How much rates vary
Facilitymedian $575 · 10th to 90th $234 to $1,349Professionalmedian $234 · 10th to 90th $191 to $427
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 $234.42 Typical High $812.83 | Facility | None | $190.55 | $234.42 | $812.83 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $173.78 Median $204.17 Typical High $707.95 | Facility | TC · Technical part | $173.78 | $204.17 | $707.95 |
Aetna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $204.17 Typical High $239.88 | Professional | None (both parts) | $190.55 | $204.17 | $239.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $29.51 Typical High $32.36 | Professional | 26 · Professional part | $27.54 | $29.51 | $32.36 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $173.78 Typical High $218.78 | Professional | TC · Technical part | $162.18 | $173.78 | $218.78 |
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 $1,047.13 Median $1,288.25 Typical High $5,011.87 | Facility | TC · Technical part | $1,047.13 | $1,288.25 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $213.80 Median $223.87 Typical High $575.44 | Professional | None (both parts) | $213.80 | $223.87 | $575.44 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $33.11 Typical High $79.43 | Professional | 26 · Professional part | $32.36 | $33.11 | $79.43 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $190.55 Typical High $501.19 | Professional | TC · Technical part | $181.97 | $190.55 | $501.19 |
Cigna Setting Facility Modifier None Typical Low $269.15 Median $741.31 Typical High $1,258.93 | Facility | None | $269.15 | $741.31 | $1,258.93 |
Cigna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $245.47 Typical High $446.68 | Professional | None (both parts) | $154.88 | $245.47 | $446.68 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $35.48 Typical High $63.10 | Professional | 26 · Professional part | $22.91 | $35.48 | $63.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $208.93 Typical High $380.19 | Professional | TC · Technical part | $134.90 | $208.93 | $380.19 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $371.54 Median $371.54 Typical High $371.54 | Professional | None (both parts) | $371.54 | $371.54 | $371.54 |
Geisinger Setting Facility Modifier None Typical Low $251.19 Median $251.19 Typical High $331.13 | Facility | None | $251.19 | $251.19 | $331.13 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $162.18 Median $263.03 Typical High $398.11 | Professional | None (both parts) | $162.18 | $263.03 | $398.11 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $40.74 Typical High $61.66 | Professional | 26 · Professional part | $28.84 | $40.74 | $61.66 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $218.78 Typical High $323.59 | Professional | TC · Technical part | $128.82 | $218.78 | $323.59 |
Highmark BCBS Setting Facility Modifier None Typical Low $1,023.29 Median $1,380.38 Typical High $1,513.56 | Facility | None | $1,023.29 | $1,380.38 | $1,513.56 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $380.19 Median $380.19 Typical High $380.19 | Professional | 26 · Professional part | $380.19 | $380.19 | $380.19 |
Martin's Point Setting Facility Modifier None Typical Low $234.42 Median $234.42 Typical High $812.83 | Facility | None | $234.42 | $234.42 | $812.83 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $190.55 Median $204.17 Typical High $239.88 | Professional | None (both parts) | $190.55 | $204.17 | $239.88 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $29.51 Typical High $32.36 | Professional | 26 · Professional part | $27.54 | $29.51 | $32.36 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $173.78 Typical High $218.78 | Professional | TC · Technical part | $162.18 | $173.78 | $218.78 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $245.47 Median $263.03 Typical High $537.03 | Professional | None (both parts) | $245.47 | $263.03 | $537.03 |
UPMC Health Plan Setting Facility Modifier None Typical Low $218.78 Median $426.58 Typical High $707.95 | Facility | None | $218.78 | $426.58 | $707.95 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $218.78 Median $234.42 Typical High $234.42 | Professional | None (both parts) | $218.78 | $234.42 | $234.42 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $36.31 Typical High $36.31 | Professional | 26 · Professional part | $32.36 | $36.31 | $36.31 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $199.53 Typical High $199.53 | Professional | TC · Technical part | $186.21 | $199.53 | $199.53 |
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 $199.53 Median $269.15 Typical High $457.09 | Professional | None (both parts) | $199.53 | $269.15 | $457.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $38.90 Typical High $63.10 | Professional | 26 · Professional part | $30.20 | $38.90 | $63.10 |
United Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $234.42 Typical High $389.05 | Professional | TC · Technical part | $177.83 | $234.42 | $389.05 |
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 $95.50 Median $102.33 Typical High $117.49 | Professional | 52 · Reduced service | $95.50 | $102.33 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $40.74 Typical High $46.77 | Professional | 53 · Discontinued | $38.02 | $40.74 | $46.77 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $151.36 Median $162.18 Typical High $190.55 | Professional | FX · Film X-ray | $151.36 | $162.18 | $190.55 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $95.50 Median $102.33 Typical High $117.49 | Professional | 52 · Reduced service | $95.50 | $102.33 | $117.49 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $40.74 Typical High $46.77 | Professional | 53 · Discontinued | $38.02 | $40.74 | $46.77 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $151.36 Median $162.18 Typical High $190.55 | Professional | FX · Film X-ray | $151.36 | $162.18 | $190.55 |
Where Pennsylvania sits
The same service costs 4.2 times more in Alaska than in Florida. 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
$234
AK $851FL $204
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.