How much rates vary
Facilitymedian $562 · 10th to 90th $126 to $1,349Professionalmedian $129 · 10th to 90th $102 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 $125.89 Median $331.13 Typical High $575.44 | Facility | None | $125.89 | $331.13 | $575.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $107.15 Typical High $125.89 | Professional | None (both parts) | $102.33 | $107.15 | $125.89 |
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 $81.28 Median $87.10 Typical High $102.33 | Professional | TC · Technical part | $81.28 | $87.10 | $102.33 |
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 $891.25 Median $1,096.48 Typical High $5,011.87 | Facility | TC · Technical part | $891.25 | $1,096.48 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $120.23 Median $125.89 Typical High $398.11 | Professional | None (both parts) | $120.23 | $125.89 | $398.11 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $25.12 Typical High $72.44 | Professional | 26 · Professional part | $24.55 | $25.12 | $72.44 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $100.00 Typical High $323.59 | Professional | TC · Technical part | $95.50 | $100.00 | $323.59 |
Cigna Setting Facility Modifier None Typical Low $177.83 Median $478.63 Typical High $1,258.93 | Facility | None | $177.83 | $478.63 | $1,258.93 |
Cigna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $173.78 Typical High $338.84 | Professional | None (both parts) | $97.72 | $173.78 | $338.84 |
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 $79.43 Median $147.91 Typical High $288.40 | Professional | TC · Technical part | $79.43 | $147.91 | $288.40 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | None (both parts) | $218.78 | $218.78 | $218.78 |
Geisinger Setting Facility Modifier None Typical Low $436.52 Median $436.52 Typical High $436.52 | Facility | None | $436.52 | $436.52 | $436.52 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $141.25 Median $208.93 Typical High $323.59 | Professional | None (both parts) | $141.25 | $208.93 | $323.59 |
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 $114.82 Median $165.96 Typical High $281.84 | Professional | TC · Technical part | $114.82 | $165.96 | $281.84 |
Martin's Point Setting Facility Modifier None Typical Low $125.89 Median $331.13 Typical High $575.44 | Facility | None | $125.89 | $331.13 | $575.44 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $102.33 Median $107.15 Typical High $125.89 | Professional | None (both parts) | $102.33 | $107.15 | $125.89 |
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 $81.28 Median $87.10 Typical High $102.33 | Professional | TC · Technical part | $81.28 | $87.10 | $102.33 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $389.05 Median $416.87 Typical High $457.09 | Professional | None (both parts) | $389.05 | $416.87 | $457.09 |
UPMC Health Plan Setting Facility Modifier None Typical Low $117.49 Median $512.86 Typical High $1,071.52 | Facility | None | $117.49 | $512.86 | $1,071.52 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $117.49 Median $316.23 Typical High $316.23 | Professional | None (both parts) | $117.49 | $316.23 | $316.23 |
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 $93.33 Median $281.84 Typical High $281.84 | Professional | TC · Technical part | $93.33 | $281.84 | $281.84 |
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 $109.65 Median $165.96 Typical High $302.00 | Professional | None (both parts) | $109.65 | $165.96 | $302.00 |
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 $87.10 Median $134.90 Typical High $269.15 | Professional | TC · Technical part | $87.10 | $134.90 | $269.15 |
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 $51.29 Median $53.70 Typical High $63.10 | Professional | 52 · Reduced service | $51.29 | $53.70 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $21.88 Typical High $25.12 | Professional | 53 · Discontinued | $20.42 | $21.88 | $25.12 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $81.28 Median $87.10 Typical High $100.00 | Professional | FX · Film X-ray | $81.28 | $87.10 | $100.00 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $51.29 Median $53.70 Typical High $63.10 | Professional | 52 · Reduced service | $51.29 | $53.70 | $63.10 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $21.88 Typical High $25.12 | Professional | 53 · Discontinued | $20.42 | $21.88 | $25.12 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $81.28 Median $87.10 Typical High $100.00 | Professional | FX · Film X-ray | $81.28 | $87.10 | $100.00 |
Where Pennsylvania sits
The same service costs 5.2 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· 44th of 51
$158
AL $550TX $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.