How much rates vary
Facilitymedian $110 · 10th to 90th $49 to $447Professionalmedian $54 · 10th to 90th $42 to $105
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 $44.67 Median $64.57 Typical High $141.25 | Facility | None | $44.67 | $64.57 | $141.25 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $12.88 Median $18.62 Typical High $33.88 | Facility | 26 · Professional part | $12.88 | $18.62 | $33.88 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $30.90 Median $45.71 Typical High $131.83 | Facility | TC · Technical part | $30.90 | $45.71 | $131.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $41.69 Median $51.29 Typical High $67.61 | Professional | None (both parts) | $41.69 | $51.29 | $67.61 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $14.13 Typical High $17.38 | Professional | 26 · Professional part | $12.30 | $14.13 | $17.38 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $37.15 Typical High $50.12 | Professional | TC · Technical part | $29.51 | $37.15 | $50.12 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $40.74 Median $42.66 Typical High $42.66 | Professional | None (both parts) | $40.74 | $42.66 | $42.66 |
Capital Blue Cross Setting Facility Modifier None Typical Low $39.81 Median $5,011.87 Typical High $8,709.64 | Facility | None | $39.81 | $5,011.87 | $8,709.64 |
Capital Blue Cross Setting Facility Modifier TC · Technical part Typical Low $213.80 Median $263.03 Typical High $5,011.87 | Facility | TC · Technical part | $213.80 | $263.03 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $52.48 Median $85.11 Typical High $128.82 | Professional | None (both parts) | $52.48 | $85.11 | $128.82 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $24.55 Typical High $37.15 | Professional | 26 · Professional part | $14.13 | $24.55 | $37.15 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $60.26 Typical High $91.20 | Professional | TC · Technical part | $38.02 | $60.26 | $91.20 |
Cigna Setting Facility Modifier None Typical Low $48.98 Median $117.49 Typical High $363.08 | Facility | None | $48.98 | $117.49 | $363.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $39.81 Median $54.95 Typical High $97.72 | Professional | None (both parts) | $39.81 | $54.95 | $97.72 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $15.85 Typical High $27.54 | Professional | 26 · Professional part | $10.23 | $15.85 | $27.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $38.90 Typical High $70.79 | Professional | TC · Technical part | $28.84 | $38.90 | $70.79 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $64.57 Median $77.62 Typical High $97.72 | Professional | None (both parts) | $64.57 | $77.62 | $97.72 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $45.71 Median $58.88 Typical High $112.20 | Professional | None (both parts) | $45.71 | $58.88 | $112.20 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $16.22 Typical High $30.90 | Professional | 26 · Professional part | $14.13 | $16.22 | $30.90 |
Geisinger 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 |
Highmark BCBS Setting Facility Modifier None Typical Low $83.18 Median $239.88 Typical High $467.74 | Facility | None | $83.18 | $239.88 | $467.74 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $58.88 Median $95.50 Typical High $100.00 | Professional | None (both parts) | $58.88 | $95.50 | $100.00 |
Martin's Point Setting Facility Modifier None Typical Low $44.67 Median $75.86 Typical High $186.21 | Facility | None | $44.67 | $75.86 | $186.21 |
Martin's Point Setting Facility Modifier TC · Technical part Typical Low $30.90 Median $46.77 Typical High $138.04 | Facility | TC · Technical part | $30.90 | $46.77 | $138.04 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $41.69 Median $51.29 Typical High $67.61 | Professional | None (both parts) | $41.69 | $51.29 | $67.61 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $14.13 Typical High $16.60 | Professional | 26 · Professional part | $12.30 | $14.13 | $16.60 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $37.15 Typical High $50.12 | Professional | TC · Technical part | $29.51 | $37.15 | $50.12 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $15.49 Median $53.70 Typical High $100.00 | Professional | None (both parts) | $15.49 | $53.70 | $100.00 |
UPMC Health Plan Setting Facility Modifier None Typical Low $50.12 Median $251.19 Typical High $478.63 | Facility | None | $50.12 | $251.19 | $478.63 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $50.12 Median $58.88 Typical High $58.88 | Professional | None (both parts) | $50.12 | $58.88 | $58.88 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $16.60 Typical High $16.60 | Professional | 26 · Professional part | $14.13 | $16.60 | $16.60 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $41.69 Typical High $41.69 | Professional | TC · Technical part | $35.48 | $41.69 | $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 $37.15 Median $51.29 Typical High $95.50 | Professional | None (both parts) | $37.15 | $51.29 | $95.50 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $14.79 Typical High $28.18 | Professional | 26 · Professional part | $10.47 | $14.79 | $28.18 |
United Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $37.15 Typical High $69.18 | Professional | TC · Technical part | $26.92 | $37.15 | $69.18 |
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 $33.11 Median $38.90 Typical High $40.74 | Professional | FX · Film X-ray | $33.11 | $38.90 | $40.74 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $33.11 Median $38.90 Typical High $40.74 | Professional | FX · Film X-ray | $33.11 | $38.90 | $40.74 |
Where Pennsylvania sits
The same service costs 4.7 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
$54.95
AK $155UT $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.