How much rates vary
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 $112.20 Median $158.49 Typical High $501.19 | Facility | None | $112.20 | $158.49 | $501.19 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $95.50 Median $114.82 Typical High $316.23 | Facility | TC · Technical part | $95.50 | $114.82 | $316.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $138.04 Typical High $158.49 | Professional | None (both parts) | $125.89 | $138.04 | $158.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $42.66 Typical High $46.77 | Professional | 26 · Professional part | $33.88 | $42.66 | $46.77 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $102.33 Typical High $114.82 | Professional | TC · Technical part | $91.20 | $102.33 | $114.82 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $125.89 Median $181.97 Typical High $213.80 | Professional | None (both parts) | $125.89 | $181.97 | $213.80 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $50.12 Typical High $74.13 | Professional | 26 · Professional part | $38.02 | $50.12 | $74.13 |
AmeriHealth Setting Facility Modifier None Typical Low $436.52 Median $436.52 Typical High $912.01 | Facility | None | $436.52 | $436.52 | $912.01 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $181.97 Median $190.55 Typical High $208.93 | Professional | None (both parts) | $181.97 | $190.55 | $208.93 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $77.62 Typical High $97.72 | Professional | 26 · Professional part | $77.62 | $77.62 | $97.72 |
Capital Blue Cross Setting Facility Modifier None Typical Low $23.44 Median $5,011.87 Typical High $8,709.64 | Facility | None | $23.44 | $5,011.87 | $8,709.64 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $165.96 Median $165.96 Typical High $169.82 | Professional | None (both parts) | $165.96 | $165.96 | $169.82 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $45.71 Typical High $47.86 | Professional | 26 · Professional part | $45.71 | $45.71 | $47.86 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $117.49 Typical High $123.03 | Professional | TC · Technical part | $117.49 | $117.49 | $123.03 |
Cigna Setting Facility Modifier None Typical Low $131.83 Median $309.03 Typical High $380.19 | Facility | None | $131.83 | $309.03 | $380.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $147.91 Typical High $263.03 | Professional | None (both parts) | $91.20 | $147.91 | $263.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $42.66 Typical High $79.43 | Professional | 26 · Professional part | $23.99 | $42.66 | $79.43 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $104.71 Typical High $190.55 | Professional | TC · Technical part | $66.07 | $104.71 | $190.55 |
Highmark BCBS Setting Facility Modifier None Typical Low $51.29 Median $154.88 Typical High $354.81 | Facility | None | $51.29 | $154.88 | $354.81 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $169.82 Median $177.83 Typical High $199.53 | Professional | None (both parts) | $169.82 | $177.83 | $199.53 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $52.48 Typical High $81.28 | Professional | 26 · Professional part | $47.86 | $52.48 | $81.28 |
Independence Blue Cross Setting Facility Modifier None Typical Low $436.52 Median $436.52 Typical High $436.52 | Facility | None | $436.52 | $436.52 | $436.52 |
Independence Blue Cross Setting Professional Modifier None (both parts) Typical Low $181.97 Median $199.53 Typical High $302.00 | Professional | None (both parts) | $181.97 | $199.53 | $302.00 |
Independence Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $77.62 Typical High $165.96 | Professional | 26 · Professional part | $77.62 | $77.62 | $165.96 |
Martin's Point Setting Facility Modifier None Typical Low $112.20 Median $158.49 Typical High $501.19 | Facility | None | $112.20 | $158.49 | $501.19 |
Martin's Point Setting Facility Modifier TC · Technical part Typical Low $95.50 Median $114.82 Typical High $316.23 | Facility | TC · Technical part | $95.50 | $114.82 | $316.23 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $131.83 Median $138.04 Typical High $158.49 | Professional | None (both parts) | $131.83 | $138.04 | $158.49 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $42.66 Typical High $46.77 | Professional | 26 · Professional part | $34.67 | $42.66 | $46.77 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $102.33 Typical High $114.82 | Professional | TC · Technical part | $91.20 | $102.33 | $114.82 |
Oscar Health Setting Facility Modifier None Typical Low $323.59 Median $446.68 Typical High $467.74 | Facility | None | $323.59 | $446.68 | $467.74 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $22.91 Median $60.26 Typical High $83.18 | Professional | None (both parts) | $22.91 | $60.26 | $83.18 |
UPMC Health Plan Setting Facility Modifier None Typical Low $177.83 Median $204.17 Typical High $234.42 | Facility | None | $177.83 | $204.17 | $234.42 |
United Setting Professional Modifier None (both parts) Typical Low $117.49 Median $169.82 Typical High $295.12 | Professional | None (both parts) | $117.49 | $169.82 | $295.12 |
United Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $51.29 Typical High $91.20 | Professional | 26 · Professional part | $35.48 | $51.29 | $91.20 |
United Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $125.89 Typical High $213.80 | Professional | TC · Technical part | $89.13 | $125.89 | $213.80 |
2 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 FX · Film X-ray Typical Low $104.71 Median $120.23 Typical High $128.82 | Professional | FX · Film X-ray | $104.71 | $120.23 | $128.82 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $104.71 Median $120.23 Typical High $128.82 | Professional | FX · Film X-ray | $104.71 | $120.23 | $128.82 |
Where Pennsylvania sits
The same service costs 5.2 times more in Alaska than in New York. 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· 27th of 51
$166
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.