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 $891.25 Median $1,174.90 Typical High $3,311.31 | Facility | None | $891.25 | $1,174.90 | $3,311.31 |
Aetna Setting Professional Modifier None (both parts) Typical Low $891.25 Median $977.24 Typical High $1,096.48 | Professional | None (both parts) | $891.25 | $977.24 | $1,096.48 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $91.20 Typical High $93.33 | Professional | 26 · Professional part | $81.28 | $91.20 | $93.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $794.33 Median $933.25 Typical High $1,023.29 | Professional | TC · Technical part | $794.33 | $933.25 | $1,023.29 |
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 $3,981.07 Median $4,786.30 Typical High $5,623.41 | Facility | TC · Technical part | $3,981.07 | $4,786.30 | $5,623.41 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $1,023.29 Median $1,047.13 Typical High $2,344.23 | Professional | None (both parts) | $1,023.29 | $1,047.13 | $2,344.23 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $102.33 Typical High $229.09 | Professional | 26 · Professional part | $97.72 | $102.33 | $229.09 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $912.01 Median $954.99 Typical High $2,137.96 | Professional | TC · Technical part | $912.01 | $954.99 | $2,137.96 |
Cigna Setting Facility Modifier None Typical Low $831.76 Median $2,691.53 Typical High $4,677.35 | Facility | None | $831.76 | $2,691.53 | $4,677.35 |
Cigna Setting Professional Modifier None (both parts) Typical Low $436.52 Median $1,023.29 Typical High $1,995.26 | Professional | None (both parts) | $436.52 | $1,023.29 | $1,995.26 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $112.20 Typical High $194.98 | Professional | 26 · Professional part | $63.10 | $112.20 | $194.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $380.19 Median $912.01 Typical High $1,819.70 | Professional | TC · Technical part | $380.19 | $912.01 | $1,819.70 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $1,819.70 Median $1,819.70 Typical High $1,819.70 | Professional | None (both parts) | $1,819.70 | $1,819.70 | $1,819.70 |
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 $1,071.52 Typical High $1,778.28 | Professional | None (both parts) | $204.17 | $1,071.52 | $1,778.28 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $125.89 Typical High $213.80 | Professional | 26 · Professional part | $85.11 | $125.89 | $213.80 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $891.25 Typical High $1,584.89 | Professional | TC · Technical part | $117.49 | $891.25 | $1,584.89 |
Martin's Point Setting Facility Modifier None Typical Low $912.01 Median $1,174.90 Typical High $3,311.31 | Facility | None | $912.01 | $1,174.90 | $3,311.31 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $891.25 Median $954.99 Typical High $1,096.48 | Professional | None (both parts) | $891.25 | $954.99 | $1,096.48 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $87.10 Typical High $93.33 | Professional | 26 · Professional part | $81.28 | $87.10 | $93.33 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $794.33 Median $870.96 Typical High $1,023.29 | Professional | TC · Technical part | $794.33 | $870.96 | $1,023.29 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $323.59 Median $346.74 Typical High $1,995.26 | Professional | None (both parts) | $323.59 | $346.74 | $1,995.26 |
UPMC Health Plan Setting Facility Modifier None Typical Low $269.15 Median $741.31 Typical High $2,630.27 | Facility | None | $269.15 | $741.31 | $2,630.27 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $269.15 Median $269.15 Typical High $1,023.29 | Professional | None (both parts) | $269.15 | $269.15 | $1,023.29 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $112.20 Typical High $112.20 | Professional | 26 · Professional part | $95.50 | $112.20 | $112.20 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $154.88 Typical High $933.25 | Professional | TC · Technical part | $154.88 | $154.88 | $933.25 |
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 $724.44 Median $1,071.52 Typical High $1,995.26 | Professional | None (both parts) | $724.44 | $1,071.52 | $1,995.26 |
United Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $112.20 Typical High $190.55 | Professional | 26 · Professional part | $89.13 | $112.20 | $190.55 |
United Setting Professional Modifier TC · Technical part Typical Low $741.31 Median $977.24 Typical High $1,819.70 | Professional | TC · Technical part | $741.31 | $977.24 | $1,819.70 |
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 $436.52 Median $501.19 Typical High $549.54 | Professional | 52 · Reduced service | $436.52 | $501.19 | $549.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $177.83 Median $204.17 Typical High $223.87 | Professional | 53 · Discontinued | $177.83 | $204.17 | $223.87 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $707.95 Median $758.58 Typical High $891.25 | Professional | FX · Film X-ray | $707.95 | $758.58 | $891.25 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $436.52 Median $478.63 Typical High $549.54 | Professional | 52 · Reduced service | $436.52 | $478.63 | $549.54 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $177.83 Median $190.55 Typical High $223.87 | Professional | 53 · Discontinued | $177.83 | $190.55 | $223.87 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $707.95 Median $758.58 Typical High $891.25 | Professional | FX · Film X-ray | $707.95 | $758.58 | $891.25 |
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· 41st of 51
$1,047
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.