How much rates vary
Facilitymedian $813 · 10th to 90th $295 to $1,660Professionalmedian $316 · 10th to 90th $240 to $575
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 $288.40 Median $660.69 Typical High $1,047.13 | Facility | None | $288.40 | $660.69 | $1,047.13 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $33.11 Median $43.65 Typical High $87.10 | Facility | 26 · Professional part | $33.11 | $43.65 | $87.10 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $239.88 Median $346.74 Typical High $1,174.90 | Facility | TC · Technical part | $239.88 | $346.74 | $1,174.90 |
Aetna Setting Professional Modifier None (both parts) Typical Low $257.04 Median $309.03 Typical High $457.09 | Professional | None (both parts) | $257.04 | $309.03 | $457.09 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $36.31 Typical High $57.54 | Professional | 26 · Professional part | $31.62 | $36.31 | $57.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $275.42 Typical High $398.11 | Professional | TC · Technical part | $223.87 | $275.42 | $398.11 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $53.70 Typical High $60.26 | Professional | 26 · Professional part | $38.02 | $53.70 | $60.26 |
AmeriHealth Setting Facility Modifier None Typical Low $251.19 Median $630.96 Typical High $8,709.64 | Facility | None | $251.19 | $630.96 | $8,709.64 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $45.71 Typical High $323.59 | Professional | 26 · Professional part | $45.71 | $45.71 | $323.59 |
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 $1,202.26 Median $1,479.11 Typical High $5,011.87 | Facility | TC · Technical part | $1,202.26 | $1,479.11 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $281.84 Median $295.12 Typical High $794.33 | Professional | None (both parts) | $281.84 | $295.12 | $794.33 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $38.02 Typical High $95.50 | Professional | 26 · Professional part | $37.15 | $38.02 | $95.50 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $257.04 Typical High $707.95 | Professional | TC · Technical part | $245.47 | $257.04 | $707.95 |
Cigna Setting Facility Modifier None Typical Low $331.13 Median $912.01 Typical High $1,513.56 | Facility | None | $331.13 | $912.01 | $1,513.56 |
Cigna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $323.59 Typical High $575.44 | Professional | None (both parts) | $169.82 | $323.59 | $575.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $41.69 Typical High $72.44 | Professional | 26 · Professional part | $26.30 | $41.69 | $72.44 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $275.42 Typical High $501.19 | Professional | TC · Technical part | $147.91 | $275.42 | $501.19 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | None (both parts) | $501.19 | $501.19 | $501.19 |
Geisinger Setting Facility Modifier None Typical Low $245.47 Median $245.47 Typical High $338.84 | Facility | None | $245.47 | $245.47 | $338.84 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $169.82 Median $338.84 Typical High $478.63 | Professional | None (both parts) | $169.82 | $338.84 | $478.63 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $46.77 Typical High $74.13 | Professional | 26 · Professional part | $33.88 | $46.77 | $74.13 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $288.40 Typical High $416.87 | Professional | TC · Technical part | $134.90 | $288.40 | $416.87 |
Highmark BCBS Setting Facility Modifier None Typical Low $562.34 Median $977.24 Typical High $1,584.89 | Facility | None | $562.34 | $977.24 | $1,584.89 |
Highmark BCBS Setting Facility Modifier TC · Technical part Typical Low $562.34 Median $1,318.26 Typical High $2,187.76 | Facility | TC · Technical part | $562.34 | $1,318.26 | $2,187.76 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $40.74 Typical High $64.57 | Professional | 26 · Professional part | $36.31 | $40.74 | $64.57 |
Independence Blue Cross Setting Facility Modifier None Typical Low $309.03 Median $575.44 Typical High $10,964.78 | Facility | None | $309.03 | $575.44 | $10,964.78 |
Independence Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $45.71 Typical High $323.59 | Professional | 26 · Professional part | $45.71 | $45.71 | $323.59 |
Martin's Point Setting Facility Modifier None Typical Low $288.40 Median $758.58 Typical High $1,318.26 | Facility | None | $288.40 | $758.58 | $1,318.26 |
Martin's Point Setting Facility Modifier 26 · Professional part Typical Low $33.11 Median $45.71 Typical High $75.86 | Facility | 26 · Professional part | $33.11 | $45.71 | $75.86 |
Martin's Point Setting Facility Modifier TC · Technical part Typical Low $239.88 Median $331.13 Typical High $1,174.90 | Facility | TC · Technical part | $239.88 | $331.13 | $1,174.90 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $257.04 Median $302.00 Typical High $478.63 | Professional | None (both parts) | $257.04 | $302.00 | $478.63 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $36.31 Typical High $57.54 | Professional | 26 · Professional part | $31.62 | $36.31 | $57.54 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $275.42 Typical High $436.52 | Professional | TC · Technical part | $223.87 | $275.42 | $436.52 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $245.47 Median $263.03 Typical High $616.60 | Professional | None (both parts) | $245.47 | $263.03 | $616.60 |
UPMC Health Plan Setting Facility Modifier None Typical Low $257.04 Median $478.63 Typical High $776.25 | Facility | None | $257.04 | $478.63 | $776.25 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $257.04 Median $257.04 Typical High $295.12 | Professional | None (both parts) | $257.04 | $257.04 | $295.12 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $42.66 Typical High $42.66 | Professional | 26 · Professional part | $36.31 | $42.66 | $42.66 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $213.80 Typical High $257.04 | Professional | TC · Technical part | $213.80 | $213.80 | $257.04 |
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 $263.03 Median $346.74 Typical High $630.96 | Professional | None (both parts) | $263.03 | $346.74 | $630.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $44.67 Typical High $74.13 | Professional | 26 · Professional part | $35.48 | $44.67 | $74.13 |
United Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $309.03 Typical High $562.34 | Professional | TC · Technical part | $239.88 | $309.03 | $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 $128.82 Median $134.90 Typical High $158.49 | Professional | 52 · Reduced service | $128.82 | $134.90 | $158.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $54.95 Typical High $63.10 | Professional | 53 · Discontinued | $51.29 | $54.95 | $63.10 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $204.17 Median $218.78 Typical High $257.04 | Professional | FX · Film X-ray | $204.17 | $218.78 | $257.04 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $128.82 Median $134.90 Typical High $158.49 | Professional | 52 · Reduced service | $128.82 | $134.90 | $158.49 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $54.95 Typical High $63.10 | Professional | 53 · Discontinued | $51.29 | $54.95 | $63.10 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $204.17 Median $218.78 Typical High $257.04 | Professional | FX · Film X-ray | $204.17 | $218.78 | $257.04 |
Where Pennsylvania sits
The same service costs 3.5 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· 34th of 51
$355
AK $933KY $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.