How much rates vary
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 $426.58 Median $954.99 Typical High $1,659.59 | Facility | None | $426.58 | $954.99 | $1,659.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $338.84 Median $426.58 Typical High $512.86 | Professional | None (both parts) | $338.84 | $426.58 | $512.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $46.77 Typical High $54.95 | Professional | 26 · Professional part | $40.74 | $46.77 | $54.95 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $371.54 Typical High $457.09 | Professional | TC · Technical part | $302.00 | $371.54 | $457.09 |
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 $2,290.87 Median $2,818.38 Typical High $5,011.87 | Facility | TC · Technical part | $2,290.87 | $2,818.38 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $380.19 Median $691.83 Typical High $1,122.02 | Professional | None (both parts) | $380.19 | $691.83 | $1,122.02 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $85.11 Typical High $128.82 | Professional | 26 · Professional part | $48.98 | $85.11 | $128.82 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $331.13 Median $602.56 Typical High $1,000.00 | Professional | TC · Technical part | $331.13 | $602.56 | $1,000.00 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $1,348.96 Typical High $2,041.74 | Facility | None | $741.31 | $1,348.96 | $2,041.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $323.59 Median $467.74 Typical High $812.83 | Professional | None (both parts) | $323.59 | $467.74 | $812.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $54.95 Typical High $95.50 | Professional | 26 · Professional part | $36.31 | $54.95 | $95.50 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $416.87 Typical High $707.95 | Professional | TC · Technical part | $281.84 | $416.87 | $707.95 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $478.63 Median $562.34 Typical High $707.95 | Professional | None (both parts) | $478.63 | $562.34 | $707.95 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $363.08 Median $457.09 Typical High $812.83 | Professional | None (both parts) | $363.08 | $457.09 | $812.83 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $54.95 Typical High $102.33 | Professional | 26 · Professional part | $42.66 | $54.95 | $102.33 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $407.38 Typical High $707.95 | Professional | TC · Technical part | $316.23 | $407.38 | $707.95 |
Highmark BCBS Setting Facility Modifier None Typical Low $1,202.26 Median $1,778.28 Typical High $1,819.70 | Facility | None | $1,202.26 | $1,778.28 | $1,819.70 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | 26 · Professional part | $83.18 | $83.18 | $83.18 |
Martin's Point Setting Facility Modifier None Typical Low $426.58 Median $954.99 Typical High $1,659.59 | Facility | None | $426.58 | $954.99 | $1,659.59 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $338.84 Median $426.58 Typical High $489.78 | Professional | None (both parts) | $338.84 | $426.58 | $489.78 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $46.77 Typical High $54.95 | Professional | 26 · Professional part | $40.74 | $46.77 | $54.95 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $371.54 Typical High $436.52 | Professional | TC · Technical part | $302.00 | $371.54 | $436.52 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $51.29 Median $398.11 Typical High $741.31 | Professional | None (both parts) | $51.29 | $398.11 | $741.31 |
UPMC Health Plan Setting Facility Modifier None Typical Low $398.11 Median $512.86 Typical High $933.25 | Facility | None | $398.11 | $512.86 | $933.25 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $398.11 Median $512.86 Typical High $512.86 | Professional | None (both parts) | $398.11 | $512.86 | $512.86 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $58.88 Typical High $58.88 | Professional | 26 · Professional part | $47.86 | $58.88 | $58.88 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $346.74 Median $446.68 Typical High $446.68 | Professional | TC · Technical part | $346.74 | $446.68 | $446.68 |
United Setting Facility Modifier None Typical Low $741.31 Median $1,584.89 Typical High $1,819.70 | Facility | None | $741.31 | $1,584.89 | $1,819.70 |
United Setting Professional Modifier None (both parts) Typical Low $380.19 Median $446.68 Typical High $794.33 | Professional | None (both parts) | $380.19 | $446.68 | $794.33 |
United Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $51.29 Typical High $93.33 | Professional | 26 · Professional part | $44.67 | $51.29 | $93.33 |
United Setting Professional Modifier TC · Technical part Typical Low $331.13 Median $398.11 Typical High $724.44 | Professional | TC · Technical part | $331.13 | $398.11 | $724.44 |
2 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 FX · Film X-ray Typical Low $275.42 Median $323.59 Typical High $338.84 | Professional | FX · Film X-ray | $275.42 | $323.59 | $338.84 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $275.42 Median $323.59 Typical High $338.84 | Professional | FX · Film X-ray | $275.42 | $323.59 | $338.84 |
Where Pennsylvania sits
The same service costs 3.7 times more in Alaska than in Utah. 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· 46th of 51
$427
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.