How much rates vary
Facilitymedian $525 · 10th to 90th $174 to $1,349Professionalmedian $186 · 10th to 90th $145 to $347
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 $190.55 Median $380.19 Typical High $660.69 | Facility | None | $190.55 | $380.19 | $660.69 |
Aetna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $162.18 Typical High $190.55 | Professional | None (both parts) | $151.36 | $162.18 | $190.55 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $20.42 Typical High $22.39 | Professional | 26 · Professional part | $19.50 | $20.42 | $22.39 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $141.25 Typical High $173.78 | Professional | TC · Technical part | $134.90 | $141.25 | $173.78 |
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 $812.83 Median $1,000.00 Typical High $5,011.87 | Facility | TC · Technical part | $812.83 | $1,000.00 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $173.78 Median $177.83 Typical High $457.09 | Professional | None (both parts) | $173.78 | $177.83 | $457.09 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $23.44 Typical High $60.26 | Professional | 26 · Professional part | $22.91 | $23.44 | $60.26 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $154.88 Typical High $407.38 | Professional | TC · Technical part | $151.36 | $154.88 | $407.38 |
Cigna Setting Facility Modifier None Typical Low $257.04 Median $630.96 Typical High $1,258.93 | Facility | None | $257.04 | $630.96 | $1,258.93 |
Cigna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $194.98 Typical High $346.74 | Professional | None (both parts) | $114.82 | $194.98 | $346.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $25.70 Typical High $45.71 | Professional | 26 · Professional part | $16.22 | $25.70 | $45.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $169.82 Typical High $309.03 | Professional | TC · Technical part | $100.00 | $169.82 | $309.03 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $309.03 Median $309.03 Typical High $309.03 | Professional | None (both parts) | $309.03 | $309.03 | $309.03 |
Geisinger Setting Facility Modifier None Typical Low $173.78 Median $173.78 Typical High $229.09 | Facility | None | $173.78 | $173.78 | $229.09 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $117.49 Median $208.93 Typical High $295.12 | Professional | None (both parts) | $117.49 | $208.93 | $295.12 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $29.51 Typical High $45.71 | Professional | 26 · Professional part | $21.38 | $29.51 | $45.71 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $181.97 Typical High $257.04 | Professional | TC · Technical part | $93.33 | $181.97 | $257.04 |
Highmark BCBS Setting Facility Modifier None Typical Low $218.78 Median $512.86 Typical High $912.01 | Facility | None | $218.78 | $512.86 | $912.01 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $24.55 Typical High $24.55 | Professional | 26 · Professional part | $24.55 | $24.55 | $24.55 |
Martin's Point Setting Facility Modifier None Typical Low $190.55 Median $380.19 Typical High $660.69 | Facility | None | $190.55 | $380.19 | $660.69 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $151.36 Median $162.18 Typical High $190.55 | Professional | None (both parts) | $151.36 | $162.18 | $190.55 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $20.42 Typical High $22.39 | Professional | 26 · Professional part | $19.50 | $20.42 | $22.39 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $141.25 Typical High $165.96 | Professional | TC · Technical part | $134.90 | $141.25 | $165.96 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $173.78 Median $186.21 Typical High $416.87 | Professional | None (both parts) | $173.78 | $186.21 | $416.87 |
UPMC Health Plan Setting Facility Modifier None Typical Low $169.82 Median $316.23 Typical High $524.81 | Facility | None | $169.82 | $316.23 | $524.81 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $169.82 Median $169.82 Typical High $173.78 | Professional | None (both parts) | $169.82 | $169.82 | $173.78 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $26.30 Typical High $26.30 | Professional | 26 · Professional part | $22.39 | $26.30 | $26.30 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $144.54 Typical High $151.36 | Professional | TC · Technical part | $144.54 | $144.54 | $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 $158.49 Median $213.80 Typical High $371.54 | Professional | None (both parts) | $158.49 | $213.80 | $371.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $28.18 Typical High $45.71 | Professional | 26 · Professional part | $21.88 | $28.18 | $45.71 |
United Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $190.55 Typical High $323.59 | Professional | TC · Technical part | $144.54 | $190.55 | $323.59 |
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 $75.86 Median $81.28 Typical High $95.50 | Professional | 52 · Reduced service | $75.86 | $81.28 | $95.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $32.36 Typical High $38.02 | Professional | 53 · Discontinued | $30.90 | $32.36 | $38.02 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $123.03 Median $128.82 Typical High $151.36 | Professional | FX · Film X-ray | $123.03 | $128.82 | $151.36 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $75.86 Median $81.28 Typical High $95.50 | Professional | 52 · Reduced service | $75.86 | $81.28 | $95.50 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $32.36 Typical High $38.02 | Professional | 53 · Discontinued | $30.90 | $32.36 | $38.02 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $123.03 Median $128.82 Typical High $151.36 | Professional | FX · Film X-ray | $123.03 | $128.82 | $151.36 |
Where Pennsylvania sits
The same service costs 4.6 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· 45th of 51
$191
AK $741KY $162
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.