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 $457.09 Median $691.83 Typical High $1,621.81 | Facility | None | $457.09 | $691.83 | $1,621.81 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $208.93 Median $275.42 Typical High $489.78 | Facility | 26 · Professional part | $208.93 | $275.42 | $489.78 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $199.53 Median $302.00 Typical High $891.25 | Facility | TC · Technical part | $199.53 | $302.00 | $891.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $371.54 Median $457.09 Typical High $812.83 | Professional | None (both parts) | $371.54 | $457.09 | $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 $186.21 Median $239.88 Typical High $426.58 | Professional | TC · Technical part | $186.21 | $239.88 | $426.58 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $338.84 Median $380.19 Typical High $426.58 | Professional | 26 · Professional part | $338.84 | $380.19 | $426.58 |
AmeriHealth Setting Facility Modifier None Typical Low $15,488.17 Median $32,359.37 Typical High $41,686.94 | Facility | None | $15,488.17 | $32,359.37 | $41,686.94 |
AmeriHealth 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 |
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 $1,318.26 Median $1,621.81 Typical High $5,011.87 | Facility | TC · Technical part | $1,318.26 | $1,621.81 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $467.74 Median $776.25 Typical High $1,202.26 | Professional | None (both parts) | $467.74 | $776.25 | $1,202.26 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $229.09 Median $363.08 Typical High $537.03 | Professional | 26 · Professional part | $229.09 | $363.08 | $537.03 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $407.38 Typical High $660.69 | Professional | TC · Technical part | $234.42 | $407.38 | $660.69 |
Cigna Setting Facility Modifier None Typical Low $295.12 Median $954.99 Typical High $1,412.54 | Facility | None | $295.12 | $954.99 | $1,412.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $323.59 Median $524.81 Typical High $912.01 | Professional | None (both parts) | $323.59 | $524.81 | $912.01 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $151.36 Median $245.47 Typical High $436.52 | Professional | 26 · Professional part | $151.36 | $245.47 | $436.52 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $275.42 Typical High $478.63 | Professional | TC · Technical part | $177.83 | $275.42 | $478.63 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $794.33 Median $794.33 Typical High $794.33 | Professional | None (both parts) | $794.33 | $794.33 | $794.33 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $363.08 Median $562.34 Typical High $1,000.00 | Professional | None (both parts) | $363.08 | $562.34 | $1,000.00 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $177.83 Median $275.42 Typical High $478.63 | Professional | 26 · Professional part | $177.83 | $275.42 | $478.63 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $288.40 Typical High $512.86 | Professional | TC · Technical part | $186.21 | $288.40 | $512.86 |
Highmark BCBS Setting Facility Modifier None Typical Low $812.83 Median $1,122.02 Typical High $2,041.74 | Facility | None | $812.83 | $1,122.02 | $2,041.74 |
Highmark BCBS Setting Facility Modifier TC · Technical part Typical Low $177.83 Median $602.56 Typical High $1,584.89 | Facility | TC · Technical part | $177.83 | $602.56 | $1,584.89 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $478.63 Median $478.63 Typical High $933.25 | Professional | None (both parts) | $478.63 | $478.63 | $933.25 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $229.09 Median $263.03 Typical High $389.05 | Professional | 26 · Professional part | $229.09 | $263.03 | $389.05 |
Independence Blue Cross Setting Facility Modifier None Typical Low $15,848.93 Median $24,547.09 Typical High $36,307.81 | Facility | None | $15,848.93 | $24,547.09 | $36,307.81 |
Independence Blue Cross Setting Professional Modifier None (both parts) Typical Low $645.65 Median $645.65 Typical High $891.25 | Professional | None (both parts) | $645.65 | $645.65 | $891.25 |
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 $416.87 Median $831.76 Typical High $1,778.28 | Facility | None | $416.87 | $831.76 | $1,778.28 |
Martin's Point Setting Facility Modifier TC · Technical part Typical Low $199.53 Median $302.00 Typical High $912.01 | Facility | TC · Technical part | $199.53 | $302.00 | $912.01 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $371.54 Median $457.09 Typical High $812.83 | Professional | None (both parts) | $371.54 | $457.09 | $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 $186.21 Median $239.88 Typical High $426.58 | Professional | TC · Technical part | $186.21 | $239.88 | $426.58 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $549.54 Median $549.54 Typical High $588.84 | Professional | None (both parts) | $549.54 | $549.54 | $588.84 |
UPMC Health Plan Setting Facility Modifier None Typical Low $436.52 Median $676.08 Typical High $1,288.25 | Facility | None | $436.52 | $676.08 | $1,288.25 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $436.52 Median $436.52 Typical High $446.68 | Professional | None (both parts) | $436.52 | $436.52 | $446.68 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $213.80 Median $213.80 Typical High $223.87 | Professional | 26 · Professional part | $213.80 | $213.80 | $223.87 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $223.87 Typical High $223.87 | Professional | TC · Technical part | $223.87 | $223.87 | $223.87 |
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 $426.58 Median $549.54 Typical High $933.25 | Professional | None (both parts) | $426.58 | $549.54 | $933.25 |
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 $295.12 Typical High $489.78 | Professional | TC · Technical part | $223.87 | $295.12 | $489.78 |
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 $302.00 Median $338.84 Typical High $363.08 | Professional | FX · Film X-ray | $302.00 | $338.84 | $363.08 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $302.00 Median $338.84 Typical High $363.08 | Professional | FX · Film X-ray | $302.00 | $338.84 | $363.08 |
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· 39th of 51
$513
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.