How much rates vary
Facilitymedian $148 · 10th to 90th $63 to $363Professionalmedian $66 · 10th to 90th $54 to $120
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 $66.07 Median $138.04 Typical High $239.88 | Facility | None | $66.07 | $138.04 | $239.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $53.70 Median $66.07 Typical High $75.86 | Professional | None (both parts) | $53.70 | $66.07 | $75.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $20.42 Typical High $22.91 | Professional | 26 · Professional part | $17.78 | $20.42 | $22.91 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $45.71 Typical High $53.70 | Professional | TC · Technical part | $36.31 | $45.71 | $53.70 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | 26 · Professional part | $34.67 | $34.67 | $34.67 |
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 $239.88 Median $295.12 Typical High $5,011.87 | Facility | TC · Technical part | $239.88 | $295.12 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $63.10 Median $66.07 Typical High $120.23 | Professional | None (both parts) | $63.10 | $66.07 | $120.23 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $21.38 Typical High $44.67 | Professional | 26 · Professional part | $20.89 | $21.38 | $44.67 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $44.67 Typical High $75.86 | Professional | TC · Technical part | $42.66 | $44.67 | $75.86 |
Cigna Setting Facility Modifier None Typical Low $54.95 Median $131.83 Typical High $363.08 | Facility | None | $54.95 | $131.83 | $363.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $44.67 Median $64.57 Typical High $120.23 | Professional | None (both parts) | $44.67 | $64.57 | $120.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $23.44 Typical High $40.74 | Professional | 26 · Professional part | $14.13 | $23.44 | $40.74 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $42.66 Typical High $81.28 | Professional | TC · Technical part | $30.90 | $42.66 | $81.28 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $67.61 Median $91.20 Typical High $114.82 | Professional | None (both parts) | $67.61 | $91.20 | $114.82 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $48.98 Median $72.44 Typical High $134.90 | Professional | None (both parts) | $48.98 | $72.44 | $134.90 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $25.12 Typical High $44.67 | Professional | 26 · Professional part | $18.20 | $25.12 | $44.67 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $47.86 Typical High $89.13 | Professional | TC · Technical part | $30.20 | $47.86 | $89.13 |
Highmark BCBS Setting Facility Modifier None Typical Low $213.80 Median $234.42 Typical High $295.12 | Facility | None | $213.80 | $234.42 | $295.12 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $23.99 Typical High $245.47 | Professional | 26 · Professional part | $22.91 | $23.99 | $245.47 |
Martin's Point Setting Facility Modifier None Typical Low $66.07 Median $138.04 Typical High $239.88 | Facility | None | $66.07 | $138.04 | $239.88 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $53.70 Median $66.07 Typical High $74.13 | Professional | None (both parts) | $53.70 | $66.07 | $74.13 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $20.42 Typical High $22.91 | Professional | 26 · Professional part | $17.78 | $20.42 | $22.91 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $45.71 Typical High $51.29 | Professional | TC · Technical part | $36.31 | $45.71 | $51.29 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $30.20 Median $144.54 Typical High $154.88 | Professional | None (both parts) | $30.20 | $144.54 | $154.88 |
UPMC Health Plan Setting Facility Modifier None Typical Low $61.66 Median $134.90 Typical High $213.80 | Facility | None | $61.66 | $134.90 | $213.80 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $61.66 Median $61.66 Typical High $63.10 | Professional | None (both parts) | $61.66 | $61.66 | $63.10 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $20.89 Typical High $20.89 | Professional | 26 · Professional part | $20.42 | $20.89 | $20.89 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $39.81 Typical High $41.69 | Professional | TC · Technical part | $39.81 | $39.81 | $41.69 |
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 $54.95 Median $63.10 Typical High $114.82 | Professional | None (both parts) | $54.95 | $63.10 | $114.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $22.39 Typical High $41.69 | Professional | 26 · Professional part | $19.50 | $22.39 | $41.69 |
United Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $41.69 Typical High $74.13 | Professional | TC · Technical part | $34.67 | $41.69 | $74.13 |
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 $43.65 Median $50.12 Typical High $52.48 | Professional | FX · Film X-ray | $43.65 | $50.12 | $52.48 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $43.65 Median $50.12 Typical High $52.48 | Professional | FX · Film X-ray | $43.65 | $50.12 | $52.48 |
Where Pennsylvania sits
The same service costs 5.9 times more in Alaska than in Utah. 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· 37th of 51
$66.07
AK $195UT $33.11
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.