How much rates vary
Facilitymedian $955 · 10th to 90th $389 to $2,630Professionalmedian $617 · 10th to 90th $372 to $1,047
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 $691.83 Typical High $1,202.26 | Facility | None | $630.96 | $691.83 | $1,202.26 |
Aetna Setting Professional Modifier None (both parts) Typical Low $537.03 Median $562.34 Typical High $676.08 | Professional | None (both parts) | $537.03 | $562.34 | $676.08 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $75.86 Typical High $83.18 | Professional | 26 · Professional part | $69.18 | $75.86 | $83.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $467.74 Median $489.78 Typical High $588.84 | Professional | TC · Technical part | $467.74 | $489.78 | $588.84 |
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 $1,621.81 Median $1,949.84 Typical High $5,011.87 | Facility | TC · Technical part | $1,621.81 | $1,949.84 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $602.56 Median $630.96 Typical High $1,071.52 | Professional | None (both parts) | $602.56 | $630.96 | $1,071.52 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $87.10 Typical High $208.93 | Professional | 26 · Professional part | $83.18 | $87.10 | $208.93 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $524.81 Median $537.03 Typical High $870.96 | Professional | TC · Technical part | $524.81 | $537.03 | $870.96 |
Cigna Setting Facility Modifier None Typical Low $537.03 Median $1,819.70 Typical High $2,754.23 | Facility | None | $537.03 | $1,819.70 | $2,754.23 |
Cigna Setting Professional Modifier None (both parts) Typical Low $223.87 Median $562.34 Typical High $1,047.13 | Professional | None (both parts) | $223.87 | $562.34 | $1,047.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $91.20 Typical High $158.49 | Professional | 26 · Professional part | $50.12 | $91.20 | $158.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $489.78 Typical High $912.01 | Professional | TC · Technical part | $169.82 | $489.78 | $912.01 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $1,258.93 Median $1,258.93 Typical High $1,258.93 | Professional | None (both parts) | $1,258.93 | $1,258.93 | $1,258.93 |
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 $154.88 Median $676.08 Typical High $1,202.26 | Professional | None (both parts) | $154.88 | $676.08 | $1,202.26 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $102.33 Typical High $173.78 | Professional | 26 · Professional part | $66.07 | $102.33 | $173.78 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $588.84 Typical High $1,047.13 | Professional | TC · Technical part | $89.13 | $588.84 | $1,047.13 |
Martin's Point Setting Facility Modifier None Typical Low $676.08 Median $691.83 Typical High $1,202.26 | Facility | None | $676.08 | $691.83 | $1,202.26 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $537.03 Median $562.34 Typical High $676.08 | Professional | None (both parts) | $537.03 | $562.34 | $676.08 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $75.86 Typical High $83.18 | Professional | 26 · Professional part | $69.18 | $75.86 | $83.18 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $467.74 Median $489.78 Typical High $588.84 | Professional | TC · Technical part | $467.74 | $489.78 | $588.84 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $245.47 Median $263.03 Typical High $891.25 | Professional | None (both parts) | $245.47 | $263.03 | $891.25 |
UPMC Health Plan Setting Facility Modifier None Typical Low $371.54 Median $562.34 Typical High $1,479.11 | Facility | None | $371.54 | $562.34 | $1,479.11 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $380.19 Median $380.19 Typical High $616.60 | Professional | None (both parts) | $380.19 | $380.19 | $616.60 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $87.10 Typical High $87.10 | Professional | 26 · Professional part | $81.28 | $87.10 | $87.10 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $295.12 Typical High $524.81 | Professional | TC · Technical part | $295.12 | $295.12 | $524.81 |
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 $331.13 Median $616.60 Typical High $1,148.15 | Professional | None (both parts) | $331.13 | $616.60 | $1,148.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $95.50 Typical High $162.18 | Professional | 26 · Professional part | $77.62 | $95.50 | $162.18 |
United Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $537.03 Typical High $977.24 | Professional | TC · Technical part | $316.23 | $537.03 | $977.24 |
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 $269.15 Median $281.84 Typical High $331.13 | Professional | 52 · Reduced service | $269.15 | $281.84 | $331.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $107.15 Median $112.20 Typical High $134.90 | Professional | 53 · Discontinued | $107.15 | $112.20 | $134.90 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $426.58 Median $446.68 Typical High $537.03 | Professional | FX · Film X-ray | $426.58 | $446.68 | $537.03 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $269.15 Median $281.84 Typical High $331.13 | Professional | 52 · Reduced service | $269.15 | $281.84 | $331.13 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $107.15 Median $112.20 Typical High $134.90 | Professional | 53 · Discontinued | $107.15 | $112.20 | $134.90 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $426.58 Median $446.68 Typical High $537.03 | Professional | FX · Film X-ray | $426.58 | $446.68 | $537.03 |
Where Pennsylvania sits
The same service costs 6.0 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· 40th of 51
$617
AK $2,570IN $427
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.