How much rates vary
Facilitymedian $724 · 10th to 90th $324 to $2,188Professionalmedian $339 · 10th to 90th $257 to $617
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 $338.84 Median $446.68 Typical High $1,202.26 | Facility | None | $338.84 | $446.68 | $1,202.26 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $53.70 Median $75.86 Typical High $144.54 | Facility | 26 · Professional part | $53.70 | $75.86 | $144.54 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $239.88 Median $354.81 Typical High $758.58 | Facility | TC · Technical part | $239.88 | $354.81 | $758.58 |
Aetna Setting Professional Modifier None (both parts) Typical Low $275.42 Median $338.84 Typical High $489.78 | Professional | None (both parts) | $275.42 | $338.84 | $489.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $53.70 Typical High $85.11 | Professional | 26 · Professional part | $46.77 | $53.70 | $85.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $281.84 Typical High $416.87 | Professional | TC · Technical part | $229.09 | $281.84 | $416.87 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | 26 · Professional part | $91.20 | $91.20 | $91.20 |
AmeriHealth Setting Facility Modifier None Typical Low $281.84 Median $11,220.18 Typical High $19,498.45 | Facility | None | $281.84 | $11,220.18 | $19,498.45 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $69.18 Typical High $524.81 | Professional | 26 · Professional part | $69.18 | $69.18 | $524.81 |
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 $1,380.38 Median $1,698.24 Typical High $5,011.87 | Facility | TC · Technical part | $1,380.38 | $1,698.24 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $56,234.13 Median $56,234.13 Typical High $56,234.13 | Professional | None (both parts) | $56,234.13 | $56,234.13 | $56,234.13 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $57.54 Typical High $144.54 | Professional | 26 · Professional part | $54.95 | $57.54 | $144.54 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $257.04 Typical High $707.95 | Professional | TC · Technical part | $251.19 | $257.04 | $707.95 |
Cigna Setting Facility Modifier None Typical Low $338.84 Median $977.24 Typical High $1,621.81 | Facility | None | $338.84 | $977.24 | $1,621.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $199.53 Median $354.81 Typical High $630.96 | Professional | None (both parts) | $199.53 | $354.81 | $630.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $63.10 Typical High $109.65 | Professional | 26 · Professional part | $38.90 | $63.10 | $109.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $295.12 Typical High $537.03 | Professional | TC · Technical part | $162.18 | $295.12 | $537.03 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $537.03 Median $537.03 Typical High $537.03 | Professional | None (both parts) | $537.03 | $537.03 | $537.03 |
Geisinger Setting Facility Modifier None Typical Low $239.88 Median $239.88 Typical High $389.05 | Facility | None | $239.88 | $239.88 | $389.05 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $190.55 Median $363.08 Typical High $524.81 | Professional | None (both parts) | $190.55 | $363.08 | $524.81 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $72.44 Typical High $112.20 | Professional | 26 · Professional part | $52.48 | $72.44 | $112.20 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $302.00 Typical High $426.58 | Professional | TC · Technical part | $134.90 | $302.00 | $426.58 |
Highmark BCBS Setting Facility Modifier None Typical Low $426.58 Median $891.25 Typical High $1,949.84 | Facility | None | $426.58 | $891.25 | $1,949.84 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $77.62 Typical High $95.50 | Professional | 26 · Professional part | $53.70 | $77.62 | $95.50 |
Independence Blue Cross Setting Facility Modifier None Typical Low $281.84 Median $11,220.18 Typical High $19,498.45 | Facility | None | $281.84 | $11,220.18 | $19,498.45 |
Independence Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $69.18 Typical High $524.81 | Professional | 26 · Professional part | $69.18 | $69.18 | $524.81 |
Martin's Point Setting Facility Modifier None Typical Low $338.84 Median $489.78 Typical High $1,202.26 | Facility | None | $338.84 | $489.78 | $1,202.26 |
Martin's Point Setting Facility Modifier TC · Technical part Typical Low $239.88 Median $363.08 Typical High $1,000.00 | Facility | TC · Technical part | $239.88 | $363.08 | $1,000.00 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $275.42 Median $331.13 Typical High $489.78 | Professional | None (both parts) | $275.42 | $331.13 | $489.78 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $53.70 Typical High $85.11 | Professional | 26 · Professional part | $46.77 | $53.70 | $85.11 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $269.15 Typical High $426.58 | Professional | TC · Technical part | $229.09 | $269.15 | $426.58 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $269.15 Median $288.40 Typical High $741.31 | Professional | None (both parts) | $269.15 | $288.40 | $741.31 |
UPMC Health Plan Setting Facility Modifier None Typical Low $316.23 Median $436.52 Typical High $724.44 | Facility | None | $316.23 | $436.52 | $724.44 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $316.23 Median $323.59 Typical High $323.59 | Professional | None (both parts) | $316.23 | $323.59 | $323.59 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $60.26 Typical High $60.26 | Professional | 26 · Professional part | $54.95 | $60.26 | $60.26 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | TC · Technical part | $257.04 | $257.04 | $257.04 |
United Setting Facility Modifier None Typical Low $741.31 Median $1,584.89 Typical High $1,819.70 | Facility | None | $741.31 | $1,584.89 | $1,819.70 |
United Setting Professional Modifier None (both parts) Typical Low $288.40 Median $389.05 Typical High $676.08 | Professional | None (both parts) | $288.40 | $389.05 | $676.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $67.61 Typical High $109.65 | Professional | 26 · Professional part | $52.48 | $67.61 | $109.65 |
United Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $323.59 Typical High $562.34 | Professional | TC · Technical part | $245.47 | $323.59 | $562.34 |
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 $138.04 Median $144.54 Typical High $169.82 | Professional | 52 · Reduced service | $138.04 | $144.54 | $169.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $58.88 Typical High $67.61 | Professional | 53 · Discontinued | $54.95 | $58.88 | $67.61 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $218.78 Median $234.42 Typical High $269.15 | Professional | FX · Film X-ray | $218.78 | $234.42 | $269.15 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $138.04 Median $144.54 Typical High $169.82 | Professional | 52 · Reduced service | $138.04 | $144.54 | $169.82 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $58.88 Typical High $67.61 | Professional | 53 · Discontinued | $54.95 | $58.88 | $67.61 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $218.78 Median $234.42 Typical High $269.15 | Professional | FX · Film X-ray | $218.78 | $234.42 | $269.15 |
Where Pennsylvania sits
The same service costs 4.0 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· 42nd of 51
$339
AK $1,047KY $263
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.