2,818.38 | Facility | None | $138.04 | $316.23 | $2,818.38 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $44.67 Typical High $57.54 | Professional | 26 · Professional part | $44.67 | $44.67 | $57.54 |
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 $562.34 Median $676.08 Typical High $5,011.87 | Facility | TC · Technical part | $562.34 | $676.08 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $141.25 Median $208.93 Typical High $295.12 | Professional | None (both parts) | $141.25 | $208.93 | $295.12 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $51.29 Typical High $74.13 | Professional | 26 · Professional part | $36.31 | $51.29 | $74.13 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $154.88 Typical High $218.78 | Professional | TC · Technical part | $104.71 | $154.88 | $218.78 |
Cigna Setting Facility Modifier None Typical Low $128.82 Median $309.03 Typical High $436.52 | Facility | None | $128.82 | $309.03 | $436.52 |
Cigna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $147.91 Typical High $269.15 | Professional | None (both parts) | $91.20 | $147.91 | $269.15 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $38.02 Typical High $64.57 | Professional | 26 · Professional part | $22.91 | $38.02 | $64.57 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $109.65 Typical High $190.55 | Professional | TC · Technical part | $69.18 | $109.65 | $190.55 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $169.82 Median $204.17 Typical High $257.04 | Professional | None (both parts) | $169.82 | $204.17 | $257.04 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $97.72 Median $151.36 Typical High $269.15 | Professional | None (both parts) | $97.72 | $151.36 | $269.15 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $40.74 Typical High $70.79 | Professional | 26 · Professional part | $30.20 | $40.74 | $70.79 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $112.20 Typical High $199.53 | Professional | TC · Technical part | $63.10 | $112.20 | $199.53 |
Highmark BCBS Setting Facility Modifier None Typical Low $165.96 Median $257.04 Typical High $501.19 | Facility | None | $165.96 | $257.04 | $501.19 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $165.96 Median $181.97 Typical High $181.97 | Professional | None (both parts) | $165.96 | $181.97 | $181.97 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $45.71 Typical High $66.07 | Professional | 26 · Professional part | $38.02 | $45.71 | $66.07 |
Independence Blue Cross Setting Facility Modifier None Typical Low $138.04 Median $309.03 Typical High $758.58 | Facility | None | $138.04 | $309.03 | $758.58 |
Independence Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $44.67 Typical High $57.54 | Professional | 26 · Professional part | $42.66 | $44.67 | $57.54 |
Martin's Point Setting Facility Modifier None Typical Low $151.36 Median $218.78 Typical High $575.44 | Facility | None | $151.36 | $218.78 | $575.44 |
Martin's Point Setting Facility Modifier TC · Technical part Typical Low $100.00 Median $154.88 Typical High $389.05 | Facility | TC · Technical part | $100.00 | $154.88 | $389.05 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $123.03 Median $151.36 Typical High $190.55 | Professional | None (both parts) | $123.03 | $151.36 | $190.55 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $35.48 Typical High $45.71 | Professional | 26 · Professional part | $30.20 | $35.48 | $45.71 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $117.49 Typical High $147.91 | Professional | TC · Technical part | $93.33 | $117.49 | $147.91 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $141.25 Median $173.78 Typical High $331.13 | Professional | None (both parts) | $141.25 | $173.78 | $331.13 |
UPMC Health Plan Setting Facility Modifier None Typical Low $120.23 Median $295.12 Typical High $512.86 | Facility | None | $120.23 | $295.12 | $512.86 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $120.23 Median $141.25 Typical High $141.25 | Professional | None (both parts) | $120.23 | $141.25 | $141.25 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $36.31 Typical High $39.81 | Professional | 26 · Professional part | $35.48 | $36.31 | $39.81 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $104.71 Typical High $107.15 | Professional | TC · Technical part | $79.43 | $104.71 | $107.15 |
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 $114.82 Median $154.88 Typical High $275.42 | Professional | None (both parts) | $114.82 | $154.88 | $275.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $38.02 Typical High $69.18 | Professional | 26 · Professional part | $30.90 | $38.02 | $69.18 |
United Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $120.23 Typical High $208.93 | Professional | TC · Technical part | $87.10 | $120.23 | $208.93 |
2 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 FX · Film X-ray Typical Low $100.00 Median $114.82 Typical High $120.23 | Professional | FX · Film X-ray | $100.00 | $114.82 | $120.23 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $100.00 Median $114.82 Typical High $120.23 | Professional | FX · Film X-ray | $100.00 | $114.82 | $120.23 |
Where Pennsylvania sits
The same service costs 4.3 times more in Alaska than in Utah. 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· 40th of 51
$151
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.