How much rates vary
Facilitymedian $871 · 10th to 90th $407 to $1,950Professionalmedian $407 · 10th to 90th $309 to $724
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 $407.38 Median $912.01 Typical High $1,258.93 | Facility | None | $407.38 | $912.01 | $1,258.93 |
Aetna Setting Professional Modifier None (both parts) Typical Low $338.84 Median $389.05 Typical High $407.38 | Professional | None (both parts) | $338.84 | $389.05 | $407.38 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $165.96 Median $181.97 Typical High $194.98 | Professional | 26 · Professional part | $165.96 | $181.97 | $194.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $194.98 Typical High $213.80 | Professional | TC · Technical part | $169.82 | $194.98 | $213.80 |
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 $851.14 Median $1,023.29 Typical High $5,011.87 | Facility | TC · Technical part | $851.14 | $1,023.29 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $416.87 Median $436.52 Typical High $912.01 | Professional | None (both parts) | $416.87 | $436.52 | $912.01 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $204.17 Median $213.80 Typical High $478.63 | Professional | 26 · Professional part | $204.17 | $213.80 | $478.63 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $218.78 Typical High $446.68 | Professional | TC · Technical part | $213.80 | $218.78 | $446.68 |
Cigna Setting Facility Modifier None Typical Low $263.03 Median $870.96 Typical High $2,511.89 | Facility | None | $263.03 | $870.96 | $2,511.89 |
Cigna Setting Professional Modifier None (both parts) Typical Low $213.80 Median $389.05 Typical High $758.58 | Professional | None (both parts) | $213.80 | $389.05 | $758.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $213.80 Typical High $389.05 | Professional | 26 · Professional part | $114.82 | $213.80 | $389.05 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $194.98 Typical High $380.19 | Professional | TC · Technical part | $100.00 | $194.98 | $380.19 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $707.95 Median $707.95 Typical High $707.95 | Professional | None (both parts) | $707.95 | $707.95 | $707.95 |
Geisinger Setting Facility Modifier None Typical Low $147.91 Median $147.91 Typical High $147.91 | Facility | None | $147.91 | $147.91 | $147.91 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $223.87 Median $489.78 Typical High $724.44 | Professional | None (both parts) | $223.87 | $489.78 | $724.44 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $151.36 Median $245.47 Typical High $398.11 | Professional | 26 · Professional part | $151.36 | $245.47 | $398.11 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $234.42 Typical High $363.08 | Professional | TC · Technical part | $72.44 | $234.42 | $363.08 |
Martin's Point Setting Facility Modifier None Typical Low $407.38 Median $912.01 Typical High $1,258.93 | Facility | None | $407.38 | $912.01 | $1,258.93 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $338.84 Median $371.54 Typical High $407.38 | Professional | None (both parts) | $338.84 | $371.54 | $407.38 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $165.96 Median $181.97 Typical High $194.98 | Professional | 26 · Professional part | $165.96 | $181.97 | $194.98 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $194.98 Typical High $213.80 | Professional | TC · Technical part | $169.82 | $194.98 | $213.80 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $354.81 Median $371.54 Typical High $776.25 | Professional | None (both parts) | $354.81 | $371.54 | $776.25 |
UPMC Health Plan Setting Facility Modifier None Typical Low $302.00 Median $602.56 Typical High $1,148.15 | Facility | None | $302.00 | $602.56 | $1,148.15 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $302.00 Median $302.00 Typical High $407.38 | Professional | None (both parts) | $302.00 | $302.00 | $407.38 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $199.53 Median $204.17 Typical High $204.17 | Professional | 26 · Professional part | $199.53 | $204.17 | $204.17 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $95.50 Typical High $204.17 | Professional | TC · Technical part | $95.50 | $95.50 | $204.17 |
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 $323.59 Median $426.58 Typical High $758.58 | Professional | None (both parts) | $323.59 | $426.58 | $758.58 |
United Setting Professional Modifier 26 · Professional part Typical Low $181.97 Median $223.87 Typical High $398.11 | Professional | 26 · Professional part | $181.97 | $223.87 | $398.11 |
United Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $213.80 Typical High $371.54 | Professional | TC · Technical part | $173.78 | $213.80 | $371.54 |
8 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 $169.82 Median $190.55 Typical High $204.17 | Professional | 52 · Reduced service | $169.82 | $190.55 | $204.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $67.61 Median $75.86 Typical High $83.18 | Professional | 53 · Discontinued | $67.61 | $75.86 | $83.18 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $234.42 Median $269.15 Typical High $288.40 | Professional | 78 · Unplanned return to OR | $234.42 | $269.15 | $288.40 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $269.15 Median $288.40 Typical High $331.13 | Professional | FX · Film X-ray | $269.15 | $288.40 | $331.13 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $169.82 Median $177.83 Typical High $204.17 | Professional | 52 · Reduced service | $169.82 | $177.83 | $204.17 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $67.61 Median $72.44 Typical High $83.18 | Professional | 53 · Discontinued | $67.61 | $72.44 | $83.18 |
Martin's Point Setting Professional Modifier 78 · Unplanned return to OR Typical Low $234.42 Median $251.19 Typical High $288.40 | Professional | 78 · Unplanned return to OR | $234.42 | $251.19 | $288.40 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $269.15 Median $288.40 Typical High $331.13 | Professional | FX · Film X-ray | $269.15 | $288.40 | $331.13 |
Where Pennsylvania sits
The same service costs 5.6 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· 41st of 51
$407
AK $1,698FL $302
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.