How much rates vary
Facilitymedian $76 · 10th to 90th $38 to $3,236Professionalmedian $39 · 10th to 90th $31 to $66
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 $34.67 Median $47.86 Typical High $89.13 | Facility | None | $34.67 | $47.86 | $89.13 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $12.02 Median $18.62 Typical High $33.88 | Facility | 26 · Professional part | $12.02 | $18.62 | $33.88 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $22.39 Median $30.90 Typical High $53.70 | Facility | TC · Technical part | $22.39 | $30.90 | $53.70 |
Aetna Setting Professional Modifier None (both parts) Typical Low $32.36 Median $38.90 Typical High $58.88 | Professional | None (both parts) | $32.36 | $38.90 | $58.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $13.18 Typical High $20.42 | Professional | 26 · Professional part | $11.48 | $13.18 | $20.42 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $25.12 Typical High $36.31 | Professional | TC · Technical part | $20.42 | $25.12 | $36.31 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $21.88 Typical High $26.30 | Professional | 26 · Professional part | $11.75 | $21.88 | $26.30 |
AmeriHealth Setting Facility Modifier None Typical Low $2,691.53 Median $2,691.53 Typical High $2,691.53 | Facility | None | $2,691.53 | $2,691.53 | $2,691.53 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $16.60 Typical High $19.95 | Professional | 26 · Professional part | $16.60 | $16.60 | $19.95 |
Capital Blue Cross Setting Facility Modifier None Typical Low $134.90 Median $5,011.87 Typical High $8,709.64 | Facility | None | $134.90 | $5,011.87 | $8,709.64 |
Capital Blue Cross Setting Facility Modifier TC · Technical part Typical Low $112.20 Median $138.04 Typical High $5,011.87 | Facility | TC · Technical part | $112.20 | $138.04 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $37.15 Median $54.95 Typical High $69.18 | Professional | None (both parts) | $37.15 | $54.95 | $69.18 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $23.99 Typical High $35.48 | Professional | 26 · Professional part | $13.49 | $23.99 | $35.48 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $30.20 Typical High $39.81 | Professional | TC · Technical part | $23.99 | $30.20 | $39.81 |
Cigna Setting Facility Modifier None Typical Low $58.88 Median $58.88 Typical High $58.88 | Facility | None | $58.88 | $58.88 | $58.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $24.55 Median $30.90 Typical High $64.57 | Professional | None (both parts) | $24.55 | $30.90 | $64.57 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $14.79 Typical High $25.70 | Professional | 26 · Professional part | $9.55 | $14.79 | $25.70 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $14.79 Median $19.50 Typical High $38.02 | Professional | TC · Technical part | $14.79 | $19.50 | $38.02 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $47.86 Median $57.54 Typical High $72.44 | Professional | None (both parts) | $47.86 | $57.54 | $72.44 |
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 $28.18 Median $41.69 Typical High $72.44 | Professional | None (both parts) | $28.18 | $41.69 | $72.44 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $16.98 Typical High $28.84 | Professional | 26 · Professional part | $13.49 | $16.98 | $28.84 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $13.49 Median $26.92 Typical High $43.65 | Professional | TC · Technical part | $13.49 | $26.92 | $43.65 |
Highmark BCBS Setting Facility Modifier None Typical Low $109.65 Median $169.82 Typical High $549.54 | Facility | None | $109.65 | $169.82 | $549.54 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $13.49 Median $38.90 Typical High $41.69 | Professional | None (both parts) | $13.49 | $38.90 | $41.69 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $16.22 Typical High $22.39 | Professional | 26 · Professional part | $13.80 | $16.22 | $22.39 |
Independence Blue Cross Setting Facility Modifier None Typical Low $2,570.40 Median $2,691.53 Typical High $3,388.44 | Facility | None | $2,570.40 | $2,691.53 | $3,388.44 |
Independence Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $16.60 Typical High $19.95 | Professional | 26 · Professional part | $16.60 | $16.60 | $19.95 |
Martin's Point Setting Facility Modifier None Typical Low $34.67 Median $58.88 Typical High $120.23 | Facility | None | $34.67 | $58.88 | $120.23 |
Martin's Point Setting Facility Modifier TC · Technical part Typical Low $22.39 Median $33.11 Typical High $69.18 | Facility | TC · Technical part | $22.39 | $33.11 | $69.18 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $32.36 Median $38.02 Typical High $58.88 | Professional | None (both parts) | $32.36 | $38.02 | $58.88 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $13.18 Typical High $19.95 | Professional | 26 · Professional part | $11.48 | $13.18 | $19.95 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $25.12 Typical High $36.31 | Professional | TC · Technical part | $20.42 | $25.12 | $36.31 |
Oscar Health Setting Facility Modifier None Typical Low $1,949.84 Median $5,754.40 Typical High $8,709.64 | Facility | None | $1,949.84 | $5,754.40 | $8,709.64 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $15.85 Median $41.69 Typical High $81.28 | Professional | None (both parts) | $15.85 | $41.69 | $81.28 |
UPMC Health Plan Setting Facility Modifier None Typical Low $37.15 Median $75.86 Typical High $158.49 | Facility | None | $37.15 | $75.86 | $158.49 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $37.15 Median $37.15 Typical High $38.02 | Professional | None (both parts) | $37.15 | $37.15 | $38.02 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $14.13 Typical High $16.60 | Professional | 26 · Professional part | $13.80 | $14.13 | $16.60 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $23.44 Typical High $23.99 | Professional | TC · Technical part | $20.89 | $23.44 | $23.99 |
United Setting Professional Modifier None (both parts) Typical Low $28.18 Median $36.31 Typical High $63.10 | Professional | None (both parts) | $28.18 | $36.31 | $63.10 |
United Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $14.45 Typical High $26.30 | Professional | 26 · Professional part | $11.75 | $14.45 | $26.30 |
United Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $22.39 Typical High $38.90 | Professional | TC · Technical part | $16.60 | $22.39 | $38.90 |
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 $16.22 Median $18.62 Typical High $19.50 | Professional | 52 · Reduced service | $16.22 | $18.62 | $19.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.46 Median $7.41 Typical High $7.94 | Professional | 53 · Discontinued | $6.46 | $7.41 | $7.94 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $25.70 Median $30.20 Typical High $31.62 | Professional | FX · Film X-ray | $25.70 | $30.20 | $31.62 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $16.22 Median $18.62 Typical High $19.50 | Professional | 52 · Reduced service | $16.22 | $18.62 | $19.50 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $6.46 Median $7.41 Typical High $7.94 | Professional | 53 · Discontinued | $6.46 | $7.41 | $7.94 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $25.70 Median $30.20 Typical High $31.62 | Professional | FX · Film X-ray | $25.70 | $30.20 | $31.62 |
Where Pennsylvania sits
The same service costs 4.1 times more in Alaska than in Florida. 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· 28th of 51
$39.81
AK $117FL $28.84
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.