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 $81.28 Median $128.82 Typical High $208.93 | Facility | None | $81.28 | $128.82 | $208.93 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $81.28 Median $102.33 Typical High $190.55 | Facility | TC · Technical part | $81.28 | $102.33 | $190.55 |
Aetna Setting Professional Modifier None (both parts) Typical Low $64.57 Median $109.65 Typical High $128.82 | Professional | None (both parts) | $64.57 | $109.65 | $128.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $25.12 Typical High $45.71 | Professional | 26 · Professional part | $21.88 | $25.12 | $45.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $87.10 Typical High $102.33 | Professional | TC · Technical part | $39.81 | $87.10 | $102.33 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $54.95 Typical High $69.18 | Professional | 26 · Professional part | $36.31 | $54.95 | $69.18 |
AmeriHealth Setting Facility Modifier None Typical Low $190.55 Median $645.65 Typical High $6,025.60 | Facility | None | $190.55 | $645.65 | $6,025.60 |
AmeriHealth Setting Facility Modifier TC · Technical part Typical Low $190.55 Median $645.65 Typical High $2,137.96 | Facility | TC · Technical part | $190.55 | $645.65 | $2,137.96 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $81.28 Median $81.28 Typical High $107.15 | Professional | None (both parts) | $81.28 | $81.28 | $107.15 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $21.38 Typical High $28.18 | Professional | 26 · Professional part | $21.38 | $21.38 | $28.18 |
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 Professional Modifier None (both parts) Typical Low $60.26 Median $60.26 Typical High $61.66 | Professional | None (both parts) | $60.26 | $60.26 | $61.66 |
Cigna Setting Facility Modifier None Typical Low $95.50 Median $316.23 Typical High $478.63 | Facility | None | $95.50 | $316.23 | $478.63 |
Cigna Setting Professional Modifier None (both parts) Typical Low $43.65 Median $102.33 Typical High $213.80 | Professional | None (both parts) | $43.65 | $102.33 | $213.80 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $29.51 Typical High $50.12 | Professional | 26 · Professional part | $16.60 | $29.51 | $50.12 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $63.10 Typical High $165.96 | Professional | TC · Technical part | $26.92 | $63.10 | $165.96 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | None (both parts) | $58.88 | $58.88 | $58.88 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $28.18 Median $39.81 Typical High $63.10 | Professional | None (both parts) | $28.18 | $39.81 | $63.10 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $39.81 Typical High $63.10 | Professional | 26 · Professional part | $28.18 | $39.81 | $63.10 |
Highmark BCBS Setting Facility Modifier None Typical Low $48.98 Median $63.10 Typical High $776.25 | Facility | None | $48.98 | $63.10 | $776.25 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $61.66 Median $144.54 Typical High $234.42 | Professional | None (both parts) | $61.66 | $144.54 | $234.42 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $85.11 Typical High $162.18 | Professional | 26 · Professional part | $37.15 | $85.11 | $162.18 |
Independence Blue Cross Setting Facility Modifier None Typical Low $181.97 Median $645.65 Typical High $5,754.40 | Facility | None | $181.97 | $645.65 | $5,754.40 |
Independence Blue Cross Setting Facility Modifier TC · Technical part Typical Low $181.97 Median $645.65 Typical High $1,862.09 | Facility | TC · Technical part | $181.97 | $645.65 | $1,862.09 |
Independence Blue Cross Setting Professional Modifier None (both parts) Typical Low $81.28 Median $81.28 Typical High $102.33 | Professional | None (both parts) | $81.28 | $81.28 | $102.33 |
Independence Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $21.38 Typical High $26.92 | Professional | 26 · Professional part | $21.38 | $21.38 | $26.92 |
Martin's Point Setting Facility Modifier None Typical Low $54.95 Median $128.82 Typical High $208.93 | Facility | None | $54.95 | $128.82 | $208.93 |
Martin's Point Setting Facility Modifier TC · Technical part Typical Low $81.28 Median $102.33 Typical High $190.55 | Facility | TC · Technical part | $81.28 | $102.33 | $190.55 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $64.57 Median $109.65 Typical High $128.82 | Professional | None (both parts) | $64.57 | $109.65 | $128.82 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $25.12 Typical High $50.12 | Professional | 26 · Professional part | $21.88 | $25.12 | $50.12 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $87.10 Typical High $102.33 | Professional | TC · Technical part | $39.81 | $87.10 | $102.33 |
Oscar Health Setting Facility Modifier None Typical Low $851.14 Median $1,122.02 Typical High $1,174.90 | Facility | None | $851.14 | $1,122.02 | $1,174.90 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $52.48 Median $56.23 Typical High $151.36 | Professional | None (both parts) | $52.48 | $56.23 | $151.36 |
UPMC Health Plan Setting Facility Modifier None Typical Low $562.34 Median $1,000.00 Typical High $1,318.26 | Facility | None | $562.34 | $1,000.00 | $1,318.26 |
United Setting Professional Modifier None (both parts) Typical Low $58.88 Median $97.72 Typical High $177.83 | Professional | None (both parts) | $58.88 | $97.72 | $177.83 |
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 $83.18 Median $87.10 Typical High $102.33 | Professional | FX · Film X-ray | $83.18 | $87.10 | $102.33 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $83.18 Median $87.10 Typical High $102.33 | Professional | FX · Film X-ray | $83.18 | $87.10 | $102.33 |
Where Pennsylvania sits
The same service costs 7.1 times more in Alaska than in Hawaii. 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· 25th of 51
$102
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.