How much rates vary
Facilitymedian $1,148 · 10th to 90th $447 to $2,089Professionalmedian $537 · 10th to 90th $437 to $977
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 $537.03 Median $1,258.93 Typical High $1,862.09 | Facility | None | $537.03 | $1,258.93 | $1,862.09 |
Aetna Setting Professional Modifier None (both parts) Typical Low $446.68 Median $512.86 Typical High $537.03 | Professional | None (both parts) | $446.68 | $512.86 | $537.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $251.19 Median $275.42 Typical High $295.12 | Professional | 26 · Professional part | $251.19 | $275.42 | $295.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $223.87 Typical High $245.47 | Professional | TC · Technical part | $194.98 | $223.87 | $245.47 |
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 $1,000.00 Median $1,230.27 Typical High $5,011.87 | Facility | TC · Technical part | $1,000.00 | $1,230.27 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $549.54 Median $575.44 Typical High $1,230.27 | Professional | None (both parts) | $549.54 | $575.44 | $1,230.27 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $309.03 Median $316.23 Typical High $724.44 | Professional | 26 · Professional part | $309.03 | $316.23 | $724.44 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $251.19 Typical High $512.86 | Professional | TC · Technical part | $245.47 | $251.19 | $512.86 |
Cigna Setting Facility Modifier None Typical Low $302.00 Median $1,000.00 Typical High $2,511.89 | Facility | None | $302.00 | $1,000.00 | $2,511.89 |
Cigna Setting Professional Modifier None (both parts) Typical Low $295.12 Median $537.03 Typical High $1,000.00 | Professional | None (both parts) | $295.12 | $537.03 | $1,000.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $173.78 Median $323.59 Typical High $588.84 | Professional | 26 · Professional part | $173.78 | $323.59 | $588.84 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $223.87 Typical High $436.52 | Professional | TC · Technical part | $123.03 | $223.87 | $436.52 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $933.25 Median $933.25 Typical High $933.25 | Professional | None (both parts) | $933.25 | $933.25 | $933.25 |
Geisinger Setting Facility Modifier None Typical Low $213.80 Median $213.80 Typical High $213.80 | Facility | None | $213.80 | $213.80 | $213.80 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $338.84 Median $660.69 Typical High $977.24 | Professional | None (both parts) | $338.84 | $660.69 | $977.24 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $229.09 Median $363.08 Typical High $602.56 | Professional | 26 · Professional part | $229.09 | $363.08 | $602.56 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $275.42 Typical High $416.87 | Professional | TC · Technical part | $104.71 | $275.42 | $416.87 |
Martin's Point Setting Facility Modifier None Typical Low $537.03 Median $1,380.38 Typical High $1,862.09 | Facility | None | $537.03 | $1,380.38 | $1,862.09 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $446.68 Median $478.63 Typical High $537.03 | Professional | None (both parts) | $446.68 | $478.63 | $537.03 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $251.19 Median $275.42 Typical High $295.12 | Professional | 26 · Professional part | $251.19 | $275.42 | $295.12 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $223.87 Typical High $245.47 | Professional | TC · Technical part | $194.98 | $223.87 | $245.47 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $524.81 Median $562.34 Typical High $1,047.13 | Professional | None (both parts) | $524.81 | $562.34 | $1,047.13 |
UPMC Health Plan Setting Facility Modifier None Typical Low $407.38 Median $812.83 Typical High $1,698.24 | Facility | None | $407.38 | $812.83 | $1,698.24 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $407.38 Median $407.38 Typical High $537.03 | Professional | None (both parts) | $407.38 | $407.38 | $537.03 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $288.40 Median $288.40 Typical High $295.12 | Professional | 26 · Professional part | $288.40 | $288.40 | $295.12 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $123.03 Typical High $234.42 | Professional | TC · Technical part | $123.03 | $123.03 | $234.42 |
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 $457.09 Median $575.44 Typical High $1,000.00 | Professional | None (both parts) | $457.09 | $575.44 | $1,000.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $275.42 Median $338.84 Typical High $588.84 | Professional | 26 · Professional part | $275.42 | $338.84 | $588.84 |
United Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $251.19 Typical High $426.58 | Professional | TC · Technical part | $199.53 | $251.19 | $426.58 |
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 $223.87 Median $251.19 Typical High $269.15 | Professional | 52 · Reduced service | $223.87 | $251.19 | $269.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $89.13 Median $100.00 Typical High $107.15 | Professional | 53 · Discontinued | $89.13 | $100.00 | $107.15 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $309.03 Median $354.81 Typical High $380.19 | Professional | 78 · Unplanned return to OR | $309.03 | $354.81 | $380.19 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $354.81 Median $380.19 Typical High $426.58 | Professional | FX · Film X-ray | $354.81 | $380.19 | $426.58 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $223.87 Median $239.88 Typical High $269.15 | Professional | 52 · Reduced service | $223.87 | $239.88 | $269.15 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $89.13 Median $95.50 Typical High $107.15 | Professional | 53 · Discontinued | $89.13 | $95.50 | $107.15 |
Martin's Point Setting Professional Modifier 78 · Unplanned return to OR Typical Low $309.03 Median $338.84 Typical High $380.19 | Professional | 78 · Unplanned return to OR | $309.03 | $338.84 | $380.19 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $354.81 Median $380.19 Typical High $426.58 | Professional | FX · Film X-ray | $354.81 | $380.19 | $426.58 |
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
$537
AK $2,239FL $398
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.