How much rates vary
Facilitymedian $68 · 10th to 90th $7 to $363Professionalmedian $8 · 10th to 90th $6 to $26
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 $7.08 Median $14.13 Typical High $23.99 | Facility | None | $7.08 | $14.13 | $23.99 |
Aetna Setting Professional Modifier None (both parts) Typical Low $5.75 Median $6.76 Typical High $7.24 | Professional | None (both parts) | $5.75 | $6.76 | $7.24 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $2.24 Median $2.63 Typical High $2.69 | Professional | 26 · Professional part | $2.24 | $2.63 | $2.69 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $3.55 Median $4.27 Typical High $4.47 | Professional | TC · Technical part | $3.55 | $4.27 | $4.47 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $9.12 Median $9.55 Typical High $10.00 | Professional | None (both parts) | $9.12 | $9.55 | $10.00 |
Capital Blue Cross Setting Facility Modifier None Typical Low $74.13 Median $79.43 Typical High $5,011.87 | Facility | None | $74.13 | $79.43 | $5,011.87 |
Capital Blue Cross Setting Facility Modifier TC · Technical part Typical Low $61.66 Median $75.86 Typical High $5,011.87 | Facility | TC · Technical part | $61.66 | $75.86 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $7.08 Median $11.48 Typical High $17.78 | Professional | None (both parts) | $7.08 | $11.48 | $17.78 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $2.69 Median $4.57 Typical High $6.92 | Professional | 26 · Professional part | $2.69 | $4.57 | $6.92 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $4.47 Median $6.92 Typical High $10.72 | Professional | TC · Technical part | $4.47 | $6.92 | $10.72 |
Cigna Setting Facility Modifier None Typical Low $5.75 Median $14.45 Typical High $363.08 | Facility | None | $5.75 | $14.45 | $363.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $5.89 Median $10.96 Typical High $22.39 | Professional | None (both parts) | $5.89 | $10.96 | $22.39 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $1.78 Median $2.88 Typical High $5.13 | Professional | 26 · Professional part | $1.78 | $2.88 | $5.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $3.63 Median $6.92 Typical High $18.20 | Professional | TC · Technical part | $3.63 | $6.92 | $18.20 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $9.33 Median $10.96 Typical High $13.49 | Professional | None (both parts) | $9.33 | $10.96 | $13.49 |
Geisinger Setting Facility Modifier None Typical Low $81.28 Median $81.28 Typical High $870.96 | Facility | None | $81.28 | $81.28 | $870.96 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $7.94 Median $15.49 Typical High $33.88 | Professional | None (both parts) | $7.94 | $15.49 | $33.88 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $2.29 Median $3.16 Typical High $5.75 | Professional | 26 · Professional part | $2.29 | $3.16 | $5.75 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $5.13 Median $10.23 Typical High $29.51 | Professional | TC · Technical part | $5.13 | $10.23 | $29.51 |
Independence Blue Cross Setting Professional Modifier None (both parts) Typical Low $9.12 Median $9.55 Typical High $10.00 | Professional | None (both parts) | $9.12 | $9.55 | $10.00 |
Martin's Point Setting Facility Modifier None Typical Low $7.08 Median $14.13 Typical High $23.99 | Facility | None | $7.08 | $14.13 | $23.99 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $5.75 Median $6.76 Typical High $7.08 | Professional | None (both parts) | $5.75 | $6.76 | $7.08 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $2.24 Median $2.63 Typical High $2.69 | Professional | 26 · Professional part | $2.24 | $2.63 | $2.69 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $3.55 Median $4.17 Typical High $4.47 | Professional | TC · Technical part | $3.55 | $4.17 | $4.47 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $12.88 Median $52.48 Typical High $70.79 | Professional | None (both parts) | $12.88 | $52.48 | $70.79 |
UPMC Health Plan Setting Facility Modifier None Typical Low $6.76 Median $67.61 Typical High $144.54 | Facility | None | $6.76 | $67.61 | $144.54 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $6.76 Median $41.69 Typical High $41.69 | Professional | None (both parts) | $6.76 | $41.69 | $41.69 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $2.63 Median $10.96 Typical High $10.96 | Professional | 26 · Professional part | $2.63 | $10.96 | $10.96 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $4.07 Median $30.20 Typical High $30.20 | Professional | TC · Technical part | $4.07 | $30.20 | $30.20 |
United Setting Facility Modifier None Typical Low $144.54 Median $309.03 Typical High $354.81 | Facility | None | $144.54 | $309.03 | $354.81 |
United Setting Professional Modifier None (both parts) Typical Low $6.03 Median $8.51 Typical High $30.20 | Professional | None (both parts) | $6.03 | $8.51 | $30.20 |
United Setting Professional Modifier 26 · Professional part Typical Low $2.24 Median $2.88 Typical High $5.25 | Professional | 26 · Professional part | $2.24 | $2.88 | $5.25 |
United Setting Professional Modifier TC · Technical part Typical Low $3.55 Median $5.01 Typical High $21.38 | Professional | TC · Technical part | $3.55 | $5.01 | $21.38 |
7 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 $2.88 Median $3.39 Typical High $3.63 | Professional | 52 · Reduced service | $2.88 | $3.39 | $3.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.15 Median $1.35 Typical High $1.45 | Professional | 53 · Discontinued | $1.15 | $1.35 | $1.45 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $4.68 Median $5.37 Typical High $5.75 | Professional | FX · Film X-ray | $4.68 | $5.37 | $5.75 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $5.13 Median $5.13 Typical High $5.13 | Professional | 59 · Distinct service | $5.13 | $5.13 | $5.13 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $2.88 Median $3.39 Typical High $3.55 | Professional | 52 · Reduced service | $2.88 | $3.39 | $3.55 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $1.15 Median $1.35 Typical High $1.45 | Professional | 53 · Discontinued | $1.15 | $1.35 | $1.45 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $4.68 Median $5.37 Typical High $5.75 | Professional | FX · Film X-ray | $4.68 | $5.37 | $5.75 |
Where Pennsylvania sits
The same service costs 4.2 times more in Kansas 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· 44th of 51
$7.94
KS $23.99FL $5.75
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.