How much rates vary
Facilitymedian $417 · 10th to 90th $245 to $977Professionalmedian $269 · 10th to 90th $191 to $501
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 $275.42 Median $380.19 Typical High $724.44 | Facility | None | $275.42 | $380.19 | $724.44 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $34.67 Median $45.71 Typical High $79.43 | Facility | 26 · Professional part | $34.67 | $45.71 | $79.43 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $199.53 Median $281.84 Typical High $776.25 | Facility | TC · Technical part | $199.53 | $281.84 | $776.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $208.93 Median $275.42 Typical High $416.87 | Professional | None (both parts) | $208.93 | $275.42 | $416.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $37.15 Typical High $57.54 | Professional | 26 · Professional part | $31.62 | $37.15 | $57.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $234.42 Typical High $363.08 | Professional | TC · Technical part | $173.78 | $234.42 | $363.08 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $416.87 Median $416.87 Typical High $416.87 | Professional | None (both parts) | $416.87 | $416.87 | $416.87 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $58.88 Typical High $70.79 | Professional | 26 · Professional part | $54.95 | $58.88 | $70.79 |
AmeriHealth Setting Facility Modifier None Typical Low $3,630.78 Median $3,630.78 Typical High $3,630.78 | Facility | None | $3,630.78 | $3,630.78 | $3,630.78 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $38.90 Typical High $48.98 | Professional | 26 · Professional part | $38.90 | $38.90 | $48.98 |
Capital Blue Cross Setting Facility Modifier None Typical Low $4,265.80 Median $5,011.87 Typical High $79,432.82 | Facility | None | $4,265.80 | $5,011.87 | $79,432.82 |
Capital Blue Cross Setting Facility Modifier TC · Technical part Typical Low $776.25 Median $954.99 Typical High $5,011.87 | Facility | TC · Technical part | $776.25 | $954.99 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $257.04 Median $331.13 Typical High $630.96 | Professional | None (both parts) | $257.04 | $331.13 | $630.96 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $58.88 Typical High $87.10 | Professional | 26 · Professional part | $38.02 | $58.88 | $87.10 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $288.40 Typical High $549.54 | Professional | TC · Technical part | $218.78 | $288.40 | $549.54 |
Cigna Setting Facility Modifier None Typical Low $204.17 Median $588.84 Typical High $1,096.48 | Facility | None | $204.17 | $588.84 | $1,096.48 |
Cigna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $263.03 Typical High $501.19 | Professional | None (both parts) | $123.03 | $263.03 | $501.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $39.81 Typical High $70.79 | Professional | 26 · Professional part | $21.38 | $39.81 | $70.79 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $223.87 Typical High $436.52 | Professional | TC · Technical part | $102.33 | $223.87 | $436.52 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $457.09 Median $457.09 Typical High $457.09 | Professional | None (both parts) | $457.09 | $457.09 | $457.09 |
Geisinger Setting Facility Modifier None Typical Low $204.17 Median $204.17 Typical High $204.17 | Facility | None | $204.17 | $204.17 | $204.17 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $128.82 Median $288.40 Typical High $436.52 | Professional | None (both parts) | $128.82 | $288.40 | $436.52 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $45.71 Typical High $74.13 | Professional | 26 · Professional part | $28.18 | $45.71 | $74.13 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $245.47 Typical High $371.54 | Professional | TC · Technical part | $100.00 | $245.47 | $371.54 |
Highmark BCBS Setting Facility Modifier None Typical Low $295.12 Median $426.58 Typical High $741.31 | Facility | None | $295.12 | $426.58 | $741.31 |
Highmark BCBS Setting Facility Modifier TC · Technical part Typical Low $74.13 Median $263.03 Typical High $645.65 | Facility | TC · Technical part | $74.13 | $263.03 | $645.65 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $204.17 Median $295.12 Typical High $489.78 | Professional | None (both parts) | $204.17 | $295.12 | $489.78 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $43.65 Typical High $64.57 | Professional | 26 · Professional part | $38.90 | $43.65 | $64.57 |
Independence Blue Cross Setting Facility Modifier None Typical Low $954.99 Median $1,258.93 Typical High $3,630.78 | Facility | None | $954.99 | $1,258.93 | $3,630.78 |
Independence Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $38.90 Typical High $48.98 | Professional | 26 · Professional part | $38.90 | $38.90 | $48.98 |
Martin's Point Setting Facility Modifier None Typical Low $245.47 Median $398.11 Typical High $724.44 | Facility | None | $245.47 | $398.11 | $724.44 |
Martin's Point Setting Facility Modifier TC · Technical part Typical Low $199.53 Median $331.13 Typical High $812.83 | Facility | TC · Technical part | $199.53 | $331.13 | $812.83 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $208.93 Median $251.19 Typical High $457.09 | Professional | None (both parts) | $208.93 | $251.19 | $457.09 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $36.31 Typical High $60.26 | Professional | 26 · Professional part | $31.62 | $36.31 | $60.26 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $213.80 Typical High $389.05 | Professional | TC · Technical part | $173.78 | $213.80 | $389.05 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $213.80 Median $229.09 Typical High $416.87 | Professional | None (both parts) | $213.80 | $229.09 | $416.87 |
UPMC Health Plan Setting Facility Modifier None Typical Low $190.55 Median $398.11 Typical High $660.69 | Facility | None | $190.55 | $398.11 | $660.69 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $190.55 Median $190.55 Typical High $257.04 | Professional | None (both parts) | $190.55 | $190.55 | $257.04 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $38.90 Typical High $38.90 | Professional | 26 · Professional part | $37.15 | $38.90 | $38.90 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $151.36 Typical High $218.78 | Professional | TC · Technical part | $151.36 | $151.36 | $218.78 |
United Setting Facility Modifier None Typical Low $186.21 Median $398.11 Typical High $457.09 | Facility | None | $186.21 | $398.11 | $457.09 |
United Setting Professional Modifier None (both parts) Typical Low $190.55 Median $281.84 Typical High $501.19 | Professional | None (both parts) | $190.55 | $281.84 | $501.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $41.69 Typical High $72.44 | Professional | 26 · Professional part | $33.88 | $41.69 | $72.44 |
United Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $245.47 Typical High $446.68 | Professional | TC · Technical part | $190.55 | $245.47 | $446.68 |
6 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 $109.65 Median $123.03 Typical High $138.04 | Professional | 52 · Reduced service | $109.65 | $123.03 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $50.12 Typical High $54.95 | Professional | 53 · Discontinued | $43.65 | $50.12 | $54.95 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $173.78 Median $194.98 Typical High $218.78 | Professional | FX · Film X-ray | $173.78 | $194.98 | $218.78 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $109.65 Median $120.23 Typical High $138.04 | Professional | 52 · Reduced service | $109.65 | $120.23 | $138.04 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $47.86 Typical High $54.95 | Professional | 53 · Discontinued | $43.65 | $47.86 | $54.95 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $173.78 Median $190.55 Typical High $218.78 | Professional | FX · Film X-ray | $173.78 | $190.55 | $218.78 |
Where Pennsylvania sits
The same service costs 4.4 times more in Alaska than in Kentucky. 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
$275
AK $977KY $224
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.