How much rates vary
Facilitymedian $389 · 10th to 90th $105 to $1,349Professionalmedian $105 · 10th to 90th $85 to $195
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 $104.71 Median $158.49 Typical High $331.13 | Facility | None | $104.71 | $158.49 | $331.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $89.13 Typical High $104.71 | Professional | None (both parts) | $85.11 | $89.13 | $104.71 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $16.98 Typical High $18.62 | Professional | 26 · Professional part | $16.22 | $16.98 | $18.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $72.44 Typical High $85.11 | Professional | TC · Technical part | $69.18 | $72.44 | $85.11 |
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 $588.84 Median $707.95 Typical High $5,011.87 | Facility | TC · Technical part | $588.84 | $707.95 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $97.72 Median $102.33 Typical High $239.88 | Professional | None (both parts) | $97.72 | $102.33 | $239.88 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $19.50 Typical High $47.86 | Professional | 26 · Professional part | $19.05 | $19.50 | $47.86 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $83.18 Typical High $190.55 | Professional | TC · Technical part | $79.43 | $83.18 | $190.55 |
Cigna Setting Facility Modifier None Typical Low $114.82 Median $389.05 Typical High $1,258.93 | Facility | None | $114.82 | $389.05 | $1,258.93 |
Cigna Setting Professional Modifier None (both parts) Typical Low $81.28 Median $123.03 Typical High $204.17 | Professional | None (both parts) | $81.28 | $123.03 | $204.17 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $22.91 Typical High $38.02 | Professional | 26 · Professional part | $14.13 | $22.91 | $38.02 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $95.50 Typical High $162.18 | Professional | TC · Technical part | $66.07 | $95.50 | $162.18 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | None (both parts) | $177.83 | $177.83 | $177.83 |
Geisinger Setting Facility Modifier None Typical Low $208.93 Median $208.93 Typical High $208.93 | Facility | None | $208.93 | $208.93 | $208.93 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $109.65 Median $138.04 Typical High $213.80 | Professional | None (both parts) | $109.65 | $138.04 | $213.80 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $25.70 Typical High $38.02 | Professional | 26 · Professional part | $19.05 | $25.70 | $38.02 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $117.49 Typical High $173.78 | Professional | TC · Technical part | $89.13 | $117.49 | $173.78 |
Highmark BCBS Setting Facility Modifier None Typical Low $812.83 Median $812.83 Typical High $812.83 | Facility | None | $812.83 | $812.83 | $812.83 |
Martin's Point Setting Facility Modifier None Typical Low $104.71 Median $158.49 Typical High $331.13 | Facility | None | $104.71 | $158.49 | $331.13 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $85.11 Median $89.13 Typical High $104.71 | Professional | None (both parts) | $85.11 | $89.13 | $104.71 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $16.98 Typical High $18.62 | Professional | 26 · Professional part | $16.22 | $16.98 | $18.62 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $72.44 Typical High $85.11 | Professional | TC · Technical part | $69.18 | $72.44 | $85.11 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $199.53 Median $213.80 Typical High $309.03 | Professional | None (both parts) | $199.53 | $213.80 | $309.03 |
UPMC Health Plan Setting Facility Modifier None Typical Low $97.72 Median $295.12 Typical High $616.60 | Facility | None | $97.72 | $295.12 | $616.60 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $97.72 Median $144.54 Typical High $144.54 | Professional | None (both parts) | $97.72 | $144.54 | $144.54 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $23.99 Typical High $23.99 | Professional | 26 · Professional part | $18.62 | $23.99 | $23.99 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $120.23 Typical High $120.23 | Professional | TC · Technical part | $79.43 | $120.23 | $120.23 |
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 $91.20 Median $134.90 Typical High $199.53 | Professional | None (both parts) | $91.20 | $134.90 | $199.53 |
United Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $23.99 Typical High $38.02 | Professional | 26 · Professional part | $18.20 | $23.99 | $38.02 |
United Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $104.71 Typical High $162.18 | Professional | TC · Technical part | $72.44 | $104.71 | $162.18 |
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 $42.66 Median $44.67 Typical High $52.48 | Professional | 52 · Reduced service | $42.66 | $44.67 | $52.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $17.78 Typical High $20.89 | Professional | 53 · Discontinued | $16.98 | $17.78 | $20.89 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $67.61 Median $72.44 Typical High $83.18 | Professional | FX · Film X-ray | $67.61 | $72.44 | $83.18 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $42.66 Median $44.67 Typical High $52.48 | Professional | 52 · Reduced service | $42.66 | $44.67 | $52.48 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $17.78 Typical High $20.89 | Professional | 53 · Discontinued | $16.98 | $17.78 | $20.89 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $67.61 Median $72.44 Typical High $83.18 | Professional | FX · Film X-ray | $67.61 | $72.44 | $83.18 |
Where Pennsylvania sits
The same service costs 5.0 times more in Alabama than in New York. 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· 47th of 51
$110
AL $479NY $95.50
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.