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 $44.67 Median $66.07 Typical High $162.18 | Facility | None | $44.67 | $66.07 | $162.18 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $23.44 Median $32.36 Typical High $60.26 | Facility | 26 · Professional part | $23.44 | $32.36 | $60.26 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $18.62 Median $25.70 Typical High $58.88 | Facility | TC · Technical part | $18.62 | $25.70 | $58.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $38.02 Median $45.71 Typical High $66.07 | Professional | None (both parts) | $38.02 | $45.71 | $66.07 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $23.44 Typical High $35.48 | Professional | 26 · Professional part | $20.42 | $23.44 | $35.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $21.88 Typical High $30.90 | Professional | TC · Technical part | $17.38 | $21.88 | $30.90 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $33.88 Median $42.66 Typical High $45.71 | Professional | None (both parts) | $33.88 | $42.66 | $45.71 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $38.02 Typical High $45.71 | Professional | 26 · Professional part | $25.12 | $38.02 | $45.71 |
AmeriHealth Setting Facility Modifier None Typical Low $89.13 Median $199.53 Typical High $338.84 | Facility | None | $89.13 | $199.53 | $338.84 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $57.54 Median $57.54 Typical High $75.86 | Professional | None (both parts) | $57.54 | $57.54 | $75.86 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $29.51 Typical High $38.02 | Professional | 26 · Professional part | $29.51 | $29.51 | $38.02 |
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 $158.49 Median $194.98 Typical High $5,011.87 | Facility | TC · Technical part | $158.49 | $194.98 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $43.65 Median $74.13 Typical High $117.49 | Professional | None (both parts) | $43.65 | $74.13 | $117.49 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $40.74 Typical High $64.57 | Professional | 26 · Professional part | $23.44 | $40.74 | $64.57 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $33.88 Typical High $52.48 | Professional | TC · Technical part | $19.50 | $33.88 | $52.48 |
Cigna Setting Facility Modifier None Typical Low $25.12 Median $70.79 Typical High $363.08 | Facility | None | $25.12 | $70.79 | $363.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $36.31 Median $46.77 Typical High $95.50 | Professional | None (both parts) | $36.31 | $46.77 | $95.50 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $25.70 Typical High $42.66 | Professional | 26 · Professional part | $15.49 | $25.70 | $42.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $26.30 Typical High $56.23 | Professional | TC · Technical part | $16.98 | $26.30 | $56.23 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $53.70 Median $63.10 Typical High $81.28 | Professional | None (both parts) | $53.70 | $63.10 | $81.28 |
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 $44.67 Median $67.61 Typical High $107.15 | Professional | None (both parts) | $44.67 | $67.61 | $107.15 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $28.18 Typical High $46.77 | Professional | 26 · Professional part | $20.89 | $28.18 | $46.77 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $33.88 Typical High $64.57 | Professional | TC · Technical part | $21.38 | $33.88 | $64.57 |
Highmark BCBS Setting Facility Modifier None Typical Low $158.49 Median $346.74 Typical High $398.11 | Facility | None | $158.49 | $346.74 | $398.11 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $45.71 Median $54.95 Typical High $83.18 | Professional | None (both parts) | $45.71 | $54.95 | $83.18 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $28.18 Typical High $47.86 | Professional | 26 · Professional part | $24.55 | $28.18 | $47.86 |
Independence Blue Cross Setting Facility Modifier None Typical Low $107.15 Median $199.53 Typical High $354.81 | Facility | None | $107.15 | $199.53 | $354.81 |
Independence Blue Cross Setting Facility Modifier TC · Technical part Typical Low $112.20 Median $199.53 Typical High $489.78 | Facility | TC · Technical part | $112.20 | $199.53 | $489.78 |
Independence Blue Cross Setting Professional Modifier None (both parts) Typical Low $57.54 Median $57.54 Typical High $102.33 | Professional | None (both parts) | $57.54 | $57.54 | $102.33 |
Independence Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $29.51 Typical High $38.02 | Professional | 26 · Professional part | $29.51 | $29.51 | $38.02 |
Martin's Point Setting Facility Modifier None Typical Low $44.67 Median $67.61 Typical High $575.44 | Facility | None | $44.67 | $67.61 | $575.44 |
Martin's Point Setting Facility Modifier TC · Technical part Typical Low $18.62 Median $27.54 Typical High $79.43 | Facility | TC · Technical part | $18.62 | $27.54 | $79.43 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $38.02 Median $45.71 Typical High $66.07 | Professional | None (both parts) | $38.02 | $45.71 | $66.07 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $23.44 Typical High $35.48 | Professional | 26 · Professional part | $20.42 | $23.44 | $35.48 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $21.88 Typical High $30.90 | Professional | TC · Technical part | $17.38 | $21.88 | $30.90 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $21.38 Median $43.65 Typical High $100.00 | Professional | None (both parts) | $21.38 | $43.65 | $100.00 |
UPMC Health Plan Setting Facility Modifier None Typical Low $43.65 Median $186.21 Typical High $467.74 | Facility | None | $43.65 | $186.21 | $467.74 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $43.65 Median $44.67 Typical High $87.10 | Professional | None (both parts) | $43.65 | $44.67 | $87.10 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $23.99 Typical High $26.92 | Professional | 26 · Professional part | $23.44 | $23.99 | $26.92 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $20.42 Typical High $61.66 | Professional | TC · Technical part | $20.42 | $20.42 | $61.66 |
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 $36.31 Median $50.12 Typical High $89.13 | Professional | None (both parts) | $36.31 | $50.12 | $89.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $25.12 Typical High $44.67 | Professional | 26 · Professional part | $19.95 | $25.12 | $44.67 |
United Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $22.91 Typical High $48.98 | Professional | TC · Technical part | $16.98 | $22.91 | $48.98 |
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 $30.20 Median $35.48 Typical High $36.31 | Professional | FX · Film X-ray | $30.20 | $35.48 | $36.31 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $30.20 Median $35.48 Typical High $36.31 | Professional | FX · Film X-ray | $30.20 | $35.48 | $36.31 |
Where Pennsylvania sits
The same service costs 4.5 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
$50.12
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.