How much rates vary
Facilitymedian $178 · 10th to 90th $95 to $871Professionalmedian $98 · 10th to 90th $78 to $174
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 $95.50 Median $173.78 Typical High $302.00 | Facility | None | $95.50 | $173.78 | $302.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $77.62 Median $91.20 Typical High $100.00 | Professional | None (both parts) | $77.62 | $91.20 | $100.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $34.67 Typical High $35.48 | Professional | 26 · Professional part | $29.51 | $34.67 | $35.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $58.88 Typical High $67.61 | Professional | TC · Technical part | $48.98 | $58.88 | $67.61 |
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 $389.05 Typical High $5,011.87 | Facility | TC · Technical part | $323.59 | $389.05 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $100.00 Median $104.71 Typical High $173.78 | Professional | None (both parts) | $100.00 | $104.71 | $173.78 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $52.48 Typical High $63.10 | Professional | 26 · Professional part | $34.67 | $52.48 | $63.10 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $66.07 Typical High $112.20 | Professional | TC · Technical part | $63.10 | $66.07 | $112.20 |
Cigna Setting Facility Modifier None Typical Low $190.55 Median $190.55 Typical High $190.55 | Facility | None | $190.55 | $190.55 | $190.55 |
Cigna Setting Professional Modifier None (both parts) Typical Low $64.57 Median $104.71 Typical High $181.97 | Professional | None (both parts) | $64.57 | $104.71 | $181.97 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $38.90 Typical High $66.07 | Professional | 26 · Professional part | $21.88 | $38.90 | $66.07 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $64.57 Typical High $112.20 | Professional | TC · Technical part | $43.65 | $64.57 | $112.20 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $120.23 Median $120.23 Typical High $186.21 | Professional | None (both parts) | $120.23 | $120.23 | $186.21 |
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 $70.79 Median $89.13 Typical High $199.53 | Professional | None (both parts) | $70.79 | $89.13 | $199.53 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $47.86 Typical High $72.44 | Professional | 26 · Professional part | $27.54 | $47.86 | $72.44 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $54.95 Typical High $123.03 | Professional | TC · Technical part | $42.66 | $54.95 | $123.03 |
Martin's Point Setting Facility Modifier None Typical Low $95.50 Median $173.78 Typical High $302.00 | Facility | None | $95.50 | $173.78 | $302.00 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $77.62 Median $91.20 Typical High $95.50 | Professional | None (both parts) | $77.62 | $91.20 | $95.50 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $34.67 Typical High $34.67 | Professional | 26 · Professional part | $29.51 | $34.67 | $34.67 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $58.88 Typical High $67.61 | Professional | TC · Technical part | $48.98 | $58.88 | $67.61 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $117.49 Median $117.49 Typical High $218.78 | Professional | None (both parts) | $117.49 | $117.49 | $218.78 |
UPMC Health Plan Setting Facility Modifier None Typical Low $97.72 Median $169.82 Typical High $354.81 | Facility | None | $97.72 | $169.82 | $354.81 |
UPMC Health Plan 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 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $36.31 Typical High $37.15 | Professional | 26 · Professional part | $34.67 | $36.31 | $37.15 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $64.57 Typical High $64.57 | Professional | TC · Technical part | $61.66 | $64.57 | $64.57 |
United Setting Professional Modifier None (both parts) Typical Low $75.86 Median $102.33 Typical High $186.21 | Professional | None (both parts) | $75.86 | $102.33 | $186.21 |
United Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $36.31 Typical High $64.57 | Professional | 26 · Professional part | $27.54 | $36.31 | $64.57 |
United Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $69.18 Typical High $117.49 | Professional | TC · Technical part | $47.86 | $69.18 | $117.49 |
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 $38.90 Median $45.71 Typical High $47.86 | Professional | 52 · Reduced service | $38.90 | $45.71 | $47.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $18.20 Typical High $19.05 | Professional | 53 · Discontinued | $15.85 | $18.20 | $19.05 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $63.10 Median $70.79 Typical High $77.62 | Professional | FX · Film X-ray | $63.10 | $70.79 | $77.62 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $38.90 Median $44.67 Typical High $47.86 | Professional | 52 · Reduced service | $38.90 | $44.67 | $47.86 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $17.78 Typical High $19.05 | Professional | 53 · Discontinued | $15.85 | $17.78 | $19.05 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $63.10 Median $70.79 Typical High $77.62 | Professional | FX · Film X-ray | $63.10 | $70.79 | $77.62 |
Where Pennsylvania sits
The same service costs 4.6 times more in Alaska than in Oregon. 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· 36th of 51
$100
AK $282OR $61.66
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.