How much rates vary
Facilitymedian $363 · 10th to 90th $126 to $2,089Professionalmedian $129 · 10th to 90th $63 to $224
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 $112.20 Median $169.82 Typical High $776.25 | Facility | None | $112.20 | $169.82 | $776.25 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $23.44 Median $85.11 Typical High $380.19 | Facility | TC · Technical part | $23.44 | $85.11 | $380.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $60.26 Median $120.23 Typical High $169.82 | Professional | None (both parts) | $60.26 | $120.23 | $169.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $38.90 Typical High $52.48 | Professional | 26 · Professional part | $33.11 | $38.90 | $52.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $85.11 Typical High $125.89 | Professional | TC · Technical part | $18.62 | $85.11 | $125.89 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $251.19 Median $251.19 Typical High $251.19 | Professional | None (both parts) | $251.19 | $251.19 | $251.19 |
AmeriHealth Setting Facility Modifier None Typical Low $2,344.23 Median $7,762.47 Typical High $10,232.93 | Facility | None | $2,344.23 | $7,762.47 | $10,232.93 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $40.74 Typical High $53.70 | Professional | 26 · Professional part | $40.74 | $40.74 | $53.70 |
Capital Blue Cross Setting Facility Modifier None Typical Low $181.97 Median $5,011.87 Typical High $56,234.13 | Facility | None | $181.97 | $5,011.87 | $56,234.13 |
Capital Blue Cross Setting Facility Modifier TC · Technical part Typical Low $147.91 Median $177.83 Typical High $5,011.87 | Facility | TC · Technical part | $147.91 | $177.83 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $102.33 Median $138.04 Typical High $229.09 | Professional | None (both parts) | $102.33 | $138.04 | $229.09 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $63.10 Typical High $95.50 | Professional | 26 · Professional part | $39.81 | $63.10 | $95.50 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $95.50 Typical High $134.90 | Professional | TC · Technical part | $17.78 | $95.50 | $134.90 |
Cigna Setting Facility Modifier None Typical Low $67.61 Median $380.19 Typical High $588.84 | Facility | None | $67.61 | $380.19 | $588.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $56.23 Median $123.03 Typical High $229.09 | Professional | None (both parts) | $56.23 | $123.03 | $229.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $44.67 Typical High $79.43 | Professional | 26 · Professional part | $25.12 | $44.67 | $79.43 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $10.96 Median $77.62 Typical High $158.49 | Professional | TC · Technical part | $10.96 | $77.62 | $158.49 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $234.42 Median $234.42 Typical High $234.42 | Professional | None (both parts) | $234.42 | $234.42 | $234.42 |
Geisinger Setting Facility Modifier None Typical Low $112.20 Median $112.20 Typical High $112.20 | Facility | None | $112.20 | $112.20 | $112.20 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $83.18 Median $144.54 Typical High $223.87 | Professional | None (both parts) | $83.18 | $144.54 | $223.87 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $51.29 Typical High $87.10 | Professional | 26 · Professional part | $33.88 | $51.29 | $87.10 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $91.20 Typical High $154.88 | Professional | TC · Technical part | $43.65 | $91.20 | $154.88 |
Highmark BCBS Setting Facility Modifier None Typical Low $281.84 Median $371.54 Typical High $891.25 | Facility | None | $281.84 | $371.54 | $891.25 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $38.02 Median $95.50 Typical High $281.84 | Professional | None (both parts) | $38.02 | $95.50 | $281.84 |
Independence Blue Cross Setting Facility Modifier None Typical Low $1,000.00 Median $2,089.30 Typical High $2,754.23 | Facility | None | $1,000.00 | $2,089.30 | $2,754.23 |
Independence Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $40.74 Typical High $53.70 | Professional | 26 · Professional part | $40.74 | $40.74 | $53.70 |
Martin's Point Setting Facility Modifier None Typical Low $100.00 Median $213.80 Typical High $776.25 | Facility | None | $100.00 | $213.80 | $776.25 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $60.26 Median $120.23 Typical High $169.82 | Professional | None (both parts) | $60.26 | $120.23 | $169.82 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $38.90 Typical High $52.48 | Professional | 26 · Professional part | $33.11 | $38.90 | $52.48 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $85.11 Typical High $125.89 | Professional | TC · Technical part | $18.62 | $85.11 | $125.89 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $144.54 Median $151.36 Typical High $154.88 | Professional | None (both parts) | $144.54 | $151.36 | $154.88 |
UPMC Health Plan Setting Facility Modifier None Typical Low $125.89 Median $263.03 Typical High $446.68 | Facility | None | $125.89 | $263.03 | $446.68 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $125.89 Median $125.89 Typical High $131.83 | Professional | None (both parts) | $125.89 | $125.89 | $131.83 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $44.67 Typical High $44.67 | Professional | 26 · Professional part | $38.90 | $44.67 | $44.67 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $81.28 Typical High $93.33 | Professional | TC · Technical part | $81.28 | $81.28 | $93.33 |
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 $102.33 Median $123.03 Typical High $223.87 | Professional | None (both parts) | $102.33 | $123.03 | $223.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $45.71 Typical High $77.62 | Professional | 26 · Professional part | $36.31 | $45.71 | $77.62 |
United Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $81.28 Typical High $151.36 | Professional | TC · Technical part | $42.66 | $81.28 | $151.36 |
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 $56.23 Median $60.26 Typical High $70.79 | Professional | 52 · Reduced service | $56.23 | $60.26 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $23.99 Typical High $28.18 | Professional | 53 · Discontinued | $22.91 | $23.99 | $28.18 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $91.20 Median $95.50 Typical High $112.20 | Professional | FX · Film X-ray | $91.20 | $95.50 | $112.20 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $56.23 Median $60.26 Typical High $70.79 | Professional | 52 · Reduced service | $56.23 | $60.26 | $70.79 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $23.99 Typical High $28.18 | Professional | 53 · Discontinued | $22.91 | $23.99 | $28.18 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $91.20 Median $95.50 Typical High $112.20 | Professional | FX · Film X-ray | $91.20 | $95.50 | $112.20 |
Where Pennsylvania sits
The same service costs 6.9 times more in Alaska than in Michigan. 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
$132
AK $525MI $75.86
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.