How much rates vary
Facilitymedian $132 · 10th to 90th $78 to $871Professionalmedian $78 · 10th to 90th $42 to $132
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 $63.10 Median $79.43 Typical High $109.65 | Facility | None | $63.10 | $79.43 | $109.65 |
Aetna Setting Professional Modifier None (both parts) Typical Low $38.90 Median $72.44 Typical High $79.43 | Professional | None (both parts) | $38.90 | $72.44 | $79.43 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $30.20 Typical High $31.62 | Professional | 26 · Professional part | $19.05 | $30.20 | $31.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $44.67 Typical High $48.98 | Professional | TC · Technical part | $21.88 | $44.67 | $48.98 |
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 $141.25 Median $173.78 Typical High $5,011.87 | Facility | TC · Technical part | $141.25 | $173.78 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $77.62 Median $125.89 Typical High $141.25 | Professional | None (both parts) | $77.62 | $125.89 | $141.25 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $51.29 Typical High $66.07 | Professional | 26 · Professional part | $31.62 | $51.29 | $66.07 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $67.61 Typical High $89.13 | Professional | TC · Technical part | $45.71 | $67.61 | $89.13 |
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 $38.02 Median $69.18 Typical High $141.25 | Professional | None (both parts) | $38.02 | $69.18 | $141.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $30.90 Typical High $56.23 | Professional | 26 · Professional part | $11.22 | $30.90 | $56.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $38.90 Typical High $87.10 | Professional | TC · Technical part | $26.92 | $38.90 | $87.10 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $117.49 Median $117.49 Typical High $138.04 | Professional | None (both parts) | $117.49 | $117.49 | $138.04 |
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 $56.23 Median $97.72 Typical High $138.04 | Professional | None (both parts) | $56.23 | $97.72 | $138.04 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $38.02 Typical High $54.95 | Professional | 26 · Professional part | $16.98 | $38.02 | $54.95 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $60.26 Typical High $100.00 | Professional | TC · Technical part | $41.69 | $60.26 | $100.00 |
Martin's Point Setting Facility Modifier None Typical Low $63.10 Median $79.43 Typical High $109.65 | Facility | None | $63.10 | $79.43 | $109.65 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $38.90 Median $70.79 Typical High $79.43 | Professional | None (both parts) | $38.90 | $70.79 | $79.43 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $28.18 Typical High $31.62 | Professional | 26 · Professional part | $19.05 | $28.18 | $31.62 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $42.66 Typical High $48.98 | Professional | TC · Technical part | $20.42 | $42.66 | $48.98 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $95.50 Median $97.72 Typical High $120.23 | Professional | None (both parts) | $95.50 | $97.72 | $120.23 |
UPMC Health Plan Setting Facility Modifier None Typical Low $77.62 Median $151.36 Typical High $316.23 | Facility | None | $77.62 | $151.36 | $316.23 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $77.62 Median $79.43 Typical High $79.43 | Professional | None (both parts) | $77.62 | $79.43 | $79.43 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $20.42 Typical High $30.90 | Professional | 26 · Professional part | $20.42 | $20.42 | $30.90 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $58.88 Typical High $58.88 | Professional | TC · Technical part | $46.77 | $58.88 | $58.88 |
United Setting Professional Modifier None (both parts) Typical Low $58.88 Median $75.86 Typical High $141.25 | Professional | None (both parts) | $58.88 | $75.86 | $141.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $32.36 Typical High $60.26 | Professional | 26 · Professional part | $22.91 | $32.36 | $60.26 |
United Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $43.65 Typical High $79.43 | Professional | TC · Technical part | $33.11 | $43.65 | $79.43 |
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 $33.11 Median $38.02 Typical High $39.81 | Professional | 52 · Reduced service | $33.11 | $38.02 | $39.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.18 Median $15.14 Typical High $16.22 | Professional | 53 · Discontinued | $13.18 | $15.14 | $16.22 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $53.70 Median $61.66 Typical High $64.57 | Professional | FX · Film X-ray | $53.70 | $61.66 | $64.57 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $33.11 Median $38.90 Typical High $39.81 | Professional | 52 · Reduced service | $33.11 | $38.90 | $39.81 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $13.18 Median $15.49 Typical High $16.22 | Professional | 53 · Discontinued | $13.18 | $15.49 | $16.22 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $53.70 Median $61.66 Typical High $64.57 | Professional | FX · Film X-ray | $53.70 | $61.66 | $64.57 |
Where Pennsylvania sits
The same service costs 5.9 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· 36th of 51
$77.62
AK $245TX $41.69
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.