How much rates vary
Facilitymedian $132 · 10th to 90th $56 to $724Professionalmedian $72 · 10th to 90th $48 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 $53.70 Median $75.86 Typical High $165.96 | Facility | None | $53.70 | $75.86 | $165.96 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $26.92 Median $38.02 Typical High $63.10 | Facility | 26 · Professional part | $26.92 | $38.02 | $63.10 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $23.44 Median $32.36 Typical High $100.00 | Facility | TC · Technical part | $23.44 | $32.36 | $100.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $47.86 Median $57.54 Typical High $204.17 | Professional | None (both parts) | $47.86 | $57.54 | $204.17 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $29.51 Typical High $46.77 | Professional | 26 · Professional part | $25.70 | $29.51 | $46.77 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $28.18 Typical High $169.82 | Professional | TC · Technical part | $22.39 | $28.18 | $169.82 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $48.98 Median $87.10 Typical High $97.72 | Professional | None (both parts) | $48.98 | $87.10 | $97.72 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $28.84 Typical High $48.98 | Professional | 26 · Professional part | $25.70 | $28.84 | $48.98 |
AmeriHealth Setting Facility Modifier None Typical Low $2,951.21 Median $2,951.21 Typical High $2,951.21 | Facility | None | $2,951.21 | $2,951.21 | $2,951.21 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $72.44 Median $72.44 Typical High $91.20 | Professional | None (both parts) | $72.44 | $72.44 | $91.20 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $38.02 Typical High $63.10 | Professional | 26 · Professional part | $38.02 | $38.02 | $63.10 |
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 $776.25 Median $954.99 Typical High $5,011.87 | Facility | TC · Technical part | $776.25 | $954.99 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $331.13 Median $331.13 Typical High $346.74 | Professional | None (both parts) | $331.13 | $331.13 | $346.74 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $52.48 Typical High $79.43 | Professional | 26 · Professional part | $36.31 | $52.48 | $79.43 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $43.65 Typical High $147.91 | Professional | TC · Technical part | $33.11 | $43.65 | $147.91 |
Cigna Setting Facility Modifier None Typical Low $309.03 Median $309.03 Typical High $309.03 | Facility | None | $309.03 | $309.03 | $309.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $46.77 Median $85.11 Typical High $199.53 | Professional | None (both parts) | $46.77 | $85.11 | $199.53 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $33.88 Typical High $56.23 | Professional | 26 · Professional part | $20.42 | $33.88 | $56.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $40.74 Typical High $162.18 | Professional | TC · Technical part | $22.39 | $40.74 | $162.18 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $75.86 Median $91.20 Typical High $114.82 | Professional | None (both parts) | $75.86 | $91.20 | $114.82 |
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 $66.07 Median $100.00 Typical High $186.21 | Professional | None (both parts) | $66.07 | $100.00 | $186.21 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $37.15 Typical High $64.57 | Professional | 26 · Professional part | $26.92 | $37.15 | $64.57 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $58.88 Typical High $144.54 | Professional | TC · Technical part | $33.11 | $58.88 | $144.54 |
Highmark BCBS Setting Facility Modifier None Typical Low $125.89 Median $338.84 Typical High $977.24 | Facility | None | $125.89 | $338.84 | $977.24 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $66.07 Median $74.13 Typical High $138.04 | Professional | None (both parts) | $66.07 | $74.13 | $138.04 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $36.31 Typical High $51.29 | Professional | 26 · Professional part | $31.62 | $36.31 | $51.29 |
Independence Blue Cross Setting Facility Modifier None Typical Low $2,951.21 Median $2,951.21 Typical High $3,715.35 | Facility | None | $2,951.21 | $2,951.21 | $3,715.35 |
Independence Blue Cross Setting Professional Modifier None (both parts) Typical Low $72.44 Median $72.44 Typical High $91.20 | Professional | None (both parts) | $72.44 | $72.44 | $91.20 |
Independence Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $38.02 Typical High $281.84 | Professional | 26 · Professional part | $38.02 | $38.02 | $281.84 |
Martin's Point Setting Facility Modifier None Typical Low $53.70 Median $87.10 Typical High $165.96 | Facility | None | $53.70 | $87.10 | $165.96 |
Martin's Point Setting Facility Modifier 26 · Professional part Typical Low $26.92 Median $44.67 Typical High $63.10 | Facility | 26 · Professional part | $26.92 | $44.67 | $63.10 |
Martin's Point Setting Facility Modifier TC · Technical part Typical Low $23.44 Median $30.90 Typical High $77.62 | Facility | TC · Technical part | $23.44 | $30.90 | $77.62 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $47.86 Median $57.54 Typical High $204.17 | Professional | None (both parts) | $47.86 | $57.54 | $204.17 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $29.51 Typical High $45.71 | Professional | 26 · Professional part | $25.70 | $29.51 | $45.71 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $28.18 Typical High $169.82 | Professional | TC · Technical part | $22.39 | $28.18 | $169.82 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $102.33 Median $123.03 Typical High $416.87 | Professional | None (both parts) | $102.33 | $123.03 | $416.87 |
UPMC Health Plan Setting Facility Modifier None Typical Low $56.23 Median $181.97 Typical High $354.81 | Facility | None | $56.23 | $181.97 | $354.81 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $56.23 Median $57.54 Typical High $181.97 | Professional | None (both parts) | $56.23 | $57.54 | $181.97 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $30.20 Typical High $41.69 | Professional | 26 · Professional part | $30.20 | $30.20 | $41.69 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $26.92 Typical High $138.04 | Professional | TC · Technical part | $26.30 | $26.92 | $138.04 |
United Setting Professional Modifier None (both parts) Typical Low $47.86 Median $66.07 Typical High $169.82 | Professional | None (both parts) | $47.86 | $66.07 | $169.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $32.36 Typical High $57.54 | Professional | 26 · Professional part | $25.70 | $32.36 | $57.54 |
United Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $28.84 Typical High $131.83 | Professional | TC · Technical part | $20.89 | $28.84 | $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 $23.99 Median $28.18 Typical High $30.90 | Professional | 52 · Reduced service | $23.99 | $28.18 | $30.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.55 Median $11.22 Typical High $12.30 | Professional | 53 · Discontinued | $9.55 | $11.22 | $12.30 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $38.02 Median $44.67 Typical High $45.71 | Professional | FX · Film X-ray | $38.02 | $44.67 | $45.71 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $23.99 Median $28.18 Typical High $28.84 | Professional | 52 · Reduced service | $23.99 | $28.18 | $28.84 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $9.55 Median $11.22 Typical High $11.48 | Professional | 53 · Discontinued | $9.55 | $11.22 | $11.48 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $38.02 Median $44.67 Typical High $45.71 | Professional | FX · Film X-ray | $38.02 | $44.67 | $45.71 |
Where Pennsylvania sits
The same service costs 4.6 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· 35th of 51
$72.44
AK $209TX $45.71
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.