How much rates vary
Facilitymedian $275 · 10th to 90th $117 to $1,072Professionalmedian $120 · 10th to 90th $98 to $224
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 $117.49 Median $169.82 Typical High $446.68 | Facility | None | $117.49 | $169.82 | $446.68 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $33.88 Median $46.77 Typical High $89.13 | Facility | 26 · Professional part | $33.88 | $46.77 | $89.13 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $72.44 Median $100.00 Typical High $295.12 | Facility | TC · Technical part | $72.44 | $100.00 | $295.12 |
Aetna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $117.49 Typical High $147.91 | Professional | None (both parts) | $97.72 | $117.49 | $147.91 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $33.88 Typical High $46.77 | Professional | 26 · Professional part | $29.51 | $33.88 | $46.77 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $85.11 Typical High $107.15 | Professional | TC · Technical part | $67.61 | $85.11 | $107.15 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $177.83 Median $199.53 Typical High $199.53 | Professional | None (both parts) | $177.83 | $199.53 | $199.53 |
AmeriHealth Setting Facility Modifier None Typical Low $257.04 Median $2,137.96 Typical High $3,715.35 | Facility | None | $257.04 | $2,137.96 | $3,715.35 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $151.36 Median $151.36 Typical High $169.82 | Professional | None (both parts) | $151.36 | $151.36 | $169.82 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $43.65 Typical High $54.95 | Professional | 26 · Professional part | $43.65 | $43.65 | $54.95 |
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 $436.52 Median $537.03 Typical High $5,011.87 | Facility | TC · Technical part | $436.52 | $537.03 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $109.65 Median $190.55 Typical High $223.87 | Professional | None (both parts) | $109.65 | $190.55 | $223.87 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $58.88 Typical High $91.20 | Professional | 26 · Professional part | $33.88 | $58.88 | $91.20 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $128.82 Typical High $151.36 | Professional | TC · Technical part | $75.86 | $128.82 | $151.36 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $234.42 Typical High $776.25 | Facility | None | $100.00 | $234.42 | $776.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $75.86 Median $114.82 Typical High $208.93 | Professional | None (both parts) | $75.86 | $114.82 | $208.93 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $37.15 Typical High $61.66 | Professional | 26 · Professional part | $21.38 | $37.15 | $61.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $77.62 Typical High $147.91 | Professional | TC · Technical part | $53.70 | $77.62 | $147.91 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $141.25 Median $165.96 Typical High $208.93 | Professional | None (both parts) | $141.25 | $165.96 | $208.93 |
Geisinger Setting Facility Modifier None Typical Low $91.20 Median $91.20 Typical High $870.96 | Facility | None | $91.20 | $91.20 | $870.96 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $85.11 Median $123.03 Typical High $223.87 | Professional | None (both parts) | $85.11 | $123.03 | $223.87 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $39.81 Typical High $69.18 | Professional | 26 · Professional part | $29.51 | $39.81 | $69.18 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $85.11 Typical High $154.88 | Professional | TC · Technical part | $50.12 | $85.11 | $154.88 |
Highmark BCBS Setting Facility Modifier None Typical Low $407.38 Median $660.69 Typical High $912.01 | Facility | None | $407.38 | $660.69 | $912.01 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $120.23 Median $141.25 Typical High $199.53 | Professional | None (both parts) | $120.23 | $141.25 | $199.53 |
Independence Blue Cross Setting Facility Modifier None Typical Low $245.47 Median $338.84 Typical High $3,715.35 | Facility | None | $245.47 | $338.84 | $3,715.35 |
Independence Blue Cross Setting Professional Modifier None (both parts) Typical Low $151.36 Median $151.36 Typical High $181.97 | Professional | None (both parts) | $151.36 | $151.36 | $181.97 |
Independence Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $43.65 Typical High $56.23 | Professional | 26 · Professional part | $43.65 | $43.65 | $56.23 |
Martin's Point Setting Facility Modifier None Typical Low $117.49 Median $173.78 Typical High $446.68 | Facility | None | $117.49 | $173.78 | $446.68 |
Martin's Point Setting Facility Modifier TC · Technical part Typical Low $72.44 Median $107.15 Typical High $295.12 | Facility | TC · Technical part | $72.44 | $107.15 | $295.12 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $97.72 Median $117.49 Typical High $144.54 | Professional | None (both parts) | $97.72 | $117.49 | $144.54 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $33.88 Typical High $39.81 | Professional | 26 · Professional part | $29.51 | $33.88 | $39.81 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $85.11 Typical High $104.71 | Professional | TC · Technical part | $67.61 | $85.11 | $104.71 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $38.90 Median $120.23 Typical High $269.15 | Professional | None (both parts) | $38.90 | $120.23 | $269.15 |
UPMC Health Plan Setting Facility Modifier None Typical Low $112.20 Median $213.80 Typical High $398.11 | Facility | None | $112.20 | $213.80 | $398.11 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $112.20 Median $114.82 Typical High $128.82 | Professional | None (both parts) | $112.20 | $114.82 | $128.82 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $34.67 Typical High $40.74 | Professional | 26 · Professional part | $33.88 | $34.67 | $40.74 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $79.43 Typical High $89.13 | Professional | TC · Technical part | $77.62 | $79.43 | $89.13 |
United Setting Facility Modifier None Typical Low $331.13 Median $691.83 Typical High $812.83 | Facility | None | $331.13 | $691.83 | $812.83 |
United Setting Professional Modifier None (both parts) Typical Low $91.20 Median $120.23 Typical High $208.93 | Professional | None (both parts) | $91.20 | $120.23 | $208.93 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $35.48 Typical High $64.57 | Professional | 26 · Professional part | $28.84 | $35.48 | $64.57 |
United Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $83.18 Typical High $147.91 | Professional | TC · Technical part | $63.10 | $83.18 | $147.91 |
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 $48.98 Median $56.23 Typical High $58.88 | Professional | 52 · Reduced service | $48.98 | $56.23 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $22.39 Typical High $23.44 | Professional | 53 · Discontinued | $19.50 | $22.39 | $23.44 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $77.62 Median $91.20 Typical High $95.50 | Professional | FX · Film X-ray | $77.62 | $91.20 | $95.50 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $48.98 Median $56.23 Typical High $58.88 | Professional | 52 · Reduced service | $48.98 | $56.23 | $58.88 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $22.39 Typical High $23.44 | Professional | 53 · Discontinued | $19.50 | $22.39 | $23.44 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $77.62 Median $91.20 Typical High $95.50 | Professional | FX · Film X-ray | $77.62 | $91.20 | $95.50 |
Where Pennsylvania sits
The same service costs 3.9 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· 37th of 51
$123
AK $347TX $89.13
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.