How much rates vary
Facilitymedian $234 · 10th to 90th $102 to $479Professionalmedian $100 · 10th to 90th $76 to $155
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 $93.33 Median $154.88 Typical High $245.47 | Facility | None | $93.33 | $154.88 | $245.47 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $27.54 Median $36.31 Typical High $72.44 | Facility | 26 · Professional part | $27.54 | $36.31 | $72.44 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $61.66 Median $79.43 Typical High $138.04 | Facility | TC · Technical part | $61.66 | $79.43 | $138.04 |
Aetna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $102.33 Typical High $158.49 | Professional | None (both parts) | $83.18 | $102.33 | $158.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $30.20 Typical High $45.71 | Professional | 26 · Professional part | $25.70 | $30.20 | $45.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $72.44 Typical High $107.15 | Professional | TC · Technical part | $57.54 | $72.44 | $107.15 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $77.62 Median $79.43 Typical High $81.28 | Professional | None (both parts) | $77.62 | $79.43 | $81.28 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $44.67 Typical High $50.12 | Professional | 26 · Professional part | $24.55 | $44.67 | $50.12 |
AmeriHealth Setting Facility Modifier None Typical Low $107.15 Median $245.47 Typical High $2,630.27 | Facility | None | $107.15 | $245.47 | $2,630.27 |
AmeriHealth Setting Facility Modifier TC · Technical part Typical Low $107.15 Median $245.47 Typical High $954.99 | Facility | TC · Technical part | $107.15 | $245.47 | $954.99 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $112.20 Median $131.83 Typical High $169.82 | Professional | None (both parts) | $112.20 | $131.83 | $169.82 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $38.02 Typical High $60.26 | Professional | 26 · Professional part | $38.02 | $38.02 | $60.26 |
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 $457.09 Median $549.54 Typical High $5,011.87 | Facility | TC · Technical part | $457.09 | $549.54 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $97.72 Median $100.00 Typical High $100.00 | Professional | None (both parts) | $97.72 | $100.00 | $100.00 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $52.48 Typical High $79.43 | Professional | 26 · Professional part | $30.20 | $52.48 | $79.43 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $69.18 Typical High $123.03 | Professional | TC · Technical part | $63.10 | $69.18 | $123.03 |
Cigna Setting Facility Modifier None Typical Low $85.11 Median $199.53 Typical High $363.08 | Facility | None | $85.11 | $199.53 | $363.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $66.07 Median $79.43 Typical High $181.97 | Professional | None (both parts) | $66.07 | $79.43 | $181.97 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $32.36 Typical High $54.95 | Professional | 26 · Professional part | $19.50 | $32.36 | $54.95 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $54.95 Typical High $117.49 | Professional | TC · Technical part | $33.88 | $54.95 | $117.49 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $117.49 Median $141.25 Typical High $177.83 | Professional | None (both parts) | $117.49 | $141.25 | $177.83 |
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 $77.62 Median $114.82 Typical High $204.17 | Professional | None (both parts) | $77.62 | $114.82 | $204.17 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $35.48 Typical High $60.26 | Professional | 26 · Professional part | $25.70 | $35.48 | $60.26 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $79.43 Typical High $138.04 | Professional | TC · Technical part | $50.12 | $79.43 | $138.04 |
Highmark BCBS Setting Facility Modifier None Typical Low $162.18 Median $295.12 Typical High $501.19 | Facility | None | $162.18 | $295.12 | $501.19 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $104.71 Median $114.82 Typical High $141.25 | Professional | None (both parts) | $104.71 | $114.82 | $141.25 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $35.48 Typical High $53.70 | Professional | 26 · Professional part | $31.62 | $35.48 | $53.70 |
Independence Blue Cross Setting Facility Modifier None Typical Low $112.20 Median $239.88 Typical High $575.44 | Facility | None | $112.20 | $239.88 | $575.44 |
Independence Blue Cross Setting Facility Modifier TC · Technical part Typical Low $112.20 Median $239.88 Typical High $575.44 | Facility | TC · Technical part | $112.20 | $239.88 | $575.44 |
Independence Blue Cross Setting Professional Modifier None (both parts) Typical Low $102.33 Median $131.83 Typical High $173.78 | Professional | None (both parts) | $102.33 | $131.83 | $173.78 |
Independence Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $38.02 Typical High $60.26 | Professional | 26 · Professional part | $38.02 | $38.02 | $60.26 |
Martin's Point Setting Facility Modifier None Typical Low $93.33 Median $173.78 Typical High $245.47 | Facility | None | $93.33 | $173.78 | $245.47 |
Martin's Point Setting Facility Modifier 26 · Professional part Typical Low $27.54 Median $35.48 Typical High $61.66 | Facility | 26 · Professional part | $27.54 | $35.48 | $61.66 |
Martin's Point Setting Facility Modifier TC · Technical part Typical Low $61.66 Median $79.43 Typical High $138.04 | Facility | TC · Technical part | $61.66 | $79.43 | $138.04 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $83.18 Median $102.33 Typical High $151.36 | Professional | None (both parts) | $83.18 | $102.33 | $151.36 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $30.20 Typical High $44.67 | Professional | 26 · Professional part | $25.70 | $30.20 | $44.67 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $72.44 Typical High $104.71 | Professional | TC · Technical part | $57.54 | $72.44 | $104.71 |
Oscar Health Setting Facility Modifier None Typical Low $371.54 Median $501.19 Typical High $537.03 | Facility | None | $371.54 | $501.19 | $537.03 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $33.11 Median $102.33 Typical High $199.53 | Professional | None (both parts) | $33.11 | $102.33 | $199.53 |
UPMC Health Plan Setting Facility Modifier None Typical Low $97.72 Median $218.78 Typical High $346.74 | Facility | None | $97.72 | $218.78 | $346.74 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $97.72 Median $100.00 Typical High $112.20 | Professional | None (both parts) | $97.72 | $100.00 | $112.20 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $30.90 Typical High $37.15 | Professional | 26 · Professional part | $30.20 | $30.90 | $37.15 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $69.18 Typical High $75.86 | Professional | TC · Technical part | $67.61 | $69.18 | $75.86 |
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 $81.28 Median $104.71 Typical High $181.97 | Professional | None (both parts) | $81.28 | $104.71 | $181.97 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $31.62 Typical High $57.54 | Professional | 26 · Professional part | $25.70 | $31.62 | $57.54 |
United Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $74.13 Typical High $131.83 | Professional | TC · Technical part | $56.23 | $74.13 | $131.83 |
7 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 $41.69 Median $48.98 Typical High $51.29 | Professional | 52 · Reduced service | $41.69 | $48.98 | $51.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $19.50 Typical High $20.42 | Professional | 53 · Discontinued | $16.98 | $19.50 | $20.42 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $67.61 Median $77.62 Typical High $81.28 | Professional | FX · Film X-ray | $67.61 | $77.62 | $81.28 |
Highmark BCBS Setting Facility Modifier PN · Off-campus dept, non-excepted Typical Low $56.23 Median $107.15 Typical High $416.87 | Facility | PN · Off-campus dept, non-excepted | $56.23 | $107.15 | $416.87 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $41.69 Median $48.98 Typical High $51.29 | Professional | 52 · Reduced service | $41.69 | $48.98 | $51.29 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $19.50 Typical High $20.42 | Professional | 53 · Discontinued | $16.98 | $19.50 | $20.42 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $67.61 Median $77.62 Typical High $81.28 | Professional | FX · Film X-ray | $67.61 | $77.62 | $81.28 |
Where Pennsylvania sits
The same service costs 4.2 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· 42nd of 51
$102
AK $302UT $72.44
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.