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 $48.98 Median $204.17 Typical High $562.34 | Facility | None | $48.98 | $204.17 | $562.34 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $20.42 Median $30.20 Typical High $54.95 | Facility | 26 · Professional part | $20.42 | $30.20 | $54.95 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $26.92 Median $33.88 Typical High $323.59 | Facility | TC · Technical part | $26.92 | $33.88 | $323.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $30.20 Median $53.70 Typical High $77.62 | Professional | None (both parts) | $30.20 | $53.70 | $77.62 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $22.39 Typical High $41.69 | Professional | 26 · Professional part | $19.50 | $22.39 | $41.69 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $10.47 Median $28.84 Typical High $40.74 | Professional | TC · Technical part | $10.47 | $28.84 | $40.74 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $48.98 Median $91.20 Typical High $117.49 | Professional | None (both parts) | $48.98 | $91.20 | $117.49 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $45.71 Typical High $61.66 | Professional | 26 · Professional part | $26.30 | $45.71 | $61.66 |
AmeriHealth Setting Facility Modifier None Typical Low $100.00 Median $223.87 Typical High $2,454.71 | Facility | None | $100.00 | $223.87 | $2,454.71 |
AmeriHealth Setting Facility Modifier TC · Technical part Typical Low $100.00 Median $223.87 Typical High $562.34 | Facility | TC · Technical part | $100.00 | $223.87 | $562.34 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $51.29 Median $51.29 Typical High $74.13 | Professional | None (both parts) | $51.29 | $51.29 | $74.13 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $39.81 Typical High $52.48 | Professional | 26 · Professional part | $36.31 | $39.81 | $52.48 |
AmeriHealth Setting Professional Modifier TC · Technical part Typical Low $11.75 Median $11.75 Typical High $37.15 | Professional | TC · Technical part | $11.75 | $11.75 | $37.15 |
Capital Blue Cross Setting Facility Modifier None Typical Low $66.07 Median $5,011.87 Typical High $5,011.87 | Facility | None | $66.07 | $5,011.87 | $5,011.87 |
Capital Blue Cross Setting Facility Modifier TC · Technical part Typical Low $54.95 Median $67.61 Typical High $5,011.87 | Facility | TC · Technical part | $54.95 | $67.61 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $60.26 Median $66.07 Typical High $91.20 | Professional | None (both parts) | $60.26 | $66.07 | $91.20 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $41.69 Typical High $58.88 | Professional | 26 · Professional part | $33.11 | $41.69 | $58.88 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $30.20 Typical High $51.29 | Professional | TC · Technical part | $15.85 | $30.20 | $51.29 |
Cigna Setting Facility Modifier None Typical Low $35.48 Median $95.50 Typical High $363.08 | Facility | None | $35.48 | $95.50 | $363.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $21.88 Median $46.77 Typical High $85.11 | Professional | None (both parts) | $21.88 | $46.77 | $85.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $26.92 Typical High $46.77 | Professional | 26 · Professional part | $14.45 | $26.92 | $46.77 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $7.59 Median $15.14 Typical High $40.74 | Professional | TC · Technical part | $7.59 | $15.14 | $40.74 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $75.86 Median $89.13 Typical High $114.82 | Professional | None (both parts) | $75.86 | $89.13 | $114.82 |
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 $23.99 Median $63.10 Typical High $107.15 | Professional | None (both parts) | $23.99 | $63.10 | $107.15 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $33.11 Typical High $54.95 | Professional | 26 · Professional part | $15.85 | $33.11 | $54.95 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $7.76 Median $29.51 Typical High $51.29 | Professional | TC · Technical part | $7.76 | $29.51 | $51.29 |
Highmark BCBS Setting Facility Modifier None Typical Low $63.10 Median $239.88 Typical High $436.52 | Facility | None | $63.10 | $239.88 | $436.52 |
Highmark BCBS Setting Facility Modifier TC · Technical part Typical Low $134.90 Median $371.54 Typical High $524.81 | Facility | TC · Technical part | $134.90 | $371.54 | $524.81 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $58.88 Median $75.86 Typical High $91.20 | Professional | None (both parts) | $58.88 | $75.86 | $91.20 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $37.15 Typical High $56.23 | Professional | 26 · Professional part | $33.11 | $37.15 | $56.23 |
Independence Blue Cross Setting Facility Modifier None Typical Low $112.20 Median $223.87 Typical High $524.81 | Facility | None | $112.20 | $223.87 | $524.81 |
Independence Blue Cross Setting Facility Modifier TC · Technical part Typical Low $112.20 Median $223.87 Typical High $524.81 | Facility | TC · Technical part | $112.20 | $223.87 | $524.81 |
Independence Blue Cross Setting Professional Modifier None (both parts) Typical Low $51.29 Median $51.29 Typical High $75.86 | Professional | None (both parts) | $51.29 | $51.29 | $75.86 |
Independence Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $39.81 Typical High $47.86 | Professional | 26 · Professional part | $34.67 | $39.81 | $47.86 |
Independence Blue Cross Setting Professional Modifier TC · Technical part Typical Low $11.75 Median $11.75 Typical High $37.15 | Professional | TC · Technical part | $11.75 | $11.75 | $37.15 |
Martin's Point Setting Facility Modifier None Typical Low $48.98 Median $218.78 Typical High $575.44 | Facility | None | $48.98 | $218.78 | $575.44 |
Martin's Point Setting Facility Modifier 26 · Professional part Typical Low $20.42 Median $28.18 Typical High $54.95 | Facility | 26 · Professional part | $20.42 | $28.18 | $54.95 |
Martin's Point Setting Facility Modifier TC · Technical part Typical Low $25.12 Median $33.88 Typical High $323.59 | Facility | TC · Technical part | $25.12 | $33.88 | $323.59 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $30.90 Median $53.70 Typical High $77.62 | Professional | None (both parts) | $30.90 | $53.70 | $77.62 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $22.39 Typical High $40.74 | Professional | 26 · Professional part | $19.50 | $22.39 | $40.74 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $10.47 Median $28.84 Typical High $40.74 | Professional | TC · Technical part | $10.47 | $28.84 | $40.74 |
Oscar Health Setting Facility Modifier None Typical Low $162.18 Median $213.80 Typical High $234.42 | Facility | None | $162.18 | $213.80 | $234.42 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $32.36 Median $57.54 Typical High $112.20 | Professional | None (both parts) | $32.36 | $57.54 | $112.20 |
UPMC Health Plan Setting Facility Modifier None Typical Low $27.54 Median $151.36 Typical High $338.84 | Facility | None | $27.54 | $151.36 | $338.84 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $27.54 Median $30.90 Typical High $41.69 | Professional | None (both parts) | $27.54 | $30.90 | $41.69 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $22.91 Typical High $32.36 | Professional | 26 · Professional part | $18.62 | $22.91 | $32.36 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $8.91 Median $9.12 Typical High $9.12 | Professional | TC · Technical part | $8.91 | $9.12 | $9.12 |
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 $29.51 Median $54.95 Typical High $100.00 | Professional | None (both parts) | $29.51 | $54.95 | $100.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $24.55 Typical High $44.67 | Professional | 26 · Professional part | $19.50 | $24.55 | $44.67 |
United Setting Professional Modifier TC · Technical part Typical Low $10.00 Median $30.90 Typical High $56.23 | Professional | TC · Technical part | $10.00 | $30.90 | $56.23 |
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 $32.36 Median $43.65 Typical High $44.67 | Professional | FX · Film X-ray | $32.36 | $43.65 | $44.67 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $33.88 Median $43.65 Typical High $44.67 | Professional | FX · Film X-ray | $33.88 | $43.65 | $44.67 |
Where Pennsylvania sits
The same service costs 5.1 times more in Alaska than in Kentucky. 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· 25th of 51
$63.10
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.