How much rates vary
Facilitymedian $1,514 · 10th to 90th $537 to $4,169Professionalmedian $912 · 10th to 90th $347 to $1,549
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 $851.14 Median $1,174.90 Typical High $2,398.83 | Facility | None | $851.14 | $1,174.90 | $2,398.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $812.83 Median $870.96 Typical High $1,023.29 | Professional | None (both parts) | $812.83 | $870.96 | $1,023.29 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $97.72 Typical High $100.00 | Professional | 26 · Professional part | $83.18 | $97.72 | $100.00 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $724.44 Median $776.25 Typical High $933.25 | Professional | TC · Technical part | $724.44 | $776.25 | $933.25 |
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 $2,884.03 Median $3,548.13 Typical High $5,011.87 | Facility | TC · Technical part | $2,884.03 | $3,548.13 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $891.25 Median $933.25 Typical High $1,778.28 | Professional | None (both parts) | $891.25 | $933.25 | $1,778.28 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $102.33 Typical High $245.47 | Professional | 26 · Professional part | $100.00 | $102.33 | $245.47 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $794.33 Median $831.76 Typical High $1,548.82 | Professional | TC · Technical part | $794.33 | $831.76 | $1,548.82 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $2,951.21 Typical High $4,265.80 | Facility | None | $741.31 | $2,951.21 | $4,265.80 |
Cigna Setting Professional Modifier None (both parts) Typical Low $346.74 Median $831.76 Typical High $1,737.80 | Professional | None (both parts) | $346.74 | $831.76 | $1,737.80 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $117.49 Typical High $208.93 | Professional | 26 · Professional part | $63.10 | $117.49 | $208.93 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $741.31 Typical High $1,548.82 | Professional | TC · Technical part | $281.84 | $741.31 | $1,548.82 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $1,778.28 Median $1,778.28 Typical High $1,778.28 | Professional | None (both parts) | $1,778.28 | $1,778.28 | $1,778.28 |
Geisinger Setting Facility Modifier None Typical Low $239.88 Median $239.88 Typical High $239.88 | Facility | None | $239.88 | $239.88 | $239.88 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $204.17 Median $954.99 Typical High $1,737.80 | Professional | None (both parts) | $204.17 | $954.99 | $1,737.80 |
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 $117.49 Median $851.14 Typical High $1,548.82 | Professional | TC · Technical part | $117.49 | $851.14 | $1,548.82 |
Martin's Point Setting Facility Modifier None Typical Low $912.01 Median $1,174.90 Typical High $2,398.83 | Facility | None | $912.01 | $1,174.90 | $2,398.83 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $812.83 Median $870.96 Typical High $1,023.29 | Professional | None (both parts) | $812.83 | $870.96 | $1,023.29 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $91.20 Typical High $100.00 | Professional | 26 · Professional part | $83.18 | $91.20 | $100.00 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $724.44 Median $776.25 Typical High $933.25 | Professional | TC · Technical part | $724.44 | $776.25 | $933.25 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $331.13 Median $346.74 Typical High $1,513.56 | Professional | None (both parts) | $331.13 | $346.74 | $1,513.56 |
UPMC Health Plan Setting Facility Modifier None Typical Low $269.15 Median $741.31 Typical High $2,290.87 | Facility | None | $269.15 | $741.31 | $2,290.87 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $269.15 Median $269.15 Typical High $912.01 | Professional | None (both parts) | $269.15 | $269.15 | $912.01 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $114.82 Typical High $114.82 | Professional | 26 · Professional part | $97.72 | $114.82 | $114.82 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $154.88 Typical High $812.83 | Professional | TC · Technical part | $154.88 | $154.88 | $812.83 |
United Setting Facility Modifier None Typical Low $954.99 Median $2,041.74 Typical High $2,344.23 | Facility | None | $954.99 | $2,041.74 | $2,344.23 |
United Setting Professional Modifier None (both parts) Typical Low $549.54 Median $870.96 Typical High $1,584.89 | Professional | None (both parts) | $549.54 | $870.96 | $1,584.89 |
United Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $120.23 Typical High $204.17 | Professional | 26 · Professional part | $93.33 | $120.23 | $204.17 |
United Setting Professional Modifier TC · Technical part Typical Low $537.03 Median $794.33 Typical High $1,380.38 | Professional | TC · Technical part | $537.03 | $794.33 | $1,380.38 |
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 $407.38 Median $426.58 Typical High $512.86 | Professional | 52 · Reduced service | $407.38 | $426.58 | $512.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $162.18 Median $173.78 Typical High $204.17 | Professional | 53 · Discontinued | $162.18 | $173.78 | $204.17 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $645.65 Median $691.83 Typical High $812.83 | Professional | FX · Film X-ray | $645.65 | $691.83 | $812.83 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $407.38 Median $426.58 Typical High $512.86 | Professional | 52 · Reduced service | $407.38 | $426.58 | $512.86 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $162.18 Median $173.78 Typical High $204.17 | Professional | 53 · Discontinued | $162.18 | $173.78 | $204.17 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $645.65 Median $691.83 Typical High $812.83 | Professional | FX · Film X-ray | $645.65 | $691.83 | $812.83 |
Where Pennsylvania sits
The same service costs 5.5 times more in Alaska than in Indiana. 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· 37th of 51
$933
AK $3,802IN $692
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.