How much rates vary
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 $323.59 Median $467.74 Typical High $812.83 | Facility | None | $323.59 | $467.74 | $812.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $251.19 Median $275.42 Typical High $331.13 | Professional | None (both parts) | $251.19 | $275.42 | $331.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $93.33 Typical High $112.20 | Professional | 26 · Professional part | $79.43 | $93.33 | $112.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $190.55 Typical High $269.15 | Professional | TC · Technical part | $158.49 | $190.55 | $269.15 |
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 $316.23 Median $407.38 Typical High $575.44 | Professional | None (both parts) | $316.23 | $407.38 | $575.44 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $154.88 Typical High $229.09 | Professional | 26 · Professional part | $97.72 | $154.88 | $229.09 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $257.04 Typical High $354.81 | Professional | TC · Technical part | $218.78 | $257.04 | $354.81 |
Cigna Setting Facility Modifier None Typical Low $269.15 Median $891.25 Typical High $1,548.82 | Facility | None | $269.15 | $891.25 | $1,548.82 |
Cigna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $288.40 Typical High $537.03 | Professional | None (both parts) | $169.82 | $288.40 | $537.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $104.71 Typical High $186.21 | Professional | 26 · Professional part | $64.57 | $104.71 | $186.21 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $199.53 Typical High $371.54 | Professional | TC · Technical part | $104.71 | $199.53 | $371.54 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $549.54 Median $549.54 Typical High $549.54 | Professional | None (both parts) | $549.54 | $549.54 | $549.54 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $186.21 Median $346.74 Typical High $537.03 | Professional | None (both parts) | $186.21 | $346.74 | $537.03 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $117.49 Typical High $169.82 | Professional | 26 · Professional part | $74.13 | $117.49 | $169.82 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $251.19 Typical High $363.08 | Professional | TC · Technical part | $109.65 | $251.19 | $363.08 |
Highmark BCBS Setting Facility Modifier None Typical Low $1,047.13 Median $1,071.52 Typical High $1,096.48 | Facility | None | $1,047.13 | $1,071.52 | $1,096.48 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $104.71 Typical High $169.82 | Professional | 26 · Professional part | $100.00 | $104.71 | $169.82 |
Martin's Point Setting Facility Modifier None Typical Low $323.59 Median $467.74 Typical High $812.83 | Facility | None | $323.59 | $467.74 | $812.83 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $251.19 Median $275.42 Typical High $323.59 | Professional | None (both parts) | $251.19 | $275.42 | $323.59 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $93.33 Typical High $104.71 | Professional | 26 · Professional part | $79.43 | $93.33 | $104.71 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $190.55 Typical High $251.19 | Professional | TC · Technical part | $158.49 | $190.55 | $251.19 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $257.04 Median $257.04 Typical High $269.15 | Professional | None (both parts) | $257.04 | $257.04 | $269.15 |
UPMC Health Plan Setting Facility Modifier None Typical Low $257.04 Median $1,000.00 Typical High $2,238.72 | Facility | None | $257.04 | $1,000.00 | $2,238.72 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $257.04 Median $257.04 Typical High $309.03 | Professional | None (both parts) | $257.04 | $257.04 | $309.03 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $102.33 Typical High $102.33 | Professional | 26 · Professional part | $95.50 | $102.33 | $102.33 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $151.36 Typical High $213.80 | Professional | TC · Technical part | $151.36 | $151.36 | $213.80 |
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 $245.47 Median $316.23 Typical High $537.03 | Professional | None (both parts) | $245.47 | $316.23 | $537.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $112.20 Typical High $190.55 | Professional | 26 · Professional part | $89.13 | $112.20 | $190.55 |
United Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $208.93 Typical High $354.81 | Professional | TC · Technical part | $162.18 | $208.93 | $354.81 |
2 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 FX · Film X-ray Typical Low $208.93 Median $218.78 Typical High $257.04 | Professional | FX · Film X-ray | $208.93 | $218.78 | $257.04 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $208.93 Median $218.78 Typical High $257.04 | Professional | FX · Film X-ray | $208.93 | $218.78 | $257.04 |
Where Pennsylvania sits
The same service costs 5.1 times more in Alaska than in New York. 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
$324
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.