How much rates vary
Facilitymedian $195 · 10th to 90th $87 to $355Professionalmedian $100 · 10th to 90th $83 to $195
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 $100.00 Median $102.33 Typical High $354.81 | Facility | None | $100.00 | $102.33 | $354.81 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $61.66 Median $74.13 Typical High $257.04 | Facility | TC · Technical part | $61.66 | $74.13 | $257.04 |
Aetna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $102.33 Typical High $112.20 | Professional | None (both parts) | $83.18 | $102.33 | $112.20 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $28.84 Typical High $32.36 | Professional | 26 · Professional part | $25.12 | $28.84 | $32.36 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $70.79 Typical High $81.28 | Professional | TC · Technical part | $58.88 | $70.79 | $81.28 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $43.65 Typical High $43.65 | Professional | 26 · Professional part | $43.65 | $43.65 | $43.65 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $48.98 Typical High $57.54 | Professional | 26 · Professional part | $48.98 | $48.98 | $57.54 |
Capital Blue Cross Setting Facility Modifier None Typical Low $60.26 Median $5,011.87 Typical High $8,709.64 | Facility | None | $60.26 | $5,011.87 | $8,709.64 |
Capital Blue Cross Setting Facility Modifier TC · Technical part Typical Low $331.13 Median $398.11 Typical High $5,011.87 | Facility | TC · Technical part | $331.13 | $398.11 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $95.50 Median $100.00 Typical High $199.53 | Professional | None (both parts) | $95.50 | $100.00 | $199.53 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $42.66 Typical High $60.26 | Professional | 26 · Professional part | $29.51 | $42.66 | $60.26 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $69.18 Typical High $138.04 | Professional | TC · Technical part | $66.07 | $69.18 | $138.04 |
Cigna Setting Facility Modifier None Typical Low $83.18 Median $194.98 Typical High $323.59 | Facility | None | $83.18 | $194.98 | $323.59 |
Cigna Setting Professional Modifier None (both parts) Typical Low $66.07 Median $102.33 Typical High $181.97 | Professional | None (both parts) | $66.07 | $102.33 | $181.97 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $30.90 Typical High $52.48 | Professional | 26 · Professional part | $19.05 | $30.90 | $52.48 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $72.44 Typical High $128.82 | Professional | TC · Technical part | $46.77 | $72.44 | $128.82 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $117.49 Median $138.04 Typical High $173.78 | Professional | None (both parts) | $117.49 | $138.04 | $173.78 |
Geisinger Setting Facility Modifier None Typical Low $83.18 Median $83.18 Typical High $870.96 | Facility | None | $83.18 | $83.18 | $870.96 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $72.44 Median $104.71 Typical High $181.97 | Professional | None (both parts) | $72.44 | $104.71 | $181.97 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $33.88 Typical High $56.23 | Professional | 26 · Professional part | $25.12 | $33.88 | $56.23 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $70.79 Typical High $120.23 | Professional | TC · Technical part | $43.65 | $70.79 | $120.23 |
Highmark BCBS Setting Facility Modifier None Typical Low $251.19 Median $295.12 Typical High $309.03 | Facility | None | $251.19 | $295.12 | $309.03 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $45.71 Typical High $323.59 | Professional | 26 · Professional part | $44.67 | $45.71 | $323.59 |
Independence Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $48.98 Typical High $57.54 | Professional | 26 · Professional part | $47.86 | $48.98 | $57.54 |
Martin's Point Setting Facility Modifier None Typical Low $102.33 Median $144.54 Typical High $354.81 | Facility | None | $102.33 | $144.54 | $354.81 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $83.18 Median $100.00 Typical High $112.20 | Professional | None (both parts) | $83.18 | $100.00 | $112.20 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $28.84 Typical High $31.62 | Professional | 26 · Professional part | $25.12 | $28.84 | $31.62 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $70.79 Typical High $81.28 | Professional | TC · Technical part | $58.88 | $70.79 | $81.28 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $32.36 Median $107.15 Typical High $213.80 | Professional | None (both parts) | $32.36 | $107.15 | $213.80 |
UPMC Health Plan Setting Facility Modifier None Typical Low $87.10 Median $181.97 Typical High $302.00 | Facility | None | $87.10 | $181.97 | $302.00 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $87.10 Median $95.50 Typical High $97.72 | Professional | None (both parts) | $87.10 | $95.50 | $97.72 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $30.20 Typical High $33.11 | Professional | 26 · Professional part | $29.51 | $30.20 | $33.11 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $66.07 Typical High $67.61 | Professional | TC · Technical part | $54.95 | $66.07 | $67.61 |
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 $81.28 Median $104.71 Typical High $186.21 | Professional | None (both parts) | $81.28 | $104.71 | $186.21 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $30.90 Typical High $56.23 | Professional | 26 · Professional part | $25.12 | $30.90 | $56.23 |
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 |
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 $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 $16.60 Median $19.50 Typical High $20.42 | Professional | 53 · Discontinued | $16.60 | $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 |
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 $16.60 Median $19.50 Typical High $20.42 | Professional | 53 · Discontinued | $16.60 | $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· 40th of 51
$100
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.