How much rates vary
Facilitymedian $288 · 10th to 90th $87 to $1,288Professionalmedian $93 · 10th to 90th $74 to $178
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 $87.10 Median $186.21 Typical High $1,288.25 | Facility | None | $87.10 | $186.21 | $1,288.25 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $36.31 Median $42.66 Typical High $158.49 | Facility | TC · Technical part | $36.31 | $42.66 | $158.49 |
Aetna Setting Professional Modifier None (both parts) Typical Low $74.13 Median $87.10 Typical High $107.15 | Professional | None (both parts) | $74.13 | $87.10 | $107.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $45.71 Typical High $53.70 | Professional | 26 · Professional part | $38.90 | $45.71 | $53.70 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $42.66 Typical High $56.23 | Professional | TC · Technical part | $33.88 | $42.66 | $56.23 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $87.10 Median $87.10 Typical High $138.04 | Professional | None (both parts) | $87.10 | $87.10 | $138.04 |
AmeriHealth Setting Facility Modifier None Typical Low $120.23 Median $269.15 Typical High $1,202.26 | Facility | None | $120.23 | $269.15 | $1,202.26 |
Capital Blue Cross Setting Facility Modifier None Typical Low $52.48 Median $5,011.87 Typical High $8,709.64 | Facility | None | $52.48 | $5,011.87 | $8,709.64 |
Capital Blue Cross Setting Facility Modifier TC · Technical part Typical Low $281.84 Median $346.74 Typical High $5,011.87 | Facility | TC · Technical part | $281.84 | $346.74 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $85.11 Median $147.91 Typical High $177.83 | Professional | None (both parts) | $85.11 | $147.91 | $177.83 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $81.28 Typical High $123.03 | Professional | 26 · Professional part | $46.77 | $81.28 | $123.03 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $66.07 Typical High $79.43 | Professional | TC · Technical part | $38.90 | $66.07 | $79.43 |
Cigna Setting Facility Modifier None Typical Low $72.44 Median $154.88 Typical High $190.55 | Facility | None | $72.44 | $154.88 | $190.55 |
Cigna Setting Professional Modifier None (both parts) Typical Low $67.61 Median $93.33 Typical High $165.96 | Professional | None (both parts) | $67.61 | $93.33 | $165.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $50.12 Typical High $85.11 | Professional | 26 · Professional part | $29.51 | $50.12 | $85.11 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $41.69 Typical High $77.62 | Professional | TC · Technical part | $32.36 | $41.69 | $77.62 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $91.20 Median $123.03 Typical High $158.49 | Professional | None (both parts) | $91.20 | $123.03 | $158.49 |
Geisinger Setting Facility Modifier None Typical Low $245.47 Median $245.47 Typical High $870.96 | Facility | None | $245.47 | $245.47 | $870.96 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $74.13 Median $104.71 Typical High $177.83 | Professional | None (both parts) | $74.13 | $104.71 | $177.83 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $54.95 Typical High $91.20 | Professional | 26 · Professional part | $39.81 | $54.95 | $91.20 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $47.86 Typical High $85.11 | Professional | TC · Technical part | $34.67 | $47.86 | $85.11 |
Highmark BCBS Setting Facility Modifier None Typical Low $416.87 Median $416.87 Typical High $1,445.44 | Facility | None | $416.87 | $416.87 | $1,445.44 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | 26 · Professional part | $95.50 | $95.50 | $95.50 |
Independence Blue Cross Setting Facility Modifier None Typical Low $199.53 Median $288.40 Typical High $645.65 | Facility | None | $199.53 | $288.40 | $645.65 |
Martin's Point Setting Facility Modifier None Typical Low $87.10 Median $186.21 Typical High $1,513.56 | Facility | None | $87.10 | $186.21 | $1,513.56 |
Martin's Point Setting Facility Modifier TC · Technical part Typical Low $36.31 Median $42.66 Typical High $158.49 | Facility | TC · Technical part | $36.31 | $42.66 | $158.49 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $74.13 Median $87.10 Typical High $107.15 | Professional | None (both parts) | $74.13 | $87.10 | $107.15 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $45.71 Typical High $53.70 | Professional | 26 · Professional part | $38.90 | $45.71 | $53.70 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $42.66 Typical High $56.23 | Professional | TC · Technical part | $33.88 | $42.66 | $56.23 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $41.69 Median $87.10 Typical High $194.98 | Professional | None (both parts) | $41.69 | $87.10 | $194.98 |
UPMC Health Plan Setting Facility Modifier None Typical Low $85.11 Median $489.78 Typical High $1,023.29 | Facility | None | $85.11 | $489.78 | $1,023.29 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $85.11 Median $87.10 Typical High $245.47 | Professional | None (both parts) | $85.11 | $87.10 | $245.47 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $47.86 Typical High $100.00 | Professional | 26 · Professional part | $46.77 | $47.86 | $100.00 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $40.74 Typical High $144.54 | Professional | TC · Technical part | $39.81 | $40.74 | $144.54 |
United Setting Professional Modifier None (both parts) Typical Low $72.44 Median $93.33 Typical High $169.82 | Professional | None (both parts) | $72.44 | $93.33 | $169.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $50.12 Typical High $89.13 | Professional | 26 · Professional part | $39.81 | $50.12 | $89.13 |
United Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $42.66 Typical High $75.86 | Professional | TC · Technical part | $33.11 | $42.66 | $75.86 |
6 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 $36.31 Median $42.66 Typical High $43.65 | Professional | 52 · Reduced service | $36.31 | $42.66 | $43.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $16.98 Typical High $17.78 | Professional | 53 · Discontinued | $14.79 | $16.98 | $17.78 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $58.88 Median $69.18 Typical High $70.79 | Professional | FX · Film X-ray | $58.88 | $69.18 | $70.79 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $36.31 Median $42.66 Typical High $43.65 | Professional | 52 · Reduced service | $36.31 | $42.66 | $43.65 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $16.98 Typical High $17.78 | Professional | 53 · Discontinued | $14.79 | $16.98 | $17.78 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $58.88 Median $69.18 Typical High $70.79 | Professional | FX · Film X-ray | $58.88 | $69.18 | $70.79 |
Where Pennsylvania sits
The same service costs 4.2 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
$93.33
AK $275TX $66.07
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.