How much rates vary
Facilitymedian $1,380 · 10th to 90th $135 to $4,467Professionalmedian $174 · 10th to 90th $117 to $447
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 $134.90 Median $295.12 Typical High $2,290.87 | Facility | None | $134.90 | $295.12 | $2,290.87 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $100.00 Median $138.04 Typical High $239.88 | Facility | 26 · Professional part | $100.00 | $138.04 | $239.88 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $24.55 Median $42.66 Typical High $114.82 | Facility | TC · Technical part | $24.55 | $42.66 | $114.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $134.90 Typical High $251.19 | Professional | None (both parts) | $112.20 | $134.90 | $251.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $104.71 Typical High $173.78 | Professional | 26 · Professional part | $89.13 | $104.71 | $173.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $29.51 Typical High $100.00 | Professional | TC · Technical part | $23.44 | $29.51 | $100.00 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $181.97 Typical High $181.97 | Professional | 26 · Professional part | $104.71 | $181.97 | $181.97 |
AmeriHealth Setting Facility Modifier None Typical Low $1,000.00 Median $3,630.78 Typical High $11,481.54 | Facility | None | $1,000.00 | $3,630.78 | $11,481.54 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $109.65 Typical High $144.54 | Professional | 26 · Professional part | $109.65 | $109.65 | $144.54 |
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 $831.76 Median $1,000.00 Typical High $5,011.87 | Facility | TC · Technical part | $831.76 | $1,000.00 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $144.54 Median $218.78 Typical High $346.74 | Professional | None (both parts) | $144.54 | $218.78 | $346.74 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $173.78 Typical High $257.04 | Professional | 26 · Professional part | $107.15 | $173.78 | $257.04 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $44.67 Typical High $91.20 | Professional | TC · Technical part | $37.15 | $44.67 | $91.20 |
Cigna Setting Facility Modifier None Typical Low $46.77 Median $169.82 Typical High $1,862.09 | Facility | None | $46.77 | $169.82 | $1,862.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $234.42 Typical High $426.58 | Professional | None (both parts) | $128.82 | $234.42 | $426.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $114.82 Typical High $208.93 | Professional | 26 · Professional part | $63.10 | $114.82 | $208.93 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $58.88 Typical High $239.88 | Professional | TC · Technical part | $31.62 | $58.88 | $239.88 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | None (both parts) | $239.88 | $239.88 | $239.88 |
Geisinger Setting Facility Modifier None Typical Low $660.69 Median $660.69 Typical High $660.69 | Facility | None | $660.69 | $660.69 | $660.69 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $162.18 Median $295.12 Typical High $549.54 | Professional | None (both parts) | $162.18 | $295.12 | $549.54 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $128.82 Typical High $223.87 | Professional | 26 · Professional part | $85.11 | $128.82 | $223.87 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $93.33 Typical High $416.87 | Professional | TC · Technical part | $40.74 | $93.33 | $416.87 |
Highmark BCBS Setting Facility Modifier None Typical Low $1,202.26 Median $1,737.80 Typical High $2,951.21 | Facility | None | $1,202.26 | $1,737.80 | $2,951.21 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $186.21 Median $371.54 Typical High $371.54 | Professional | None (both parts) | $186.21 | $371.54 | $371.54 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $125.89 Typical High $186.21 | Professional | 26 · Professional part | $109.65 | $125.89 | $186.21 |
Independence Blue Cross Setting Facility Modifier None Typical Low $794.33 Median $2,238.72 Typical High $6,918.31 | Facility | None | $794.33 | $2,238.72 | $6,918.31 |
Independence Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $109.65 Typical High $144.54 | Professional | 26 · Professional part | $109.65 | $109.65 | $144.54 |
Martin's Point Setting Facility Modifier None Typical Low $134.90 Median $501.19 Typical High $2,290.87 | Facility | None | $134.90 | $501.19 | $2,290.87 |
Martin's Point Setting Facility Modifier TC · Technical part Typical Low $24.55 Median $42.66 Typical High $120.23 | Facility | TC · Technical part | $24.55 | $42.66 | $120.23 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $112.20 Median $134.90 Typical High $251.19 | Professional | None (both parts) | $112.20 | $134.90 | $251.19 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $104.71 Typical High $173.78 | Professional | 26 · Professional part | $89.13 | $104.71 | $173.78 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $29.51 Typical High $102.33 | Professional | TC · Technical part | $23.44 | $29.51 | $102.33 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $575.44 Median $660.69 Typical High $707.95 | Professional | None (both parts) | $575.44 | $660.69 | $707.95 |
UPMC Health Plan Setting Facility Modifier None Typical Low $104.71 Median $977.24 Typical High $2,041.74 | Facility | None | $104.71 | $977.24 | $2,041.74 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $134.90 Median $501.19 Typical High $501.19 | Professional | None (both parts) | $134.90 | $501.19 | $501.19 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $114.82 Typical High $114.82 | Professional | 26 · Professional part | $104.71 | $114.82 | $114.82 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $380.19 Typical High $380.19 | Professional | TC · Technical part | $30.90 | $380.19 | $380.19 |
United Setting Facility Modifier None Typical Low $758.58 Median $1,621.81 Typical High $1,862.09 | Facility | None | $758.58 | $1,621.81 | $1,862.09 |
United Setting Professional Modifier None (both parts) Typical Low $120.23 Median $181.97 Typical High $467.74 | Professional | None (both parts) | $120.23 | $181.97 | $467.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $123.03 Typical High $208.93 | Professional | 26 · Professional part | $97.72 | $123.03 | $208.93 |
United Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $38.02 Typical High $316.23 | Professional | TC · Technical part | $21.88 | $38.02 | $316.23 |
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 $64.57 Typical High $66.07 | Professional | 52 · Reduced service | $56.23 | $64.57 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $25.70 Typical High $26.92 | Professional | 53 · Discontinued | $22.39 | $25.70 | $26.92 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $89.13 Median $95.50 Typical High $107.15 | Professional | FX · Film X-ray | $89.13 | $95.50 | $107.15 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $56.23 Median $60.26 Typical High $66.07 | Professional | 52 · Reduced service | $56.23 | $60.26 | $66.07 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $23.99 Typical High $26.92 | Professional | 53 · Discontinued | $22.39 | $23.99 | $26.92 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $89.13 Median $95.50 Typical High $107.15 | Professional | FX · Film X-ray | $89.13 | $95.50 | $107.15 |
Where Pennsylvania sits
The same service costs 5.1 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· 33rd of 51
$204
AK $575FL $112
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.