How much rates vary
Facilitymedian $550 · 10th to 90th $204 to $1,349Professionalmedian $209 · 10th to 90th $170 to $398
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 $218.78 Median $426.58 Typical High $724.44 | Facility | None | $218.78 | $426.58 | $724.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $190.55 Typical High $218.78 | Professional | None (both parts) | $177.83 | $190.55 | $218.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $28.84 Typical High $31.62 | Professional | 26 · Professional part | $26.92 | $28.84 | $31.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $162.18 Typical High $190.55 | Professional | TC · Technical part | $151.36 | $162.18 | $190.55 |
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 $870.96 Median $1,071.52 Typical High $5,011.87 | Facility | TC · Technical part | $870.96 | $1,071.52 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $199.53 Median $208.93 Typical High $524.81 | Professional | None (both parts) | $199.53 | $208.93 | $524.81 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $33.11 Typical High $79.43 | Professional | 26 · Professional part | $31.62 | $33.11 | $79.43 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $173.78 Typical High $446.68 | Professional | TC · Technical part | $169.82 | $173.78 | $446.68 |
Cigna Setting Facility Modifier None Typical Low $275.42 Median $691.83 Typical High $1,258.93 | Facility | None | $275.42 | $691.83 | $1,258.93 |
Cigna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $218.78 Typical High $398.11 | Professional | None (both parts) | $123.03 | $218.78 | $398.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $35.48 Typical High $63.10 | Professional | 26 · Professional part | $22.91 | $35.48 | $63.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $186.21 Typical High $338.84 | Professional | TC · Technical part | $102.33 | $186.21 | $338.84 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | None (both parts) | $346.74 | $346.74 | $346.74 |
Geisinger Setting Facility Modifier None Typical Low $151.36 Median $151.36 Typical High $151.36 | Facility | None | $151.36 | $151.36 | $151.36 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $117.49 Median $239.88 Typical High $338.84 | Professional | None (both parts) | $117.49 | $239.88 | $338.84 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $40.74 Typical High $61.66 | Professional | 26 · Professional part | $28.84 | $40.74 | $61.66 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $190.55 Typical High $288.40 | Professional | TC · Technical part | $85.11 | $190.55 | $288.40 |
Highmark BCBS Setting Facility Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $1,819.70 | Facility | None | $1,819.70 | $1,819.70 | $1,819.70 |
Martin's Point Setting Facility Modifier None Typical Low $218.78 Median $426.58 Typical High $724.44 | Facility | None | $218.78 | $426.58 | $724.44 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $177.83 Median $190.55 Typical High $218.78 | Professional | None (both parts) | $177.83 | $190.55 | $218.78 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $28.84 Typical High $30.90 | Professional | 26 · Professional part | $26.92 | $28.84 | $30.90 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $162.18 Typical High $190.55 | Professional | TC · Technical part | $151.36 | $162.18 | $190.55 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $33.88 Median $190.55 Typical High $398.11 | Professional | None (both parts) | $33.88 | $190.55 | $398.11 |
UPMC Health Plan Setting Facility Modifier None Typical Low $186.21 Median $309.03 Typical High $512.86 | Facility | None | $186.21 | $309.03 | $512.86 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $186.21 Median $186.21 Typical High $204.17 | Professional | None (both parts) | $186.21 | $186.21 | $204.17 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $36.31 Typical High $36.31 | Professional | 26 · Professional part | $31.62 | $36.31 | $36.31 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $151.36 Typical High $173.78 | Professional | TC · Technical part | $151.36 | $151.36 | $173.78 |
United Setting Facility Modifier None Typical Low $549.54 Median $1,174.90 Typical High $1,348.96 | Facility | None | $549.54 | $1,174.90 | $1,348.96 |
United Setting Professional Modifier None (both parts) Typical Low $177.83 Median $239.88 Typical High $426.58 | Professional | None (both parts) | $177.83 | $239.88 | $426.58 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $38.90 Typical High $63.10 | Professional | 26 · Professional part | $30.20 | $38.90 | $63.10 |
United Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $208.93 Typical High $363.08 | Professional | TC · Technical part | $158.49 | $208.93 | $363.08 |
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 $89.13 Median $95.50 Typical High $109.65 | Professional | 52 · Reduced service | $89.13 | $95.50 | $109.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $38.02 Typical High $44.67 | Professional | 53 · Discontinued | $35.48 | $38.02 | $44.67 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $144.54 Median $151.36 Typical High $177.83 | Professional | FX · Film X-ray | $144.54 | $151.36 | $177.83 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $89.13 Median $95.50 Typical High $109.65 | Professional | 52 · Reduced service | $89.13 | $95.50 | $109.65 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $38.02 Typical High $44.67 | Professional | 53 · Discontinued | $35.48 | $38.02 | $44.67 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $144.54 Median $151.36 Typical High $177.83 | Professional | FX · Film X-ray | $144.54 | $151.36 | $177.83 |
Where Pennsylvania sits
The same service costs 4.9 times more in Alaska than in Kentucky. 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
$219
AK $851KY $174
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.