How much rates vary
Facilitymedian $3,715 · 10th to 90th $1,549 to $7,943Professionalmedian $1,950 · 10th to 90th $1,479 to $3,548
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 $1,862.09 Median $2,884.03 Typical High $6,606.93 | Facility | None | $1,862.09 | $2,884.03 | $6,606.93 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $389.05 Median $524.81 Typical High $912.01 | Facility | 26 · Professional part | $389.05 | $524.81 | $912.01 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $1,202.26 Median $1,819.70 Typical High $5,128.61 | Facility | TC · Technical part | $1,202.26 | $1,819.70 | $5,128.61 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,479.11 Median $1,862.09 Typical High $3,235.94 | Professional | None (both parts) | $1,479.11 | $1,862.09 | $3,235.94 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $346.74 Median $407.38 Typical High $676.08 | Professional | 26 · Professional part | $346.74 | $407.38 | $676.08 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $1,148.15 Median $1,445.44 Typical High $2,454.71 | Professional | TC · Technical part | $1,148.15 | $1,445.44 | $2,454.71 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $1,445.44 Median $1,445.44 Typical High $1,445.44 | Professional | None (both parts) | $1,445.44 | $1,445.44 | $1,445.44 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $630.96 Median $707.95 Typical High $794.33 | Professional | 26 · Professional part | $630.96 | $707.95 | $794.33 |
AmeriHealth Setting Facility Modifier None Typical Low $24,547.09 Median $51,286.14 Typical High $66,069.34 | Facility | None | $24,547.09 | $51,286.14 | $66,069.34 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $426.58 Median $426.58 Typical High $537.03 | Professional | 26 · Professional part | $426.58 | $426.58 | $537.03 |
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 $5,011.87 Median $10,964.78 Typical High $12,882.50 | Facility | TC · Technical part | $5,011.87 | $10,964.78 | $12,882.50 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $1,778.28 Median $2,630.27 Typical High $4,570.88 | Professional | None (both parts) | $1,778.28 | $2,630.27 | $4,570.88 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $426.58 Median $676.08 Typical High $1,000.00 | Professional | 26 · Professional part | $426.58 | $676.08 | $1,000.00 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $1,348.96 Median $1,905.46 Typical High $3,548.13 | Professional | TC · Technical part | $1,348.96 | $1,905.46 | $3,548.13 |
Cigna Setting Facility Modifier None Typical Low $1,659.59 Median $5,011.87 Typical High $10,964.78 | Facility | None | $1,659.59 | $5,011.87 | $10,964.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,348.96 Median $2,089.30 Typical High $3,548.13 | Professional | None (both parts) | $1,348.96 | $2,089.30 | $3,548.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $239.88 Median $446.68 Typical High $812.83 | Professional | 26 · Professional part | $239.88 | $446.68 | $812.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $1,096.48 Median $1,621.81 Typical High $2,818.38 | Professional | TC · Technical part | $1,096.48 | $1,621.81 | $2,818.38 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $3,388.44 Median $3,388.44 Typical High $3,388.44 | Professional | None (both parts) | $3,388.44 | $3,388.44 | $3,388.44 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $1,122.02 Median $2,290.87 Typical High $3,715.35 | Professional | None (both parts) | $1,122.02 | $2,290.87 | $3,715.35 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $323.59 Median $501.19 Typical High $851.14 | Professional | 26 · Professional part | $323.59 | $501.19 | $851.14 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $812.83 Median $1,778.28 Typical High $2,884.03 | Professional | TC · Technical part | $812.83 | $1,778.28 | $2,884.03 |
Highmark BCBS Setting Facility Modifier None Typical Low $3,019.95 Median $3,981.07 Typical High $6,918.31 | Facility | None | $3,019.95 | $3,981.07 | $6,918.31 |
Highmark BCBS Setting Facility Modifier TC · Technical part Typical Low $660.69 Median $2,238.72 Typical High $5,754.40 | Facility | TC · Technical part | $660.69 | $2,238.72 | $5,754.40 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $1,995.26 Median $2,238.72 Typical High $3,630.78 | Professional | None (both parts) | $1,995.26 | $2,238.72 | $3,630.78 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $426.58 Median $478.63 Typical High $741.31 | Professional | 26 · Professional part | $426.58 | $478.63 | $741.31 |
Independence Blue Cross Setting Facility Modifier None Typical Low $24,547.09 Median $38,904.51 Typical High $57,543.99 | Facility | None | $24,547.09 | $38,904.51 | $57,543.99 |
Independence Blue Cross Setting Professional Modifier None (both parts) Typical Low $2,630.27 Median $2,630.27 Typical High $3,630.78 | Professional | None (both parts) | $2,630.27 | $2,630.27 | $3,630.78 |
Independence Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $426.58 Median $426.58 Typical High $537.03 | Professional | 26 · Professional part | $426.58 | $426.58 | $537.03 |
Martin's Point Setting Facility Modifier None Typical Low $1,862.09 Median $3,162.28 Typical High $6,606.93 | Facility | None | $1,862.09 | $3,162.28 | $6,606.93 |
Martin's Point Setting Facility Modifier TC · Technical part Typical Low $1,202.26 Median $1,819.70 Typical High $5,128.61 | Facility | TC · Technical part | $1,202.26 | $1,819.70 | $5,128.61 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $1,479.11 Median $1,862.09 Typical High $3,388.44 | Professional | None (both parts) | $1,479.11 | $1,862.09 | $3,388.44 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $346.74 Median $407.38 Typical High $691.83 | Professional | 26 · Professional part | $346.74 | $407.38 | $691.83 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $1,148.15 Median $1,445.44 Typical High $2,630.27 | Professional | TC · Technical part | $1,148.15 | $1,445.44 | $2,630.27 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $1,698.24 Median $1,778.28 Typical High $4,897.79 | Professional | None (both parts) | $1,698.24 | $1,778.28 | $4,897.79 |
UPMC Health Plan Setting Facility Modifier None Typical Low $912.01 Median $1,621.81 Typical High $3,890.45 | Facility | None | $912.01 | $1,621.81 | $3,890.45 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $1,380.38 Median $1,737.80 Typical High $1,995.26 | Professional | None (both parts) | $1,380.38 | $1,737.80 | $1,995.26 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $407.38 Median $416.87 Typical High $446.68 | Professional | 26 · Professional part | $407.38 | $416.87 | $446.68 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $954.99 Median $954.99 Typical High $1,348.96 | Professional | TC · Technical part | $954.99 | $954.99 | $1,348.96 |
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 $1,659.59 Median $2,137.96 Typical High $3,630.78 | Professional | None (both parts) | $1,659.59 | $2,137.96 | $3,630.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $380.19 Median $478.63 Typical High $812.83 | Professional | 26 · Professional part | $380.19 | $478.63 | $812.83 |
United Setting Professional Modifier TC · Technical part Typical Low $1,288.25 Median $1,659.59 Typical High $2,818.38 | Professional | TC · Technical part | $1,288.25 | $1,659.59 | $2,818.38 |
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 $741.31 Median $851.14 Typical High $912.01 | Professional | 52 · Reduced service | $741.31 | $851.14 | $912.01 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $295.12 Median $338.84 Typical High $371.54 | Professional | 53 · Discontinued | $295.12 | $338.84 | $371.54 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $1,174.90 Median $1,380.38 Typical High $1,479.11 | Professional | FX · Film X-ray | $1,174.90 | $1,380.38 | $1,479.11 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $741.31 Median $851.14 Typical High $912.01 | Professional | 52 · Reduced service | $741.31 | $851.14 | $912.01 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $295.12 Median $338.84 Typical High $371.54 | Professional | 53 · Discontinued | $295.12 | $338.84 | $371.54 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $1,174.90 Median $1,348.96 Typical High $1,479.11 | Professional | FX · Film X-ray | $1,174.90 | $1,348.96 | $1,479.11 |
Where Pennsylvania sits
The same service costs 4.4 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· 38th of 51
$2,042
AK $6,918FL $1,585
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.