How much rates vary
Facilitymedian $324 · 10th to 90th $79 to $1,445Professionalmedian $71 · 10th to 90th $56 to $126
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 $64.57 Median $218.78 Typical High $2,290.87 | Facility | None | $64.57 | $218.78 | $2,290.87 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $30.20 Median $40.74 Typical High $70.79 | Facility | 26 · Professional part | $30.20 | $40.74 | $70.79 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $27.54 Median $39.81 Typical High $138.04 | Facility | TC · Technical part | $27.54 | $39.81 | $138.04 |
Aetna Setting Professional Modifier None (both parts) Typical Low $53.70 Median $64.57 Typical High $114.82 | Professional | None (both parts) | $53.70 | $64.57 | $114.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $31.62 Typical High $53.70 | Professional | 26 · Professional part | $26.92 | $31.62 | $53.70 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $33.11 Typical High $58.88 | Professional | TC · Technical part | $26.30 | $33.11 | $58.88 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | None (both parts) | $50.12 | $50.12 | $50.12 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $56.23 Typical High $61.66 | Professional | 26 · Professional part | $48.98 | $56.23 | $61.66 |
AmeriHealth Setting Facility Modifier None Typical Low $512.86 Median $512.86 Typical High $11,220.18 | Facility | None | $512.86 | $512.86 | $11,220.18 |
AmeriHealth Setting Facility Modifier TC · Technical part Typical Low $109.65 Median $371.54 Typical High $7,585.78 | Facility | TC · Technical part | $109.65 | $371.54 | $7,585.78 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $69.18 Median $69.18 Typical High $87.10 | Professional | None (both parts) | $69.18 | $69.18 | $87.10 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $33.11 Typical High $43.65 | Professional | 26 · Professional part | $33.11 | $33.11 | $43.65 |
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 $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 $66.07 Median $107.15 Typical High $154.88 | Professional | None (both parts) | $66.07 | $107.15 | $154.88 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $52.48 Typical High $77.62 | Professional | 26 · Professional part | $33.11 | $52.48 | $77.62 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $52.48 Typical High $79.43 | Professional | TC · Technical part | $32.36 | $52.48 | $79.43 |
Cigna Setting Facility Modifier None Typical Low $40.74 Median $154.88 Typical High $426.58 | Facility | None | $40.74 | $154.88 | $426.58 |
Cigna Setting Professional Modifier None (both parts) Typical Low $50.12 Median $75.86 Typical High $131.83 | Professional | None (both parts) | $50.12 | $75.86 | $131.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $34.67 Typical High $63.10 | Professional | 26 · Professional part | $18.62 | $34.67 | $63.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $39.81 Typical High $69.18 | Professional | TC · Technical part | $29.51 | $39.81 | $69.18 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | None (both parts) | $112.20 | $112.20 | $112.20 |
Geisinger Setting Facility Modifier None Typical Low $79.43 Median $79.43 Typical High $79.43 | Facility | None | $79.43 | $79.43 | $79.43 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $63.10 Median $89.13 Typical High $158.49 | Professional | None (both parts) | $63.10 | $89.13 | $158.49 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $39.81 Typical High $66.07 | Professional | 26 · Professional part | $25.12 | $39.81 | $66.07 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $44.67 Typical High $79.43 | Professional | TC · Technical part | $35.48 | $44.67 | $79.43 |
Highmark BCBS Setting Facility Modifier None Typical Low $295.12 Median $380.19 Typical High $630.96 | Facility | None | $295.12 | $380.19 | $630.96 |
Highmark BCBS Setting Facility Modifier TC · Technical part Typical Low $74.13 Median $257.04 Typical High $794.33 | Facility | TC · Technical part | $74.13 | $257.04 | $794.33 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $74.13 Median $97.72 Typical High $107.15 | Professional | None (both parts) | $74.13 | $97.72 | $107.15 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $37.15 Typical High $57.54 | Professional | 26 · Professional part | $33.88 | $37.15 | $57.54 |
Independence Blue Cross Setting Facility Modifier None Typical Low $338.84 Median $457.09 Typical High $11,220.18 | Facility | None | $338.84 | $457.09 | $11,220.18 |
Independence Blue Cross Setting Professional Modifier None (both parts) Typical Low $69.18 Median $69.18 Typical High $87.10 | Professional | None (both parts) | $69.18 | $69.18 | $87.10 |
Independence Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $33.11 Typical High $41.69 | Professional | 26 · Professional part | $33.11 | $33.11 | $41.69 |
Martin's Point Setting Facility Modifier None Typical Low $64.57 Median $407.38 Typical High $2,754.23 | Facility | None | $64.57 | $407.38 | $2,754.23 |
Martin's Point Setting Facility Modifier 26 · Professional part Typical Low $28.84 Median $48.98 Typical High $70.79 | Facility | 26 · Professional part | $28.84 | $48.98 | $70.79 |
Martin's Point Setting Facility Modifier TC · Technical part Typical Low $27.54 Median $47.86 Typical High $812.83 | Facility | TC · Technical part | $27.54 | $47.86 | $812.83 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $53.70 Median $64.57 Typical High $114.82 | Professional | None (both parts) | $53.70 | $64.57 | $114.82 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $31.62 Typical High $56.23 | Professional | 26 · Professional part | $26.92 | $31.62 | $56.23 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $33.11 Typical High $60.26 | Professional | TC · Technical part | $26.30 | $33.11 | $60.26 |
Oscar Health Setting Facility Modifier None Typical Low $3,715.35 Median $4,897.79 Typical High $5,128.61 | Facility | None | $3,715.35 | $4,897.79 | $5,128.61 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $104.71 Median $109.65 Typical High $158.49 | Professional | None (both parts) | $104.71 | $109.65 | $158.49 |
UPMC Health Plan Setting Facility Modifier None Typical Low $63.10 Median $162.18 Typical High $338.84 | Facility | None | $63.10 | $162.18 | $338.84 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $63.10 Median $89.13 Typical High $89.13 | Professional | None (both parts) | $63.10 | $89.13 | $89.13 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $33.11 Typical High $33.11 | Professional | 26 · Professional part | $32.36 | $33.11 | $33.11 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $57.54 Typical High $57.54 | Professional | TC · Technical part | $31.62 | $57.54 | $57.54 |
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 $58.88 Median $79.43 Typical High $125.89 | Professional | None (both parts) | $58.88 | $79.43 | $125.89 |
United Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $37.15 Typical High $63.10 | Professional | 26 · Professional part | $29.51 | $37.15 | $63.10 |
United Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $41.69 Typical High $64.57 | Professional | TC · Technical part | $28.84 | $41.69 | $64.57 |
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 $26.30 Median $30.90 Typical High $32.36 | Professional | 52 · Reduced service | $26.30 | $30.90 | $32.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.72 Median $12.30 Typical High $12.88 | Professional | 53 · Discontinued | $10.72 | $12.30 | $12.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $42.66 Median $47.86 Typical High $51.29 | Professional | FX · Film X-ray | $42.66 | $47.86 | $51.29 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $26.30 Median $30.20 Typical High $32.36 | Professional | 52 · Reduced service | $26.30 | $30.20 | $32.36 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $10.72 Median $12.02 Typical High $12.88 | Professional | 53 · Discontinued | $10.72 | $12.02 | $12.88 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $42.66 Median $47.86 Typical High $51.29 | Professional | FX · Film X-ray | $42.66 | $47.86 | $51.29 |
Where Pennsylvania sits
The same service costs 4.7 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· 33rd of 51
$79.43
AK $257FL $54.95
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.