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 $95.50 Median $141.25 Typical High $263.03 | Facility | None | $95.50 | $141.25 | $263.03 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $26.30 Median $34.67 Typical High $60.26 | Facility | 26 · Professional part | $26.30 | $34.67 | $60.26 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $63.10 Median $83.18 Typical High $199.53 | Facility | TC · Technical part | $63.10 | $83.18 | $199.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $100.00 Typical High $141.25 | Professional | None (both parts) | $83.18 | $100.00 | $141.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $26.30 Typical High $37.15 | Professional | 26 · Professional part | $22.39 | $26.30 | $37.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $74.13 Typical High $102.33 | Professional | TC · Technical part | $60.26 | $74.13 | $102.33 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $38.02 Typical High $38.02 | Professional | 26 · Professional part | $21.38 | $38.02 | $38.02 |
AmeriHealth Setting Facility Modifier None Typical Low $97.72 Median $223.87 Typical High $1,995.26 | Facility | None | $97.72 | $223.87 | $1,995.26 |
Capital Blue Cross Setting Facility Modifier None Typical Low $69.18 Median $5,011.87 Typical High $5,011.87 | Facility | None | $69.18 | $5,011.87 | $5,011.87 |
Capital Blue Cross Setting Facility Modifier TC · Technical part Typical Low $380.19 Median $457.09 Typical High $5,011.87 | Facility | TC · Technical part | $380.19 | $457.09 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $95.50 Median $100.00 Typical High $173.78 | Professional | None (both parts) | $95.50 | $100.00 | $173.78 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $26.92 Typical High $53.70 | Professional | 26 · Professional part | $26.30 | $26.92 | $53.70 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $72.44 Typical High $125.89 | Professional | TC · Technical part | $69.18 | $72.44 | $125.89 |
Cigna Setting Facility Modifier None Typical Low $87.10 Median $204.17 Typical High $363.08 | Facility | None | $87.10 | $204.17 | $363.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $64.57 Median $91.20 Typical High $181.97 | Professional | None (both parts) | $64.57 | $91.20 | $181.97 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $27.54 Typical High $50.12 | Professional | 26 · Professional part | $16.60 | $27.54 | $50.12 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $64.57 Typical High $128.82 | Professional | TC · Technical part | $46.77 | $64.57 | $128.82 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $100.00 Median $138.04 Typical High $173.78 | Professional | None (both parts) | $100.00 | $138.04 | $173.78 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $67.61 Median $104.71 Typical High $194.98 | Professional | None (both parts) | $67.61 | $104.71 | $194.98 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $30.20 Typical High $56.23 | Professional | 26 · Professional part | $21.88 | $30.20 | $56.23 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $75.86 Typical High $144.54 | Professional | TC · Technical part | $45.71 | $75.86 | $144.54 |
Highmark BCBS Setting Facility Modifier None Typical Low $165.96 Median $263.03 Typical High $537.03 | Facility | None | $165.96 | $263.03 | $537.03 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $109.65 Median $123.03 Typical High $131.83 | Professional | None (both parts) | $109.65 | $123.03 | $131.83 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $30.90 Typical High $44.67 | Professional | 26 · Professional part | $27.54 | $30.90 | $44.67 |
Independence Blue Cross Setting Facility Modifier None Typical Low $112.20 Median $223.87 Typical High $524.81 | Facility | None | $112.20 | $223.87 | $524.81 |
Martin's Point Setting Facility Modifier None Typical Low $95.50 Median $147.91 Typical High $251.19 | Facility | None | $95.50 | $147.91 | $251.19 |
Martin's Point Setting Facility Modifier TC · Technical part Typical Low $63.10 Median $102.33 Typical High $263.03 | Facility | TC · Technical part | $63.10 | $102.33 | $263.03 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $83.18 Median $100.00 Typical High $120.23 | Professional | None (both parts) | $83.18 | $100.00 | $120.23 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $26.30 Typical High $32.36 | Professional | 26 · Professional part | $22.39 | $26.30 | $32.36 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $74.13 Typical High $91.20 | Professional | TC · Technical part | $60.26 | $74.13 | $91.20 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $38.02 Median $114.82 Typical High $223.87 | Professional | None (both parts) | $38.02 | $114.82 | $223.87 |
UPMC Health Plan Setting Facility Modifier None Typical Low $95.50 Median $194.98 Typical High $478.63 | Facility | None | $95.50 | $194.98 | $478.63 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $95.50 Median $107.15 Typical High $107.15 | Professional | None (both parts) | $95.50 | $107.15 | $107.15 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $39.81 Typical High $39.81 | Professional | 26 · Professional part | $26.30 | $39.81 | $39.81 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $66.07 Typical High $69.18 | Professional | TC · Technical part | $66.07 | $66.07 | $69.18 |
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 $83.18 Median $95.50 Typical High $173.78 | Professional | None (both parts) | $83.18 | $95.50 | $173.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $28.18 Typical High $51.29 | Professional | 26 · Professional part | $23.99 | $28.18 | $51.29 |
United Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $67.61 Typical High $120.23 | Professional | TC · Technical part | $57.54 | $67.61 | $120.23 |
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 $66.07 Median $77.62 Typical High $81.28 | Professional | FX · Film X-ray | $66.07 | $77.62 | $81.28 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $66.07 Median $77.62 Typical High $81.28 | Professional | FX · Film X-ray | $66.07 | $77.62 | $81.28 |
Where Pennsylvania sits
The same service costs 3.8 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· 38th of 51
$100
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.