How much rates vary
Facilitymedian $245 · 10th to 90th $102 to $794Professionalmedian $245 · 10th to 90th $91 to $288
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 $245.47 Median $398.11 Typical High $676.08 | Facility | None | $245.47 | $398.11 | $676.08 |
Aetna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $218.78 Typical High $245.47 | Professional | None (both parts) | $194.98 | $218.78 | $245.47 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $38.90 Typical High $38.90 | Professional | 26 · Professional part | $33.88 | $38.90 | $38.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $204.17 Typical High $229.09 | Professional | TC · Technical part | $186.21 | $204.17 | $229.09 |
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 $363.08 Median $446.68 Typical High $5,011.87 | Facility | TC · Technical part | $363.08 | $446.68 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $208.93 Median $275.42 Typical High $288.40 | Professional | None (both parts) | $208.93 | $275.42 | $288.40 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $66.07 Typical High $83.18 | Professional | 26 · Professional part | $39.81 | $66.07 | $83.18 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $239.88 Typical High $245.47 | Professional | TC · Technical part | $125.89 | $239.88 | $245.47 |
Cigna Setting Facility Modifier None Typical Low $70.79 Median $190.55 Typical High $776.25 | Facility | None | $70.79 | $190.55 | $776.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $67.61 Median $83.18 Typical High $186.21 | Professional | None (both parts) | $67.61 | $83.18 | $186.21 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $35.48 Typical High $77.62 | Professional | 26 · Professional part | $25.12 | $35.48 | $77.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $47.86 Typical High $109.65 | Professional | TC · Technical part | $41.69 | $47.86 | $109.65 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $134.90 Median $199.53 Typical High $416.87 | Professional | None (both parts) | $134.90 | $199.53 | $416.87 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $58.88 Typical High $89.13 | Professional | 26 · Professional part | $50.12 | $58.88 | $89.13 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $128.82 Typical High $354.81 | Professional | TC · Technical part | $87.10 | $128.82 | $354.81 |
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 $77.62 Median $95.50 Typical High $204.17 | Professional | None (both parts) | $77.62 | $95.50 | $204.17 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $45.71 Typical High $77.62 | Professional | 26 · Professional part | $35.48 | $45.71 | $77.62 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $54.95 Typical High $117.49 | Professional | TC · Technical part | $43.65 | $54.95 | $117.49 |
Martin's Point Setting Facility Modifier None Typical Low $245.47 Median $398.11 Typical High $676.08 | Facility | None | $245.47 | $398.11 | $676.08 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $194.98 Median $218.78 Typical High $245.47 | Professional | None (both parts) | $194.98 | $218.78 | $245.47 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $38.90 Typical High $38.90 | Professional | 26 · Professional part | $33.88 | $38.90 | $38.90 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $213.80 Typical High $229.09 | Professional | TC · Technical part | $186.21 | $213.80 | $229.09 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $123.03 Median $123.03 Typical High $229.09 | Professional | None (both parts) | $123.03 | $123.03 | $229.09 |
UPMC Health Plan Setting Facility Modifier None Typical Low $102.33 Median $229.09 Typical High $676.08 | Facility | None | $102.33 | $229.09 | $676.08 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $102.33 Median $112.20 Typical High $112.20 | Professional | None (both parts) | $102.33 | $112.20 | $112.20 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $40.74 Typical High $43.65 | Professional | 26 · Professional part | $39.81 | $40.74 | $43.65 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $70.79 Typical High $72.44 | Professional | TC · Technical part | $58.88 | $70.79 | $72.44 |
United Setting Facility Modifier None Typical Low $331.13 Median $691.83 Typical High $812.83 | Facility | None | $331.13 | $691.83 | $812.83 |
United Setting Professional Modifier None (both parts) Typical Low $89.13 Median $239.88 Typical High $331.13 | Professional | None (both parts) | $89.13 | $239.88 | $331.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $39.81 Typical High $57.54 | Professional | 26 · Professional part | $33.11 | $39.81 | $57.54 |
United Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $208.93 Typical High $281.84 | Professional | TC · Technical part | $51.29 | $208.93 | $281.84 |
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 $97.72 Median $109.65 Typical High $123.03 | Professional | 52 · Reduced service | $97.72 | $109.65 | $123.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $43.65 Typical High $48.98 | Professional | 53 · Discontinued | $38.90 | $43.65 | $48.98 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $154.88 Median $173.78 Typical High $194.98 | Professional | FX · Film X-ray | $154.88 | $173.78 | $194.98 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $97.72 Median $112.20 Typical High $123.03 | Professional | 52 · Reduced service | $97.72 | $112.20 | $123.03 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $44.67 Typical High $48.98 | Professional | 53 · Discontinued | $38.90 | $44.67 | $48.98 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $154.88 Median $173.78 Typical High $194.98 | Professional | FX · Film X-ray | $154.88 | $173.78 | $194.98 |
Where Pennsylvania sits
The same service costs 3.6 times more in Nebraska than in New Jersey. 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· 16th of 51
$245
NE $407NJ $112
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.