How much rates vary
Facilitymedian $1,072 · 10th to 90th $468 to $2,291Professionalmedian $479 · 10th to 90th $372 to $933
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 $467.74 Median $851.14 Typical High $1,862.09 | Facility | None | $467.74 | $851.14 | $1,862.09 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $75.86 Median $102.33 Typical High $177.83 | Facility | 26 · Professional part | $75.86 | $102.33 | $177.83 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $323.59 Median $512.86 Typical High $1,412.54 | Facility | TC · Technical part | $323.59 | $512.86 | $1,412.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $371.54 Median $467.74 Typical High $776.25 | Professional | None (both parts) | $371.54 | $467.74 | $776.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $79.43 Typical High $131.83 | Professional | 26 · Professional part | $69.18 | $79.43 | $131.83 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $380.19 Typical High $616.60 | Professional | TC · Technical part | $302.00 | $380.19 | $616.60 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $138.04 Typical High $154.88 | Professional | 26 · Professional part | $123.03 | $138.04 | $154.88 |
AmeriHealth Setting Facility Modifier None Typical Low $630.96 Median $630.96 Typical High $1,905.46 | Facility | None | $630.96 | $630.96 | $1,905.46 |
AmeriHealth Setting Facility Modifier TC · Technical part Typical Low $524.81 Median $2,187.76 Typical High $4,570.88 | Facility | TC · Technical part | $524.81 | $2,187.76 | $4,570.88 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $83.18 Typical High $109.65 | Professional | 26 · Professional part | $83.18 | $83.18 | $109.65 |
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 $2,187.76 Median $2,630.27 Typical High $5,011.87 | Facility | TC · Technical part | $2,187.76 | $2,630.27 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $426.58 Median $616.60 Typical High $1,202.26 | Professional | None (both parts) | $426.58 | $616.60 | $1,202.26 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $131.83 Typical High $194.98 | Professional | 26 · Professional part | $83.18 | $131.83 | $194.98 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $512.86 Typical High $1,000.00 | Professional | TC · Technical part | $338.84 | $512.86 | $1,000.00 |
Cigna Setting Facility Modifier None Typical Low $426.58 Median $1,230.27 Typical High $1,778.28 | Facility | None | $426.58 | $1,230.27 | $1,778.28 |
Cigna Setting Professional Modifier None (both parts) Typical Low $302.00 Median $501.19 Typical High $912.01 | Professional | None (both parts) | $302.00 | $501.19 | $912.01 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $87.10 Typical High $158.49 | Professional | 26 · Professional part | $46.77 | $87.10 | $158.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $416.87 Typical High $776.25 | Professional | TC · Technical part | $257.04 | $416.87 | $776.25 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $758.58 Median $758.58 Typical High $758.58 | Professional | None (both parts) | $758.58 | $758.58 | $758.58 |
Geisinger Setting Facility Modifier None Typical Low $380.19 Median $380.19 Typical High $380.19 | Facility | None | $380.19 | $380.19 | $380.19 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $251.19 Median $512.86 Typical High $912.01 | Professional | None (both parts) | $251.19 | $512.86 | $912.01 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $97.72 Typical High $165.96 | Professional | 26 · Professional part | $63.10 | $97.72 | $165.96 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $436.52 Typical High $724.44 | Professional | TC · Technical part | $190.55 | $436.52 | $724.44 |
Highmark BCBS Setting Facility Modifier None Typical Low $812.83 Median $1,148.15 Typical High $1,819.70 | Facility | None | $812.83 | $1,148.15 | $1,819.70 |
Highmark BCBS Setting Facility Modifier TC · Technical part Typical Low $229.09 Median $741.31 Typical High $1,778.28 | Facility | TC · Technical part | $229.09 | $741.31 | $1,778.28 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $457.09 Median $512.86 Typical High $776.25 | Professional | None (both parts) | $457.09 | $512.86 | $776.25 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $95.50 Typical High $141.25 | Professional | 26 · Professional part | $83.18 | $95.50 | $141.25 |
Independence Blue Cross Setting Facility Modifier None Typical Low $512.86 Median $1,949.84 Typical High $11,220.18 | Facility | None | $512.86 | $1,949.84 | $11,220.18 |
Independence Blue Cross Setting Facility Modifier TC · Technical part Typical Low $512.86 Median $1,905.46 Typical High $5,888.44 | Facility | TC · Technical part | $512.86 | $1,905.46 | $5,888.44 |
Independence Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $83.18 Typical High $104.71 | Professional | 26 · Professional part | $83.18 | $83.18 | $104.71 |
Martin's Point Setting Facility Modifier None Typical Low $467.74 Median $870.96 Typical High $1,949.84 | Facility | None | $467.74 | $870.96 | $1,949.84 |
Martin's Point Setting Facility Modifier TC · Technical part Typical Low $323.59 Median $512.86 Typical High $1,412.54 | Facility | TC · Technical part | $323.59 | $512.86 | $1,412.54 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $371.54 Median $467.74 Typical High $776.25 | Professional | None (both parts) | $371.54 | $467.74 | $776.25 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $79.43 Typical High $131.83 | Professional | 26 · Professional part | $69.18 | $79.43 | $131.83 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $380.19 Typical High $630.96 | Professional | TC · Technical part | $302.00 | $380.19 | $630.96 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $407.38 Median $436.52 Typical High $1,122.02 | Professional | None (both parts) | $407.38 | $436.52 | $1,122.02 |
UPMC Health Plan Setting Facility Modifier None Typical Low $436.52 Median $758.58 Typical High $1,258.93 | Facility | None | $436.52 | $758.58 | $1,258.93 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $436.52 Median $467.74 Typical High $467.74 | Professional | None (both parts) | $436.52 | $467.74 | $467.74 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $85.11 Typical High $85.11 | Professional | 26 · Professional part | $81.28 | $85.11 | $85.11 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $346.74 Median $389.05 Typical High $389.05 | Professional | TC · Technical part | $346.74 | $389.05 | $389.05 |
United Setting Facility Modifier None Typical Low $512.86 Median $1,096.48 Typical High $1,258.93 | Facility | None | $512.86 | $1,096.48 | $1,258.93 |
United Setting Professional Modifier None (both parts) Typical Low $398.11 Median $549.54 Typical High $933.25 | Professional | None (both parts) | $398.11 | $549.54 | $933.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $93.33 Typical High $162.18 | Professional | 26 · Professional part | $75.86 | $93.33 | $162.18 |
United Setting Professional Modifier TC · Technical part Typical Low $354.81 Median $457.09 Typical High $776.25 | Professional | TC · Technical part | $354.81 | $457.09 | $776.25 |
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 $186.21 Median $213.80 Typical High $234.42 | Professional | 52 · Reduced service | $186.21 | $213.80 | $234.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $85.11 Typical High $93.33 | Professional | 53 · Discontinued | $74.13 | $85.11 | $93.33 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $295.12 Median $338.84 Typical High $371.54 | Professional | FX · Film X-ray | $295.12 | $338.84 | $371.54 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $186.21 Median $213.80 Typical High $234.42 | Professional | 52 · Reduced service | $186.21 | $213.80 | $234.42 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $85.11 Typical High $93.33 | Professional | 53 · Discontinued | $74.13 | $85.11 | $93.33 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $295.12 Median $338.84 Typical High $371.54 | Professional | FX · Film X-ray | $295.12 | $338.84 | $371.54 |
Where Pennsylvania sits
The same service costs 4.6 times more in Alaska than in Texas. 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· 36th of 51
$525
AK $1,698TX $372
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.