How much rates vary
Facilitymedian $813 · 10th to 90th $324 to $1,738Professionalmedian $331 · 10th to 90th $257 to $617
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 $302.00 Median $436.52 Typical High $1,258.93 | Facility | None | $302.00 | $436.52 | $1,258.93 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $42.66 Median $58.88 Typical High $95.50 | Facility | 26 · Professional part | $42.66 | $58.88 | $95.50 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $239.88 Median $338.84 Typical High $1,000.00 | Facility | TC · Technical part | $239.88 | $338.84 | $1,000.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $269.15 Median $331.13 Typical High $478.63 | Professional | None (both parts) | $269.15 | $331.13 | $478.63 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $45.71 Typical High $72.44 | Professional | 26 · Professional part | $39.81 | $45.71 | $72.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $281.84 Typical High $407.38 | Professional | TC · Technical part | $229.09 | $281.84 | $407.38 |
AmeriHealth Setting Facility Modifier None Typical Low $398.11 Median $8,912.51 Typical High $24,547.09 | Facility | None | $398.11 | $8,912.51 | $24,547.09 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $58.88 Typical High $75.86 | Professional | 26 · Professional part | $58.88 | $58.88 | $75.86 |
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 $1,288.25 Median $1,584.89 Typical High $5,011.87 | Facility | TC · Technical part | $1,288.25 | $1,584.89 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $295.12 Median $309.03 Typical High $831.76 | Professional | None (both parts) | $295.12 | $309.03 | $831.76 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $48.98 Typical High $123.03 | Professional | 26 · Professional part | $47.86 | $48.98 | $123.03 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $263.03 Typical High $707.95 | Professional | TC · Technical part | $251.19 | $263.03 | $707.95 |
Cigna Setting Facility Modifier None Typical Low $338.84 Median $912.01 Typical High $1,513.56 | Facility | None | $338.84 | $912.01 | $1,513.56 |
Cigna Setting Professional Modifier None (both parts) Typical Low $204.17 Median $346.74 Typical High $616.60 | Professional | None (both parts) | $204.17 | $346.74 | $616.60 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $53.70 Typical High $93.33 | Professional | 26 · Professional part | $33.11 | $53.70 | $93.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $295.12 Typical High $537.03 | Professional | TC · Technical part | $173.78 | $295.12 | $537.03 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $524.81 Median $524.81 Typical High $524.81 | Professional | None (both parts) | $524.81 | $524.81 | $524.81 |
Geisinger Setting Facility Modifier None Typical Low $281.84 Median $281.84 Typical High $407.38 | Facility | None | $281.84 | $281.84 | $407.38 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $204.17 Median $354.81 Typical High $501.19 | Professional | None (both parts) | $204.17 | $354.81 | $501.19 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $61.66 Typical High $93.33 | Professional | 26 · Professional part | $44.67 | $61.66 | $93.33 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $295.12 Typical High $426.58 | Professional | TC · Technical part | $158.49 | $295.12 | $426.58 |
Highmark BCBS Setting Facility Modifier None Typical Low $630.96 Median $954.99 Typical High $1,513.56 | Facility | None | $630.96 | $954.99 | $1,513.56 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $56.23 Typical High $95.50 | Professional | 26 · Professional part | $47.86 | $56.23 | $95.50 |
Independence Blue Cross Setting Facility Modifier None Typical Low $407.38 Median $5,248.07 Typical High $19,498.45 | Facility | None | $407.38 | $5,248.07 | $19,498.45 |
Independence Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $58.88 Typical High $446.68 | Professional | 26 · Professional part | $58.88 | $58.88 | $446.68 |
Martin's Point Setting Facility Modifier None Typical Low $302.00 Median $478.63 Typical High $1,659.59 | Facility | None | $302.00 | $478.63 | $1,659.59 |
Martin's Point Setting Facility Modifier 26 · Professional part Typical Low $42.66 Median $61.66 Typical High $95.50 | Facility | 26 · Professional part | $42.66 | $61.66 | $95.50 |
Martin's Point Setting Facility Modifier TC · Technical part Typical Low $239.88 Median $338.84 Typical High $1,000.00 | Facility | TC · Technical part | $239.88 | $338.84 | $1,000.00 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $269.15 Median $331.13 Typical High $478.63 | Professional | None (both parts) | $269.15 | $331.13 | $478.63 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $45.71 Typical High $72.44 | Professional | 26 · Professional part | $39.81 | $45.71 | $72.44 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $281.84 Typical High $398.11 | Professional | TC · Technical part | $229.09 | $281.84 | $398.11 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $295.12 Median $316.23 Typical High $741.31 | Professional | None (both parts) | $295.12 | $316.23 | $741.31 |
UPMC Health Plan Setting Facility Modifier None Typical Low $302.00 Median $588.84 Typical High $977.24 | Facility | None | $302.00 | $588.84 | $977.24 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $302.00 Median $302.00 Typical High $309.03 | Professional | None (both parts) | $302.00 | $302.00 | $309.03 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $54.95 Typical High $54.95 | Professional | 26 · Professional part | $46.77 | $54.95 | $54.95 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $251.19 Typical High $263.03 | Professional | TC · Technical part | $251.19 | $251.19 | $263.03 |
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 $281.84 Median $380.19 Typical High $660.69 | Professional | None (both parts) | $281.84 | $380.19 | $660.69 |
United Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $58.88 Typical High $95.50 | Professional | 26 · Professional part | $45.71 | $58.88 | $95.50 |
United Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $331.13 Typical High $562.34 | Professional | TC · Technical part | $251.19 | $331.13 | $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 $134.90 Median $141.25 Typical High $165.96 | Professional | 52 · Reduced service | $134.90 | $141.25 | $165.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $53.70 Median $57.54 Typical High $66.07 | Professional | 53 · Discontinued | $53.70 | $57.54 | $66.07 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $213.80 Median $229.09 Typical High $263.03 | Professional | FX · Film X-ray | $213.80 | $229.09 | $263.03 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $134.90 Median $141.25 Typical High $165.96 | Professional | 52 · Reduced service | $134.90 | $141.25 | $165.96 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $53.70 Median $57.54 Typical High $66.07 | Professional | 53 · Discontinued | $53.70 | $57.54 | $66.07 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $213.80 Median $229.09 Typical High $263.03 | Professional | FX · Film X-ray | $213.80 | $229.09 | $263.03 |
Where Pennsylvania sits
The same service costs 4.7 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· 41st of 51
$347
AK $1,288KY $275
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.