How much rates vary
Facilitymedian $490 · 10th to 90th $151 to $1,349Professionalmedian $158 · 10th to 90th $120 to $316
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 $165.96 Median $407.38 Typical High $707.95 | Facility | None | $165.96 | $407.38 | $707.95 |
Aetna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $141.25 Typical High $165.96 | Professional | None (both parts) | $134.90 | $141.25 | $165.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $14.45 Typical High $16.22 | Professional | 26 · Professional part | $13.80 | $14.45 | $16.22 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $128.82 Typical High $151.36 | Professional | TC · Technical part | $120.23 | $128.82 | $151.36 |
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 $851.14 Median $1,047.13 Typical High $5,011.87 | Facility | TC · Technical part | $851.14 | $1,047.13 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $147.91 Median $151.36 Typical High $501.19 | Professional | None (both parts) | $147.91 | $151.36 | $501.19 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $16.98 Typical High $48.98 | Professional | 26 · Professional part | $16.22 | $16.98 | $48.98 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $134.90 Typical High $457.09 | Professional | TC · Technical part | $131.83 | $134.90 | $457.09 |
Cigna Setting Facility Modifier None Typical Low $281.84 Median $660.69 Typical High $1,258.93 | Facility | None | $281.84 | $660.69 | $1,258.93 |
Cigna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $181.97 Typical High $338.84 | Professional | None (both parts) | $109.65 | $181.97 | $338.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $20.42 Typical High $32.36 | Professional | 26 · Professional part | $12.30 | $20.42 | $32.36 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $162.18 Typical High $302.00 | Professional | TC · Technical part | $97.72 | $162.18 | $302.00 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $263.03 Median $263.03 Typical High $263.03 | Professional | None (both parts) | $263.03 | $263.03 | $263.03 |
Geisinger Setting Facility Modifier None Typical Low $141.25 Median $141.25 Typical High $141.25 | Facility | None | $141.25 | $141.25 | $141.25 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $97.72 Median $194.98 Typical High $275.42 | Professional | None (both parts) | $97.72 | $194.98 | $275.42 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $21.88 Typical High $34.67 | Professional | 26 · Professional part | $16.60 | $21.88 | $34.67 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $173.78 Typical High $239.88 | Professional | TC · Technical part | $77.62 | $173.78 | $239.88 |
Martin's Point Setting Facility Modifier None Typical Low $165.96 Median $407.38 Typical High $707.95 | Facility | None | $165.96 | $407.38 | $707.95 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $134.90 Median $141.25 Typical High $165.96 | Professional | None (both parts) | $134.90 | $141.25 | $165.96 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $14.45 Typical High $15.85 | Professional | 26 · Professional part | $13.80 | $14.45 | $15.85 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $128.82 Typical High $151.36 | Professional | TC · Technical part | $120.23 | $128.82 | $151.36 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $138.04 Median $147.91 Typical High $426.58 | Professional | None (both parts) | $138.04 | $147.91 | $426.58 |
UPMC Health Plan Setting Facility Modifier None Typical Low $112.20 Median $263.03 Typical High $436.52 | Facility | None | $112.20 | $263.03 | $436.52 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $112.20 Median $112.20 Typical High $151.36 | Professional | None (both parts) | $112.20 | $112.20 | $151.36 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $21.88 Typical High $21.88 | Professional | 26 · Professional part | $16.22 | $21.88 | $21.88 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $91.20 Typical High $134.90 | Professional | TC · Technical part | $91.20 | $91.20 | $134.90 |
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 $141.25 Median $190.55 Typical High $323.59 | Professional | None (both parts) | $141.25 | $190.55 | $323.59 |
United Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $20.42 Typical High $32.36 | Professional | 26 · Professional part | $15.49 | $20.42 | $32.36 |
United Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $173.78 Typical High $295.12 | Professional | TC · Technical part | $134.90 | $173.78 | $295.12 |
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 $67.61 Median $70.79 Typical High $83.18 | Professional | 52 · Reduced service | $67.61 | $70.79 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $28.18 Typical High $33.11 | Professional | 53 · Discontinued | $26.92 | $28.18 | $33.11 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $107.15 Median $114.82 Typical High $131.83 | Professional | FX · Film X-ray | $107.15 | $114.82 | $131.83 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $67.61 Median $70.79 Typical High $83.18 | Professional | 52 · Reduced service | $67.61 | $70.79 | $83.18 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $28.18 Typical High $33.11 | Professional | 53 · Discontinued | $26.92 | $28.18 | $33.11 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $107.15 Median $114.82 Typical High $131.83 | Professional | FX · Film X-ray | $107.15 | $114.82 | $131.83 |
Where Pennsylvania sits
The same service costs 4.5 times more in Alaska than in Florida. 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
$166
AK $631FL $141
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.