How much rates vary
Facilitymedian $251 · 10th to 90th $117 to $871Professionalmedian $141 · 10th to 90th $98 to $257
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 $117.49 Median $213.80 Typical High $436.52 | Facility | None | $117.49 | $213.80 | $436.52 |
Aetna 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 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $61.66 Typical High $61.66 | Professional | 26 · Professional part | $53.70 | $61.66 | $61.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $51.29 Typical High $54.95 | Professional | TC · Technical part | $43.65 | $51.29 | $54.95 |
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 $354.81 Median $436.52 Typical High $5,011.87 | Facility | TC · Technical part | $354.81 | $436.52 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $131.83 Median $147.91 Typical High $263.03 | Professional | None (both parts) | $131.83 | $147.91 | $263.03 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $102.33 Typical High $134.90 | Professional | 26 · Professional part | $63.10 | $102.33 | $134.90 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $72.44 Typical High $128.82 | Professional | TC · Technical part | $64.57 | $72.44 | $128.82 |
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 $81.28 Median $95.50 Typical High $223.87 | Professional | None (both parts) | $81.28 | $95.50 | $223.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $53.70 Typical High $123.03 | Professional | 26 · Professional part | $40.74 | $53.70 | $123.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $43.65 Typical High $102.33 | Professional | TC · Technical part | $39.81 | $43.65 | $102.33 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $154.88 Median $199.53 Typical High $295.12 | Professional | None (both parts) | $154.88 | $199.53 | $295.12 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $89.13 Typical High $134.90 | Professional | 26 · Professional part | $75.86 | $89.13 | $134.90 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $112.20 Typical High $162.18 | Professional | TC · Technical part | $72.44 | $112.20 | $162.18 |
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 $100.00 Median $123.03 Typical High $190.55 | Professional | None (both parts) | $100.00 | $123.03 | $190.55 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $70.79 Typical High $125.89 | Professional | 26 · Professional part | $54.95 | $70.79 | $125.89 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $54.95 Typical High $91.20 | Professional | TC · Technical part | $43.65 | $54.95 | $91.20 |
Martin's Point Setting Facility Modifier None Typical Low $117.49 Median $213.80 Typical High $436.52 | Facility | None | $117.49 | $213.80 | $436.52 |
Martin's Point 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 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $61.66 Typical High $61.66 | Professional | 26 · Professional part | $53.70 | $61.66 | $61.66 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $51.29 Typical High $54.95 | Professional | TC · Technical part | $43.65 | $51.29 | $54.95 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $158.49 Median $158.49 Typical High $269.15 | Professional | None (both parts) | $158.49 | $158.49 | $269.15 |
UPMC Health Plan Setting Facility Modifier None Typical Low $131.83 Median $239.88 Typical High $501.19 | Facility | None | $131.83 | $239.88 | $501.19 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $131.83 Median $134.90 Typical High $147.91 | Professional | None (both parts) | $131.83 | $134.90 | $147.91 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $64.57 Typical High $74.13 | Professional | 26 · Professional part | $63.10 | $64.57 | $74.13 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $69.18 Typical High $74.13 | Professional | TC · Technical part | $67.61 | $69.18 | $74.13 |
United Setting Professional Modifier None (both parts) Typical Low $107.15 Median $131.83 Typical High $186.21 | Professional | None (both parts) | $107.15 | $131.83 | $186.21 |
United Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $64.57 Typical High $91.20 | Professional | 26 · Professional part | $53.70 | $64.57 | $91.20 |
United Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $66.07 Typical High $93.33 | Professional | TC · Technical part | $51.29 | $66.07 | $93.33 |
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 $48.98 Median $57.54 Typical High $58.88 | Professional | 52 · Reduced service | $48.98 | $57.54 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $22.91 Typical High $23.44 | Professional | 53 · Discontinued | $19.50 | $22.91 | $23.44 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $77.62 Median $91.20 Typical High $93.33 | Professional | FX · Film X-ray | $77.62 | $91.20 | $93.33 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $48.98 Median $57.54 Typical High $58.88 | Professional | 52 · Reduced service | $48.98 | $57.54 | $58.88 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $22.91 Typical High $23.44 | Professional | 53 · Discontinued | $19.50 | $22.91 | $23.44 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $77.62 Median $91.20 Typical High $93.33 | Professional | FX · Film X-ray | $77.62 | $91.20 | $93.33 |
Where Pennsylvania sits
The same service costs 4.5 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· 23rd of 51
$141
AK $372FL $83.18
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.