How much rates vary
Facilitymedian $245 · 10th to 90th $115 to $437Professionalmedian $123 · 10th to 90th $95 to $229
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 $114.82 Median $177.83 Typical High $478.63 | Facility | None | $114.82 | $177.83 | $478.63 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $34.67 Median $46.77 Typical High $83.18 | Facility | 26 · Professional part | $34.67 | $46.77 | $83.18 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $69.18 Median $112.20 Typical High $295.12 | Facility | TC · Technical part | $69.18 | $112.20 | $295.12 |
Aetna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $114.82 Typical High $162.18 | Professional | None (both parts) | $95.50 | $114.82 | $162.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $34.67 Typical High $44.67 | Professional | 26 · Professional part | $30.20 | $34.67 | $44.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $81.28 Typical High $123.03 | Professional | TC · Technical part | $64.57 | $81.28 | $123.03 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $50.12 Typical High $489.78 | Professional | 26 · Professional part | $50.12 | $50.12 | $489.78 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $190.55 Median $190.55 Typical High $190.55 | Professional | None (both parts) | $190.55 | $190.55 | $190.55 |
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 $323.59 Median $398.11 Typical High $5,011.87 | Facility | TC · Technical part | $323.59 | $398.11 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $123.03 Median $125.89 Typical High $229.09 | Professional | None (both parts) | $123.03 | $125.89 | $229.09 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $60.26 Typical High $91.20 | Professional | 26 · Professional part | $35.48 | $60.26 | $91.20 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $117.49 Typical High $199.53 | Professional | TC · Technical part | $87.10 | $117.49 | $199.53 |
Cigna Setting Facility Modifier None Typical Low $102.33 Median $275.42 Typical High $371.54 | Facility | None | $102.33 | $275.42 | $371.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $131.83 Typical High $245.47 | Professional | None (both parts) | $83.18 | $131.83 | $245.47 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $38.02 Typical High $63.10 | Professional | 26 · Professional part | $22.39 | $38.02 | $63.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $95.50 Typical High $177.83 | Professional | TC · Technical part | $60.26 | $95.50 | $177.83 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $125.89 Median $173.78 Typical High $218.78 | Professional | None (both parts) | $125.89 | $173.78 | $218.78 |
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 $138.04 Typical High $234.42 | Professional | None (both parts) | $77.62 | $138.04 | $234.42 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $40.74 Typical High $69.18 | Professional | 26 · Professional part | $29.51 | $40.74 | $69.18 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $97.72 Typical High $173.78 | Professional | TC · Technical part | $44.67 | $97.72 | $173.78 |
Highmark BCBS Setting Facility Modifier None Typical Low $213.80 Median $309.03 Typical High $436.52 | Facility | None | $213.80 | $309.03 | $436.52 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $42.66 Typical High $61.66 | Professional | 26 · Professional part | $37.15 | $42.66 | $61.66 |
Independence Blue Cross Setting Facility Modifier None Typical Low $239.88 Median $295.12 Typical High $676.08 | Facility | None | $239.88 | $295.12 | $676.08 |
Independence Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $57.54 Typical High $67.61 | Professional | 26 · Professional part | $56.23 | $57.54 | $67.61 |
Martin's Point Setting Facility Modifier None Typical Low $114.82 Median $190.55 Typical High $501.19 | Facility | None | $114.82 | $190.55 | $501.19 |
Martin's Point Setting Facility Modifier TC · Technical part Typical Low $69.18 Median $104.71 Typical High $295.12 | Facility | TC · Technical part | $69.18 | $104.71 | $295.12 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $95.50 Median $114.82 Typical High $162.18 | Professional | None (both parts) | $95.50 | $114.82 | $162.18 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $34.67 Typical High $38.90 | Professional | 26 · Professional part | $30.20 | $34.67 | $38.90 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $79.43 Typical High $123.03 | Professional | TC · Technical part | $64.57 | $79.43 | $123.03 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $38.02 Median $128.82 Typical High $288.40 | Professional | None (both parts) | $38.02 | $128.82 | $288.40 |
UPMC Health Plan Setting Facility Modifier None Typical Low $97.72 Median $218.78 Typical High $354.81 | Facility | None | $97.72 | $218.78 | $354.81 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $97.72 Median $114.82 Typical High $117.49 | Professional | None (both parts) | $97.72 | $114.82 | $117.49 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $35.48 Typical High $39.81 | Professional | 26 · Professional part | $34.67 | $35.48 | $39.81 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $79.43 Typical High $83.18 | Professional | TC · Technical part | $58.88 | $79.43 | $83.18 |
United Setting Facility Modifier None Typical Low $120.23 Median $257.04 Typical High $295.12 | Facility | None | $120.23 | $257.04 | $295.12 |
United Setting Professional Modifier None (both parts) Typical Low $102.33 Median $141.25 Typical High $251.19 | Professional | None (both parts) | $102.33 | $141.25 | $251.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $36.31 Typical High $66.07 | Professional | 26 · Professional part | $29.51 | $36.31 | $66.07 |
United Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $107.15 Typical High $190.55 | Professional | TC · Technical part | $75.86 | $107.15 | $190.55 |
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 $47.86 Median $54.95 Typical High $57.54 | Professional | 52 · Reduced service | $47.86 | $54.95 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $22.39 Typical High $23.44 | Professional | 53 · Discontinued | $19.05 | $22.39 | $23.44 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $75.86 Median $89.13 Typical High $93.33 | Professional | FX · Film X-ray | $75.86 | $89.13 | $93.33 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $47.86 Median $54.95 Typical High $57.54 | Professional | 52 · Reduced service | $47.86 | $54.95 | $57.54 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $22.39 Typical High $23.44 | Professional | 53 · Discontinued | $19.05 | $22.39 | $23.44 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $75.86 Median $89.13 Typical High $93.33 | Professional | FX · Film X-ray | $75.86 | $89.13 | $93.33 |
Where Pennsylvania sits
The same service costs 3.7 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· 44th of 51
$123
AK $363TX $97.72
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.