How much rates vary
Facilitymedian $676 · 10th to 90th $269 to $1,349Professionalmedian $269 · 10th to 90th $200 to $501
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 $269.15 Median $549.54 Typical High $933.25 | Facility | None | $269.15 | $549.54 | $933.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $234.42 Typical High $269.15 | Professional | None (both parts) | $218.78 | $234.42 | $269.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $29.51 Typical High $32.36 | Professional | 26 · Professional part | $28.18 | $29.51 | $32.36 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $204.17 Typical High $239.88 | Professional | TC · Technical part | $190.55 | $204.17 | $239.88 |
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 $1,380.38 Median $1,698.24 Typical High $5,011.87 | Facility | TC · Technical part | $1,380.38 | $1,698.24 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $239.88 Median $245.47 Typical High $676.08 | Professional | None (both parts) | $239.88 | $245.47 | $676.08 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $33.88 Typical High $83.18 | Professional | 26 · Professional part | $33.11 | $33.88 | $83.18 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $213.80 Typical High $588.84 | Professional | TC · Technical part | $204.17 | $213.80 | $588.84 |
Cigna Setting Facility Modifier None Typical Low $309.03 Median $776.25 Typical High $1,258.93 | Facility | None | $309.03 | $776.25 | $1,258.93 |
Cigna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $275.42 Typical High $501.19 | Professional | None (both parts) | $177.83 | $275.42 | $501.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $39.81 Typical High $66.07 | Professional | 26 · Professional part | $24.55 | $39.81 | $66.07 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $245.47 Typical High $436.52 | Professional | TC · Technical part | $154.88 | $245.47 | $436.52 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $426.58 Median $426.58 Typical High $426.58 | Professional | None (both parts) | $426.58 | $426.58 | $426.58 |
Geisinger Setting Facility Modifier None Typical Low $204.17 Median $204.17 Typical High $204.17 | Facility | None | $204.17 | $204.17 | $204.17 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $154.88 Median $295.12 Typical High $457.09 | Professional | None (both parts) | $154.88 | $295.12 | $457.09 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $44.67 Typical High $66.07 | Professional | 26 · Professional part | $33.11 | $44.67 | $66.07 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $257.04 Typical High $389.05 | Professional | TC · Technical part | $114.82 | $257.04 | $389.05 |
Martin's Point Setting Facility Modifier None Typical Low $269.15 Median $549.54 Typical High $933.25 | Facility | None | $269.15 | $549.54 | $933.25 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $218.78 Median $234.42 Typical High $269.15 | Professional | None (both parts) | $218.78 | $234.42 | $269.15 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $29.51 Typical High $32.36 | Professional | 26 · Professional part | $28.18 | $29.51 | $32.36 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $204.17 Typical High $239.88 | Professional | TC · Technical part | $190.55 | $204.17 | $239.88 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $34.67 Median $234.42 Typical High $489.78 | Professional | None (both parts) | $34.67 | $234.42 | $489.78 |
UPMC Health Plan Setting Facility Modifier None Typical Low $245.47 Median $407.38 Typical High $676.08 | Facility | None | $245.47 | $407.38 | $676.08 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $245.47 Median $288.40 Typical High $288.40 | Professional | None (both parts) | $245.47 | $288.40 | $288.40 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $44.67 Typical High $44.67 | Professional | 26 · Professional part | $32.36 | $44.67 | $44.67 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $239.88 Typical High $239.88 | Professional | TC · Technical part | $213.80 | $239.88 | $239.88 |
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 $234.42 Median $316.23 Typical High $537.03 | Professional | None (both parts) | $234.42 | $316.23 | $537.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $41.69 Typical High $64.57 | Professional | 26 · Professional part | $30.90 | $41.69 | $64.57 |
United Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $275.42 Typical High $478.63 | Professional | TC · Technical part | $213.80 | $275.42 | $478.63 |
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 $109.65 Median $117.49 Typical High $134.90 | Professional | 52 · Reduced service | $109.65 | $117.49 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $46.77 Typical High $53.70 | Professional | 53 · Discontinued | $43.65 | $46.77 | $53.70 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $173.78 Median $186.21 Typical High $218.78 | Professional | FX · Film X-ray | $173.78 | $186.21 | $218.78 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $109.65 Median $117.49 Typical High $134.90 | Professional | 52 · Reduced service | $109.65 | $117.49 | $134.90 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $46.77 Typical High $53.70 | Professional | 53 · Discontinued | $43.65 | $46.77 | $53.70 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $173.78 Median $186.21 Typical High $218.78 | Professional | FX · Film X-ray | $173.78 | $186.21 | $218.78 |
Where Pennsylvania sits
The same service costs 4.6 times more in Alaska than in Texas. 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· 46th of 51
$269
AK $1,023TX $224
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.