How much rates vary
Facilitymedian $562 · 10th to 90th $200 to $1,349Professionalmedian $204 · 10th to 90th $158 to $389
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 $204.17 Median $426.58 Typical High $741.31 | Facility | None | $204.17 | $426.58 | $741.31 |
Aetna Setting Professional Modifier None (both parts) Typical Low $165.96 Median $181.97 Typical High $234.42 | Professional | None (both parts) | $165.96 | $181.97 | $234.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $30.20 Typical High $35.48 | Professional | 26 · Professional part | $28.18 | $30.20 | $35.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $151.36 Typical High $199.53 | Professional | TC · Technical part | $138.04 | $151.36 | $199.53 |
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 $933.25 Median $1,122.02 Typical High $5,011.87 | Facility | TC · Technical part | $933.25 | $1,122.02 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $190.55 Median $194.98 Typical High $537.03 | Professional | None (both parts) | $190.55 | $194.98 | $537.03 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $34.67 Typical High $89.13 | Professional | 26 · Professional part | $33.11 | $34.67 | $89.13 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $162.18 Typical High $446.68 | Professional | TC · Technical part | $154.88 | $162.18 | $446.68 |
Cigna Setting Facility Modifier None Typical Low $269.15 Median $724.44 Typical High $1,258.93 | Facility | None | $269.15 | $724.44 | $1,258.93 |
Cigna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $218.78 Typical High $398.11 | Professional | None (both parts) | $128.82 | $218.78 | $398.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $38.02 Typical High $66.07 | Professional | 26 · Professional part | $23.99 | $38.02 | $66.07 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $181.97 Typical High $338.84 | Professional | TC · Technical part | $107.15 | $181.97 | $338.84 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $354.81 Median $354.81 Typical High $354.81 | Professional | None (both parts) | $354.81 | $354.81 | $354.81 |
Geisinger Setting Facility Modifier None Typical Low $169.82 Median $169.82 Typical High $169.82 | Facility | None | $169.82 | $169.82 | $169.82 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $128.82 Median $239.88 Typical High $346.74 | Professional | None (both parts) | $128.82 | $239.88 | $346.74 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $45.71 Typical High $67.61 | Professional | 26 · Professional part | $32.36 | $45.71 | $67.61 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $199.53 Typical High $281.84 | Professional | TC · Technical part | $95.50 | $199.53 | $281.84 |
Martin's Point Setting Facility Modifier None Typical Low $204.17 Median $426.58 Typical High $741.31 | Facility | None | $204.17 | $426.58 | $741.31 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $165.96 Median $177.83 Typical High $234.42 | Professional | None (both parts) | $165.96 | $177.83 | $234.42 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $29.51 Typical High $35.48 | Professional | 26 · Professional part | $28.18 | $29.51 | $35.48 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $147.91 Typical High $199.53 | Professional | TC · Technical part | $138.04 | $147.91 | $199.53 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $186.21 Median $199.53 Typical High $489.78 | Professional | None (both parts) | $186.21 | $199.53 | $489.78 |
UPMC Health Plan Setting Facility Modifier None Typical Low $190.55 Median $363.08 Typical High $602.56 | Facility | None | $190.55 | $363.08 | $602.56 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $190.55 Median $199.53 Typical High $199.53 | Professional | None (both parts) | $190.55 | $199.53 | $199.53 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $39.81 Typical High $39.81 | Professional | 26 · Professional part | $33.11 | $39.81 | $39.81 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $162.18 Typical High $162.18 | Professional | TC · Technical part | $158.49 | $162.18 | $162.18 |
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 $181.97 Median $239.88 Typical High $416.87 | Professional | None (both parts) | $181.97 | $239.88 | $416.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $42.66 Typical High $66.07 | Professional | 26 · Professional part | $31.62 | $42.66 | $66.07 |
United Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $204.17 Typical High $346.74 | Professional | TC · Technical part | $154.88 | $204.17 | $346.74 |
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 $83.18 Median $89.13 Typical High $102.33 | Professional | 52 · Reduced service | $83.18 | $89.13 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $35.48 Typical High $40.74 | Professional | 53 · Discontinued | $33.11 | $35.48 | $40.74 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $131.83 Median $141.25 Typical High $165.96 | Professional | FX · Film X-ray | $131.83 | $141.25 | $165.96 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $83.18 Median $89.13 Typical High $102.33 | Professional | 52 · Reduced service | $83.18 | $89.13 | $102.33 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $35.48 Typical High $40.74 | Professional | 53 · Discontinued | $33.11 | $35.48 | $40.74 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $131.83 Median $141.25 Typical High $165.96 | Professional | FX · Film X-ray | $131.83 | $141.25 | $165.96 |
Where Pennsylvania sits
The same service costs 4.6 times more in Alaska 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
$204
AK $794TX $174
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.