How much rates vary
Facilitymedian $417 · 10th to 90th $112 to $1,349Professionalmedian $112 · 10th to 90th $91 to $214
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 $112.20 Median $263.03 Typical High $457.09 | Facility | None | $112.20 | $263.03 | $457.09 |
Aetna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $95.50 Typical High $112.20 | Professional | None (both parts) | $91.20 | $95.50 | $112.20 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $22.39 Typical High $24.55 | Professional | 26 · Professional part | $20.89 | $22.39 | $24.55 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $74.13 Typical High $87.10 | Professional | TC · Technical part | $69.18 | $74.13 | $87.10 |
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 $616.60 Median $741.31 Typical High $5,011.87 | Facility | TC · Technical part | $616.60 | $741.31 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $104.71 Median $109.65 Typical High $331.13 | Professional | None (both parts) | $104.71 | $109.65 | $331.13 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $25.12 Typical High $74.13 | Professional | 26 · Professional part | $24.55 | $25.12 | $74.13 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $85.11 Typical High $257.04 | Professional | TC · Technical part | $81.28 | $85.11 | $257.04 |
Cigna Setting Facility Modifier None Typical Low $154.88 Median $416.87 Typical High $1,258.93 | Facility | None | $154.88 | $416.87 | $1,258.93 |
Cigna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $138.04 Typical High $239.88 | Professional | None (both parts) | $87.10 | $138.04 | $239.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $30.90 Typical High $50.12 | Professional | 26 · Professional part | $19.05 | $30.90 | $50.12 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $107.15 Typical High $190.55 | Professional | TC · Technical part | $67.61 | $107.15 | $190.55 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $186.21 Median $186.21 Typical High $186.21 | Professional | None (both parts) | $186.21 | $186.21 | $186.21 |
Geisinger Setting Facility Modifier None Typical Low $234.42 Median $234.42 Typical High $234.42 | Facility | None | $234.42 | $234.42 | $234.42 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $117.49 Median $158.49 Typical High $257.04 | Professional | None (both parts) | $117.49 | $158.49 | $257.04 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $33.11 Typical High $51.29 | Professional | 26 · Professional part | $24.55 | $33.11 | $51.29 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $120.23 Typical High $199.53 | Professional | TC · Technical part | $91.20 | $120.23 | $199.53 |
Martin's Point Setting Facility Modifier None Typical Low $112.20 Median $263.03 Typical High $457.09 | Facility | None | $112.20 | $263.03 | $457.09 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $91.20 Median $95.50 Typical High $112.20 | Professional | None (both parts) | $91.20 | $95.50 | $112.20 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $22.39 Typical High $24.55 | Professional | 26 · Professional part | $20.89 | $22.39 | $24.55 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $74.13 Typical High $87.10 | Professional | TC · Technical part | $69.18 | $74.13 | $87.10 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $229.09 Median $245.47 Typical High $338.84 | Professional | None (both parts) | $229.09 | $245.47 | $338.84 |
UPMC Health Plan Setting Facility Modifier None Typical Low $104.71 Median $323.59 Typical High $676.08 | Facility | None | $104.71 | $323.59 | $676.08 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $104.71 Median $181.97 Typical High $181.97 | Professional | None (both parts) | $104.71 | $181.97 | $181.97 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $33.11 Typical High $33.11 | Professional | 26 · Professional part | $23.99 | $33.11 | $33.11 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $151.36 Typical High $151.36 | Professional | TC · Technical part | $79.43 | $151.36 | $151.36 |
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 $97.72 Median $144.54 Typical High $213.80 | Professional | None (both parts) | $97.72 | $144.54 | $213.80 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $31.62 Typical High $48.98 | Professional | 26 · Professional part | $23.44 | $31.62 | $48.98 |
United Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $112.20 Typical High $173.78 | Professional | TC · Technical part | $74.13 | $112.20 | $173.78 |
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 $45.71 Median $47.86 Typical High $56.23 | Professional | 52 · Reduced service | $45.71 | $47.86 | $56.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $19.05 Typical High $22.39 | Professional | 53 · Discontinued | $18.20 | $19.05 | $22.39 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $72.44 Median $77.62 Typical High $89.13 | Professional | FX · Film X-ray | $72.44 | $77.62 | $89.13 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $45.71 Median $47.86 Typical High $56.23 | Professional | 52 · Reduced service | $45.71 | $47.86 | $56.23 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $19.05 Typical High $22.39 | Professional | 53 · Discontinued | $18.20 | $19.05 | $22.39 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $72.44 Median $77.62 Typical High $89.13 | Professional | FX · Film X-ray | $72.44 | $77.62 | $89.13 |
Where Pennsylvania sits
The same service costs 4.6 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· 46th of 51
$126
AL $479TX $105
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.