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 $630.96 Median $870.96 Typical High $3,311.31 | Facility | None | $630.96 | $870.96 | $3,311.31 |
Aetna Setting Professional Modifier None (both parts) Typical Low $562.34 Median $645.65 Typical High $707.95 | Professional | None (both parts) | $562.34 | $645.65 | $707.95 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $64.57 Typical High $67.61 | Professional | 26 · Professional part | $57.54 | $64.57 | $67.61 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $512.86 Median $588.84 Typical High $645.65 | Professional | TC · Technical part | $512.86 | $588.84 | $645.65 |
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 $2,818.38 Median $3,467.37 Typical High $5,011.87 | Facility | TC · Technical part | $2,818.38 | $3,467.37 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $645.65 Median $676.08 Typical High $1,995.26 | Professional | None (both parts) | $645.65 | $676.08 | $1,995.26 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $72.44 Typical High $169.82 | Professional | 26 · Professional part | $69.18 | $72.44 | $169.82 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $575.44 Median $602.56 Typical High $1,819.70 | Professional | TC · Technical part | $575.44 | $602.56 | $1,819.70 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $2,041.74 Typical High $3,019.95 | Facility | None | $741.31 | $2,041.74 | $3,019.95 |
Cigna Setting Professional Modifier None (both parts) Typical Low $309.03 Median $794.33 Typical High $1,479.11 | Professional | None (both parts) | $309.03 | $794.33 | $1,479.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $87.10 Typical High $138.04 | Professional | 26 · Professional part | $45.71 | $87.10 | $138.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $707.95 Typical High $1,318.26 | Professional | TC · Technical part | $263.03 | $707.95 | $1,318.26 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $1,148.15 Median $1,148.15 Typical High $1,148.15 | Professional | None (both parts) | $1,148.15 | $1,148.15 | $1,148.15 |
Geisinger Setting Facility Modifier None Typical Low $181.97 Median $181.97 Typical High $181.97 | Facility | None | $181.97 | $181.97 | $181.97 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $151.36 Median $691.83 Typical High $1,122.02 | Professional | None (both parts) | $151.36 | $691.83 | $1,122.02 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $93.33 Typical High $162.18 | Professional | 26 · Professional part | $63.10 | $93.33 | $162.18 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $616.60 Typical High $1,000.00 | Professional | TC · Technical part | $89.13 | $616.60 | $1,000.00 |
Martin's Point Setting Facility Modifier None Typical Low $676.08 Median $870.96 Typical High $3,311.31 | Facility | None | $676.08 | $870.96 | $3,311.31 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $562.34 Median $616.60 Typical High $707.95 | Professional | None (both parts) | $562.34 | $616.60 | $707.95 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $61.66 Typical High $67.61 | Professional | 26 · Professional part | $57.54 | $61.66 | $67.61 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $512.86 Median $562.34 Typical High $645.65 | Professional | TC · Technical part | $512.86 | $562.34 | $645.65 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $245.47 Median $257.04 Typical High $1,412.54 | Professional | None (both parts) | $245.47 | $257.04 | $1,412.54 |
UPMC Health Plan Setting Facility Modifier None Typical Low $181.97 Median $562.34 Typical High $1,621.81 | Facility | None | $181.97 | $562.34 | $1,621.81 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $181.97 Median $181.97 Typical High $660.69 | Professional | None (both parts) | $181.97 | $181.97 | $660.69 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $79.43 Typical High $79.43 | Professional | 26 · Professional part | $67.61 | $79.43 | $79.43 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $104.71 Typical High $588.84 | Professional | TC · Technical part | $104.71 | $104.71 | $588.84 |
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 $512.86 Median $691.83 Typical High $1,288.25 | Professional | None (both parts) | $512.86 | $691.83 | $1,288.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $79.43 Typical High $134.90 | Professional | 26 · Professional part | $63.10 | $79.43 | $134.90 |
United Setting Professional Modifier TC · Technical part Typical Low $501.19 Median $630.96 Typical High $1,148.15 | Professional | TC · Technical part | $501.19 | $630.96 | $1,148.15 |
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 $281.84 Median $323.59 Typical High $354.81 | Professional | 52 · Reduced service | $281.84 | $323.59 | $354.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $112.20 Median $128.82 Typical High $141.25 | Professional | 53 · Discontinued | $112.20 | $128.82 | $141.25 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $457.09 Median $501.19 Typical High $562.34 | Professional | FX · Film X-ray | $457.09 | $501.19 | $562.34 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $281.84 Median $309.03 Typical High $354.81 | Professional | 52 · Reduced service | $281.84 | $309.03 | $354.81 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $112.20 Median $123.03 Typical High $141.25 | Professional | 53 · Discontinued | $112.20 | $123.03 | $141.25 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $457.09 Median $501.19 Typical High $562.34 | Professional | FX · Film X-ray | $457.09 | $501.19 | $562.34 |
Where Pennsylvania sits
The same service costs 5.1 times more in Alaska than in Texas. 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· 44th of 51
$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.