How much rates vary
Facilitymedian $3,802 · 10th to 90th $575 to $11,482Professionalmedian $562 · 10th to 90th $407 to $1,175
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 $478.63 Median $707.95 Typical High $6,918.31 | Facility | None | $478.63 | $707.95 | $6,918.31 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $208.93 Median $281.84 Typical High $489.78 | Facility | 26 · Professional part | $208.93 | $281.84 | $489.78 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $213.80 Median $309.03 Typical High $870.96 | Facility | TC · Technical part | $213.80 | $309.03 | $870.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $389.05 Median $478.63 Typical High $812.83 | Professional | None (both parts) | $389.05 | $478.63 | $812.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $186.21 Median $218.78 Typical High $363.08 | Professional | 26 · Professional part | $186.21 | $218.78 | $363.08 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $257.04 Typical High $446.68 | Professional | TC · Technical part | $199.53 | $257.04 | $446.68 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $323.59 Median $380.19 Typical High $426.58 | Professional | 26 · Professional part | $323.59 | $380.19 | $426.58 |
AmeriHealth Setting Facility Modifier None Typical Low $2,754.23 Median $9,332.54 Typical High $25,703.96 | Facility | None | $2,754.23 | $9,332.54 | $25,703.96 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $229.09 Median $229.09 Typical High $302.00 | Professional | 26 · Professional part | $229.09 | $229.09 | $302.00 |
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 $2,454.71 Median $3,019.95 Typical High $5,011.87 | Facility | TC · Technical part | $2,454.71 | $3,019.95 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $478.63 Median $776.25 Typical High $1,174.90 | Professional | None (both parts) | $478.63 | $776.25 | $1,174.90 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $229.09 Median $363.08 Typical High $549.54 | Professional | 26 · Professional part | $229.09 | $363.08 | $549.54 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $407.38 Typical High $630.96 | Professional | TC · Technical part | $245.47 | $407.38 | $630.96 |
Cigna Setting Facility Modifier None Typical Low $309.03 Median $1,202.26 Typical High $10,964.78 | Facility | None | $309.03 | $1,202.26 | $10,964.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $436.52 Median $616.60 Typical High $1,122.02 | Professional | None (both parts) | $436.52 | $616.60 | $1,122.02 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $138.04 Median $245.47 Typical High $436.52 | Professional | 26 · Professional part | $138.04 | $245.47 | $436.52 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $380.19 Typical High $724.44 | Professional | TC · Technical part | $223.87 | $380.19 | $724.44 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $812.83 Median $812.83 Typical High $812.83 | Professional | None (both parts) | $812.83 | $812.83 | $812.83 |
Geisinger Setting Facility Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $1,659.59 | Facility | None | $1,659.59 | $1,659.59 | $1,659.59 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $524.81 Median $870.96 Typical High $1,380.38 | Professional | None (both parts) | $524.81 | $870.96 | $1,380.38 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $186.21 Median $275.42 Typical High $478.63 | Professional | 26 · Professional part | $186.21 | $275.42 | $478.63 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $436.52 Typical High $1,096.48 | Professional | TC · Technical part | $288.40 | $436.52 | $1,096.48 |
Highmark BCBS Setting Facility Modifier None Typical Low $3,019.95 Median $4,365.16 Typical High $6,918.31 | Facility | None | $3,019.95 | $4,365.16 | $6,918.31 |
Highmark BCBS Setting Facility Modifier TC · Technical part Typical Low $851.14 Median $2,630.27 Typical High $8,128.31 | Facility | TC · Technical part | $851.14 | $2,630.27 | $8,128.31 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $537.03 Median $831.76 Typical High $1,000.00 | Professional | None (both parts) | $537.03 | $831.76 | $1,000.00 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $234.42 Median $269.15 Typical High $389.05 | Professional | 26 · Professional part | $234.42 | $269.15 | $389.05 |
Independence Blue Cross Setting Facility Modifier None Typical Low $2,511.89 Median $8,709.64 Typical High $16,218.10 | Facility | None | $2,511.89 | $8,709.64 | $16,218.10 |
Independence Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $229.09 Median $229.09 Typical High $288.40 | Professional | 26 · Professional part | $229.09 | $229.09 | $288.40 |
Martin's Point Setting Facility Modifier None Typical Low $478.63 Median $912.01 Typical High $7,244.36 | Facility | None | $478.63 | $912.01 | $7,244.36 |
Martin's Point Setting Facility Modifier TC · Technical part Typical Low $213.80 Median $371.54 Typical High $912.01 | Facility | TC · Technical part | $213.80 | $371.54 | $912.01 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $389.05 Median $478.63 Typical High $812.83 | Professional | None (both parts) | $389.05 | $478.63 | $812.83 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $186.21 Median $218.78 Typical High $371.54 | Professional | 26 · Professional part | $186.21 | $218.78 | $371.54 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $257.04 Typical High $446.68 | Professional | TC · Technical part | $199.53 | $257.04 | $446.68 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $1,548.82 Median $1,621.81 Typical High $1,737.80 | Professional | None (both parts) | $1,548.82 | $1,621.81 | $1,737.80 |
UPMC Health Plan Setting Facility Modifier None Typical Low $457.09 Median $2,398.83 Typical High $5,011.87 | Facility | None | $457.09 | $2,398.83 | $5,011.87 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $457.09 Median $1,174.90 Typical High $1,174.90 | Professional | None (both parts) | $457.09 | $1,174.90 | $1,174.90 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $223.87 Median $229.09 Typical High $229.09 | Professional | 26 · Professional part | $223.87 | $229.09 | $229.09 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $954.99 Typical High $954.99 | Professional | TC · Technical part | $239.88 | $954.99 | $954.99 |
United Setting Facility Modifier None Typical Low $1,905.46 Median $4,073.80 Typical High $4,677.35 | Facility | None | $1,905.46 | $4,073.80 | $4,677.35 |
United Setting Professional Modifier None (both parts) Typical Low $426.58 Median $630.96 Typical High $1,202.26 | Professional | None (both parts) | $426.58 | $630.96 | $1,202.26 |
United Setting Professional Modifier 26 · Professional part Typical Low $204.17 Median $263.03 Typical High $436.52 | Professional | 26 · Professional part | $204.17 | $263.03 | $436.52 |
United Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $338.84 Typical High $870.96 | Professional | TC · Technical part | $223.87 | $338.84 | $870.96 |
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 $194.98 Median $223.87 Typical High $234.42 | Professional | 52 · Reduced service | $194.98 | $223.87 | $234.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $77.62 Median $89.13 Typical High $95.50 | Professional | 53 · Discontinued | $77.62 | $89.13 | $95.50 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $309.03 Median $346.74 Typical High $380.19 | Professional | FX · Film X-ray | $309.03 | $346.74 | $380.19 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $194.98 Median $218.78 Typical High $234.42 | Professional | 52 · Reduced service | $194.98 | $218.78 | $234.42 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $77.62 Median $87.10 Typical High $95.50 | Professional | 53 · Discontinued | $77.62 | $87.10 | $95.50 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $309.03 Median $346.74 Typical High $380.19 | Professional | FX · Film X-ray | $309.03 | $346.74 | $380.19 |
Where Pennsylvania sits
The same service costs 4.9 times more in Alaska than in Florida. 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· 35th of 51
$631
AK $1,905FL $389
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.