How much rates vary
Facilitymedian $631 · 10th to 90th $245 to $1,349Professionalmedian $245 · 10th to 90th $200 to $468
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 $263.03 Median $446.68 Typical High $776.25 | Facility | None | $263.03 | $446.68 | $776.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $213.80 Median $229.09 Typical High $263.03 | Professional | None (both parts) | $213.80 | $229.09 | $263.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $34.67 Typical High $38.02 | Professional | 26 · Professional part | $33.11 | $34.67 | $38.02 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $190.55 Typical High $229.09 | Professional | TC · Technical part | $181.97 | $190.55 | $229.09 |
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 $933.25 Median $1,148.15 Typical High $5,011.87 | Facility | TC · Technical part | $933.25 | $1,148.15 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $239.88 Median $245.47 Typical High $549.54 | Professional | None (both parts) | $239.88 | $245.47 | $549.54 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $40.74 Typical High $100.00 | Professional | 26 · Professional part | $38.90 | $40.74 | $100.00 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $204.17 Typical High $457.09 | Professional | TC · Technical part | $199.53 | $204.17 | $457.09 |
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 $144.54 Median $239.88 Typical High $478.63 | Professional | None (both parts) | $144.54 | $239.88 | $478.63 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $43.65 Typical High $77.62 | Professional | 26 · Professional part | $27.54 | $43.65 | $77.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $194.98 Typical High $389.05 | Professional | TC · Technical part | $117.49 | $194.98 | $389.05 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $416.87 Median $416.87 Typical High $416.87 | Professional | None (both parts) | $416.87 | $416.87 | $416.87 |
Geisinger Setting Facility Modifier None Typical Low $213.80 Median $213.80 Typical High $302.00 | Facility | None | $213.80 | $213.80 | $302.00 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $151.36 Median $281.84 Typical High $407.38 | Professional | None (both parts) | $151.36 | $281.84 | $407.38 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $50.12 Typical High $77.62 | Professional | 26 · Professional part | $35.48 | $50.12 | $77.62 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $234.42 Typical High $338.84 | Professional | TC · Technical part | $112.20 | $234.42 | $338.84 |
Highmark BCBS Setting Facility Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $1,348.96 | Facility | None | $1,348.96 | $1,348.96 | $1,348.96 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | 26 · Professional part | $41.69 | $41.69 | $41.69 |
Martin's Point Setting Facility Modifier None Typical Low $263.03 Median $446.68 Typical High $776.25 | Facility | None | $263.03 | $446.68 | $776.25 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $213.80 Median $229.09 Typical High $263.03 | Professional | None (both parts) | $213.80 | $229.09 | $263.03 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $34.67 Typical High $38.02 | Professional | 26 · Professional part | $33.11 | $34.67 | $38.02 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $190.55 Typical High $229.09 | Professional | TC · Technical part | $181.97 | $190.55 | $229.09 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $229.09 Median $245.47 Typical High $501.19 | Professional | None (both parts) | $229.09 | $245.47 | $501.19 |
UPMC Health Plan Setting Facility Modifier None Typical Low $208.93 Median $426.58 Typical High $707.95 | Facility | None | $208.93 | $426.58 | $707.95 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $208.93 Median $208.93 Typical High $245.47 | Professional | None (both parts) | $208.93 | $208.93 | $245.47 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $44.67 Typical High $44.67 | Professional | 26 · Professional part | $38.90 | $44.67 | $44.67 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $162.18 Typical High $208.93 | Professional | TC · Technical part | $162.18 | $162.18 | $208.93 |
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 $218.78 Median $288.40 Typical High $524.81 | Professional | None (both parts) | $218.78 | $288.40 | $524.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $47.86 Typical High $77.62 | Professional | 26 · Professional part | $37.15 | $47.86 | $77.62 |
United Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $251.19 Typical High $446.68 | Professional | TC · Technical part | $194.98 | $251.19 | $446.68 |
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 $107.15 Median $114.82 Typical High $131.83 | Professional | 52 · Reduced service | $107.15 | $114.82 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $45.71 Typical High $52.48 | Professional | 53 · Discontinued | $42.66 | $45.71 | $52.48 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $169.82 Median $181.97 Typical High $213.80 | Professional | FX · Film X-ray | $169.82 | $181.97 | $213.80 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $107.15 Median $114.82 Typical High $131.83 | Professional | 52 · Reduced service | $107.15 | $114.82 | $131.83 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $45.71 Typical High $52.48 | Professional | 53 · Discontinued | $42.66 | $45.71 | $52.48 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $169.82 Median $181.97 Typical High $213.80 | Professional | FX · Film X-ray | $169.82 | $181.97 | $213.80 |
Where Pennsylvania sits
The same service costs 5.0 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· 42nd of 51
$263
AK $1,000KY $200
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.