How much rates vary
Facilitymedian $692 · 10th to 90th $91 to $2,630Professionalmedian $102 · 10th to 90th $81 to $204
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 $91.20 Median $173.78 Typical High $302.00 | Facility | None | $91.20 | $173.78 | $302.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $77.62 Median $91.20 Typical High $125.89 | Professional | None (both parts) | $77.62 | $91.20 | $125.89 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $64.57 Typical High $85.11 | Professional | 26 · Professional part | $54.95 | $64.57 | $85.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $26.92 Typical High $52.48 | Professional | TC · Technical part | $21.38 | $26.92 | $52.48 |
Capital Blue Cross Setting Facility Modifier None Typical Low $446.68 Median $5,011.87 Typical High $8,709.64 | Facility | None | $446.68 | $5,011.87 | $8,709.64 |
Capital Blue Cross Setting Facility Modifier TC · Technical part Typical Low $426.58 Median $512.86 Typical High $5,011.87 | Facility | TC · Technical part | $426.58 | $512.86 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $93.33 Median $147.91 Typical High $173.78 | Professional | None (both parts) | $93.33 | $147.91 | $173.78 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $107.15 Typical High $128.82 | Professional | 26 · Professional part | $67.61 | $107.15 | $128.82 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $37.15 Typical High $46.77 | Professional | TC · Technical part | $26.92 | $37.15 | $46.77 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $691.83 Typical High $691.83 | Facility | None | $691.83 | $691.83 | $691.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $77.62 Median $131.83 Typical High $190.55 | Professional | None (both parts) | $77.62 | $131.83 | $190.55 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $67.61 Typical High $128.82 | Professional | 26 · Professional part | $41.69 | $67.61 | $128.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $37.15 Typical High $89.13 | Professional | TC · Technical part | $21.88 | $37.15 | $89.13 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $134.90 Median $134.90 Typical High $158.49 | Professional | None (both parts) | $134.90 | $134.90 | $158.49 |
Geisinger Setting Facility Modifier None Typical Low $331.13 Median $331.13 Typical High $870.96 | Facility | None | $331.13 | $331.13 | $870.96 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $97.72 Median $158.49 Typical High $302.00 | Professional | None (both parts) | $97.72 | $158.49 | $302.00 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $87.10 Typical High $144.54 | Professional | 26 · Professional part | $56.23 | $87.10 | $144.54 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $46.77 Typical High $199.53 | Professional | TC · Technical part | $27.54 | $46.77 | $199.53 |
Highmark BCBS Setting Facility Modifier None Typical Low $1,513.56 Median $1,949.84 Typical High $2,454.71 | Facility | None | $1,513.56 | $1,949.84 | $2,454.71 |
Martin's Point Setting Facility Modifier None Typical Low $91.20 Median $173.78 Typical High $776.25 | Facility | None | $91.20 | $173.78 | $776.25 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $77.62 Median $91.20 Typical High $141.25 | Professional | None (both parts) | $77.62 | $91.20 | $141.25 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $64.57 Typical High $87.10 | Professional | 26 · Professional part | $54.95 | $64.57 | $87.10 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $26.92 Typical High $56.23 | Professional | TC · Technical part | $21.38 | $26.92 | $56.23 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $109.65 Median $363.08 Typical High $389.05 | Professional | None (both parts) | $109.65 | $363.08 | $389.05 |
UPMC Health Plan Setting Facility Modifier None Typical Low $75.86 Median $1,023.29 Typical High $2,137.96 | Facility | None | $75.86 | $1,023.29 | $2,137.96 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $91.20 Median $302.00 Typical High $302.00 | Professional | None (both parts) | $91.20 | $302.00 | $302.00 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $91.20 Typical High $91.20 | Professional | 26 · Professional part | $66.07 | $91.20 | $91.20 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $213.80 Typical High $213.80 | Professional | TC · Technical part | $25.70 | $213.80 | $213.80 |
United Setting Professional Modifier None (both parts) Typical Low $74.13 Median $100.00 Typical High $223.87 | Professional | None (both parts) | $74.13 | $100.00 | $223.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $67.61 Typical High $125.89 | Professional | 26 · Professional part | $54.95 | $67.61 | $125.89 |
United Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $26.30 Typical High $97.72 | Professional | TC · Technical part | $19.05 | $26.30 | $97.72 |
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 $38.02 Median $45.71 Typical High $45.71 | Professional | 52 · Reduced service | $38.02 | $45.71 | $45.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.49 Median $18.20 Typical High $18.20 | Professional | 53 · Discontinued | $15.49 | $18.20 | $18.20 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $61.66 Median $72.44 Typical High $72.44 | Professional | FX · Film X-ray | $61.66 | $72.44 | $72.44 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $38.02 Median $45.71 Typical High $45.71 | Professional | 52 · Reduced service | $38.02 | $45.71 | $45.71 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $15.49 Median $18.20 Typical High $18.20 | Professional | 53 · Discontinued | $15.49 | $18.20 | $18.20 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $61.66 Median $72.44 Typical High $72.44 | Professional | FX · Film X-ray | $61.66 | $72.44 | $72.44 |
Where Pennsylvania sits
The same service costs 5.2 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· 40th of 51
$105
AK $309TX $58.88
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.