How much rates vary
Facilitymedian $1,148 · 10th to 90th $398 to $4,365Professionalmedian $398 · 10th to 90th $324 to $776
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 $426.58 Median $831.76 Typical High $1,412.54 | Facility | None | $426.58 | $831.76 | $1,412.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $346.74 Median $363.08 Typical High $426.58 | Professional | None (both parts) | $346.74 | $363.08 | $426.58 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $31.62 Typical High $34.67 | Professional | 26 · Professional part | $30.20 | $31.62 | $34.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $331.13 Typical High $398.11 | Professional | TC · Technical part | $316.23 | $331.13 | $398.11 |
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 $1,905.46 Median $2,344.23 Typical High $5,011.87 | Facility | TC · Technical part | $1,905.46 | $2,344.23 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $380.19 Median $398.11 Typical High $1,047.13 | Professional | None (both parts) | $380.19 | $398.11 | $1,047.13 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $36.31 Typical High $89.13 | Professional | 26 · Professional part | $35.48 | $36.31 | $89.13 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $346.74 Median $354.81 Typical High $954.99 | Professional | TC · Technical part | $346.74 | $354.81 | $954.99 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $1,737.80 Typical High $4,365.16 | Facility | None | $588.84 | $1,737.80 | $4,365.16 |
Cigna Setting Professional Modifier None (both parts) Typical Low $245.47 Median $426.58 Typical High $776.25 | Professional | None (both parts) | $245.47 | $426.58 | $776.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $38.90 Typical High $69.18 | Professional | 26 · Professional part | $25.12 | $38.90 | $69.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $389.05 Typical High $707.95 | Professional | TC · Technical part | $223.87 | $389.05 | $707.95 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $660.69 Median $660.69 Typical High $660.69 | Professional | None (both parts) | $660.69 | $660.69 | $660.69 |
Geisinger Setting Facility Modifier None Typical Low $323.59 Median $323.59 Typical High $323.59 | Facility | None | $323.59 | $323.59 | $323.59 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $181.97 Median $426.58 Typical High $645.65 | Professional | None (both parts) | $181.97 | $426.58 | $645.65 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $45.71 Typical High $66.07 | Professional | 26 · Professional part | $32.36 | $45.71 | $66.07 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $389.05 Typical High $588.84 | Professional | TC · Technical part | $151.36 | $389.05 | $588.84 |
Highmark BCBS Setting Facility Modifier None Typical Low $933.25 Median $933.25 Typical High $933.25 | Facility | None | $933.25 | $933.25 | $933.25 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $43.65 Typical High $81.28 | Professional | 26 · Professional part | $43.65 | $43.65 | $81.28 |
Martin's Point Setting Facility Modifier None Typical Low $426.58 Median $831.76 Typical High $1,412.54 | Facility | None | $426.58 | $831.76 | $1,412.54 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $346.74 Median $363.08 Typical High $426.58 | Professional | None (both parts) | $346.74 | $363.08 | $426.58 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $31.62 Typical High $34.67 | Professional | 26 · Professional part | $30.20 | $31.62 | $34.67 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $331.13 Typical High $398.11 | Professional | TC · Technical part | $316.23 | $331.13 | $398.11 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $309.03 Median $331.13 Typical High $933.25 | Professional | None (both parts) | $309.03 | $331.13 | $933.25 |
UPMC Health Plan Setting Facility Modifier None Typical Low $371.54 Median $562.34 Typical High $977.24 | Facility | None | $371.54 | $562.34 | $977.24 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $371.54 Median $371.54 Typical High $398.11 | Professional | None (both parts) | $371.54 | $371.54 | $398.11 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $40.74 Typical High $40.74 | Professional | 26 · Professional part | $34.67 | $40.74 | $40.74 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $331.13 Median $331.13 Typical High $363.08 | Professional | TC · Technical part | $331.13 | $331.13 | $363.08 |
United Setting Facility Modifier None Typical Low $1,778.28 Median $3,801.89 Typical High $4,365.16 | Facility | None | $1,778.28 | $3,801.89 | $4,365.16 |
United Setting Professional Modifier None (both parts) Typical Low $354.81 Median $478.63 Typical High $851.14 | Professional | None (both parts) | $354.81 | $478.63 | $851.14 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $42.66 Typical High $70.79 | Professional | 26 · Professional part | $33.11 | $42.66 | $70.79 |
United Setting Professional Modifier TC · Technical part Typical Low $331.13 Median $446.68 Typical High $776.25 | Professional | TC · Technical part | $331.13 | $446.68 | $776.25 |
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 $173.78 Median $181.97 Typical High $213.80 | Professional | 52 · Reduced service | $173.78 | $181.97 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $69.18 Median $72.44 Typical High $85.11 | Professional | 53 · Discontinued | $69.18 | $72.44 | $85.11 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $275.42 Median $295.12 Typical High $346.74 | Professional | FX · Film X-ray | $275.42 | $295.12 | $346.74 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $173.78 Median $181.97 Typical High $213.80 | Professional | 52 · Reduced service | $173.78 | $181.97 | $213.80 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $69.18 Median $72.44 Typical High $85.11 | Professional | 53 · Discontinued | $69.18 | $72.44 | $85.11 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $275.42 Median $295.12 Typical High $346.74 | Professional | FX · Film X-ray | $275.42 | $295.12 | $346.74 |
Where Pennsylvania sits
The same service costs 4.6 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· 43rd of 51
$427
AK $1,585KY $347
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.