How much rates vary
Facilitymedian $269 · 10th to 90th $74 to $1,349Professionalmedian $72 · 10th to 90th $58 to $138
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 $72.44 Median $186.21 Typical High $323.59 | Facility | None | $72.44 | $186.21 | $323.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $57.54 Median $61.66 Typical High $72.44 | Professional | None (both parts) | $57.54 | $61.66 | $72.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $8.51 Typical High $9.33 | Professional | 26 · Professional part | $7.94 | $8.51 | $9.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $53.70 Typical High $63.10 | Professional | TC · Technical part | $50.12 | $53.70 | $63.10 |
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 $389.05 Median $478.63 Typical High $5,011.87 | Facility | TC · Technical part | $389.05 | $478.63 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $69.18 Median $70.79 Typical High $223.87 | Professional | None (both parts) | $69.18 | $70.79 | $223.87 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $9.77 Typical High $28.84 | Professional | 26 · Professional part | $9.55 | $9.77 | $28.84 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $61.66 Typical High $194.98 | Professional | TC · Technical part | $58.88 | $61.66 | $194.98 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $288.40 Typical High $1,258.93 | Facility | None | $117.49 | $288.40 | $1,258.93 |
Cigna Setting Professional Modifier None (both parts) Typical Low $56.23 Median $91.20 Typical High $151.36 | Professional | None (both parts) | $56.23 | $91.20 | $151.36 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $11.75 Typical High $19.05 | Professional | 26 · Professional part | $7.08 | $11.75 | $19.05 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $79.43 Typical High $128.82 | Professional | TC · Technical part | $47.86 | $79.43 | $128.82 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | None (both parts) | $125.89 | $125.89 | $125.89 |
Geisinger Setting Facility Modifier None Typical Low $102.33 Median $102.33 Typical High $123.03 | Facility | None | $102.33 | $102.33 | $123.03 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $61.66 Median $93.33 Typical High $147.91 | Professional | None (both parts) | $61.66 | $93.33 | $147.91 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $12.59 Typical High $19.50 | Professional | 26 · Professional part | $9.33 | $12.59 | $19.50 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $79.43 Typical High $128.82 | Professional | TC · Technical part | $51.29 | $79.43 | $128.82 |
Martin's Point Setting Facility Modifier None Typical Low $72.44 Median $186.21 Typical High $323.59 | Facility | None | $72.44 | $186.21 | $323.59 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $57.54 Median $61.66 Typical High $72.44 | Professional | None (both parts) | $57.54 | $61.66 | $72.44 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $8.51 Typical High $9.33 | Professional | 26 · Professional part | $7.94 | $8.51 | $9.33 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $53.70 Typical High $63.10 | Professional | TC · Technical part | $50.12 | $53.70 | $63.10 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $97.72 Median $107.15 Typical High $199.53 | Professional | None (both parts) | $97.72 | $107.15 | $199.53 |
UPMC Health Plan Setting Facility Modifier None Typical Low $67.61 Median $165.96 Typical High $295.12 | Facility | None | $67.61 | $165.96 | $295.12 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $67.61 Median $79.43 Typical High $79.43 | Professional | None (both parts) | $67.61 | $79.43 | $79.43 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $12.88 Typical High $12.88 | Professional | 26 · Professional part | $9.33 | $12.88 | $12.88 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $66.07 Typical High $66.07 | Professional | TC · Technical part | $57.54 | $66.07 | $66.07 |
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 $63.10 Median $83.18 Typical High $134.90 | Professional | None (both parts) | $63.10 | $83.18 | $134.90 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $12.02 Typical High $18.62 | Professional | 26 · Professional part | $8.91 | $12.02 | $18.62 |
United Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $74.13 Typical High $117.49 | Professional | TC · Technical part | $53.70 | $74.13 | $117.49 |
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 $28.84 Median $30.90 Typical High $36.31 | Professional | 52 · Reduced service | $28.84 | $30.90 | $36.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.75 Median $12.30 Typical High $14.45 | Professional | 53 · Discontinued | $11.75 | $12.30 | $14.45 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $46.77 Median $48.98 Typical High $57.54 | Professional | FX · Film X-ray | $46.77 | $48.98 | $57.54 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $28.84 Median $30.90 Typical High $36.31 | Professional | 52 · Reduced service | $28.84 | $30.90 | $36.31 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $11.75 Median $12.30 Typical High $14.45 | Professional | 53 · Discontinued | $11.75 | $12.30 | $14.45 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $46.77 Median $48.98 Typical High $57.54 | Professional | FX · Film X-ray | $46.77 | $48.98 | $57.54 |
Where Pennsylvania sits
The same service costs 7.2 times more in Alabama 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· 45th of 51
$77.62
AL $479TX $66.07
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.