How much rates vary
Facilitymedian $295 · 10th to 90th $138 to $692Professionalmedian $195 · 10th to 90th $155 to $380
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 $194.98 Median $281.84 Typical High $660.69 | Facility | None | $194.98 | $281.84 | $660.69 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $83.18 Median $125.89 Typical High $218.78 | Facility | 26 · Professional part | $83.18 | $125.89 | $218.78 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $93.33 Median $131.83 Typical High $302.00 | Facility | TC · Technical part | $93.33 | $131.83 | $302.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $194.98 Typical High $245.47 | Professional | None (both parts) | $154.88 | $194.98 | $245.47 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $83.18 Typical High $114.82 | Professional | 26 · Professional part | $72.44 | $83.18 | $114.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $107.15 Typical High $138.04 | Professional | TC · Technical part | $70.79 | $107.15 | $138.04 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $181.97 Median $295.12 Typical High $295.12 | Professional | None (both parts) | $181.97 | $295.12 | $295.12 |
AmeriHealth Setting Facility Modifier None Typical Low $151.36 Median $346.74 Typical High $575.44 | Facility | None | $151.36 | $346.74 | $575.44 |
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 $331.13 Median $407.38 Typical High $5,011.87 | Facility | TC · Technical part | $331.13 | $407.38 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $186.21 Median $269.15 Typical High $398.11 | Professional | None (both parts) | $186.21 | $269.15 | $398.11 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $144.54 Typical High $229.09 | Professional | 26 · Professional part | $85.11 | $144.54 | $229.09 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $147.91 Typical High $213.80 | Professional | TC · Technical part | $100.00 | $147.91 | $213.80 |
Cigna Setting Facility Modifier None Typical Low $57.54 Median $181.97 Typical High $446.68 | Facility | None | $57.54 | $181.97 | $446.68 |
Cigna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $199.53 Typical High $346.74 | Professional | None (both parts) | $125.89 | $199.53 | $346.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $93.33 Typical High $151.36 | Professional | 26 · Professional part | $53.70 | $93.33 | $151.36 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $102.33 Typical High $194.98 | Professional | TC · Technical part | $70.79 | $102.33 | $194.98 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $229.09 Median $275.42 Typical High $346.74 | Professional | None (both parts) | $229.09 | $275.42 | $346.74 |
Geisinger Setting Facility Modifier None Typical Low $870.96 Median $870.96 Typical High $870.96 | Facility | None | $870.96 | $870.96 | $870.96 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $117.49 Median $199.53 Typical High $331.13 | Professional | None (both parts) | $117.49 | $199.53 | $331.13 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $100.00 Typical High $169.82 | Professional | 26 · Professional part | $74.13 | $100.00 | $169.82 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $104.71 Typical High $177.83 | Professional | TC · Technical part | $42.66 | $104.71 | $177.83 |
Highmark BCBS Setting Facility Modifier None Typical Low $245.47 Median $676.08 Typical High $891.25 | Facility | None | $245.47 | $676.08 | $891.25 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $213.80 Median $239.88 Typical High $309.03 | Professional | None (both parts) | $213.80 | $239.88 | $309.03 |
Independence Blue Cross Setting Facility Modifier None Typical Low $186.21 Median $346.74 Typical High $602.56 | Facility | None | $186.21 | $346.74 | $602.56 |
Martin's Point Setting Facility Modifier None Typical Low $194.98 Median $288.40 Typical High $691.83 | Facility | None | $194.98 | $288.40 | $691.83 |
Martin's Point Setting Facility Modifier TC · Technical part Typical Low $93.33 Median $154.88 Typical High $398.11 | Facility | TC · Technical part | $93.33 | $154.88 | $398.11 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $154.88 Median $190.55 Typical High $245.47 | Professional | None (both parts) | $154.88 | $190.55 | $245.47 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $83.18 Typical High $112.20 | Professional | 26 · Professional part | $72.44 | $83.18 | $112.20 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $102.33 Typical High $138.04 | Professional | TC · Technical part | $70.79 | $102.33 | $138.04 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $91.20 Median $181.97 Typical High $389.05 | Professional | None (both parts) | $91.20 | $181.97 | $389.05 |
UPMC Health Plan Setting Facility Modifier None Typical Low $77.62 Median $154.88 Typical High $281.84 | Facility | None | $77.62 | $154.88 | $281.84 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $186.21 Median $190.55 Typical High $194.98 | Professional | None (both parts) | $186.21 | $190.55 | $194.98 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $85.11 Typical High $87.10 | Professional | 26 · Professional part | $83.18 | $85.11 | $87.10 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $104.71 Typical High $107.15 | Professional | TC · Technical part | $102.33 | $104.71 | $107.15 |
United Setting Professional Modifier None (both parts) Typical Low $151.36 Median $199.53 Typical High $346.74 | Professional | None (both parts) | $151.36 | $199.53 | $346.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $89.13 Typical High $158.49 | Professional | 26 · Professional part | $70.79 | $89.13 | $158.49 |
United Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $112.20 Typical High $194.98 | Professional | TC · Technical part | $83.18 | $112.20 | $194.98 |
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 $81.28 Median $93.33 Typical High $97.72 | Professional | 52 · Reduced service | $81.28 | $93.33 | $97.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $37.15 Typical High $38.90 | Professional | 53 · Discontinued | $32.36 | $37.15 | $38.90 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $128.82 Median $151.36 Typical High $154.88 | Professional | FX · Film X-ray | $128.82 | $151.36 | $154.88 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $81.28 Median $93.33 Typical High $97.72 | Professional | 52 · Reduced service | $81.28 | $93.33 | $97.72 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $37.15 Typical High $38.90 | Professional | 53 · Discontinued | $32.36 | $37.15 | $38.90 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $128.82 Median $151.36 Typical High $154.88 | Professional | FX · Film X-ray | $128.82 | $151.36 | $154.88 |
Where Pennsylvania sits
The same service costs 5.8 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· 36th of 51
$195
AK $589UT $102
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.