How much rates vary
Facilitymedian $468 · 10th to 90th $170 to $1,349Professionalmedian $178 · 10th to 90th $138 to $331
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 $181.97 Median $354.81 Typical High $616.60 | Facility | None | $181.97 | $354.81 | $616.60 |
Aetna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $162.18 Typical High $199.53 | Professional | None (both parts) | $147.91 | $162.18 | $199.53 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $33.88 Typical High $39.81 | Professional | 26 · Professional part | $30.90 | $33.88 | $39.81 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $131.83 Typical High $173.78 | Professional | TC · Technical part | $117.49 | $131.83 | $173.78 |
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 $794.33 Median $977.24 Typical High $5,011.87 | Facility | TC · Technical part | $794.33 | $977.24 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $165.96 Median $169.82 Typical High $436.52 | Professional | None (both parts) | $165.96 | $169.82 | $436.52 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $37.15 Typical High $91.20 | Professional | 26 · Professional part | $36.31 | $37.15 | $91.20 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $134.90 Typical High $338.84 | Professional | TC · Technical part | $128.82 | $134.90 | $338.84 |
Cigna Setting Facility Modifier None Typical Low $218.78 Median $630.96 Typical High $1,258.93 | Facility | None | $218.78 | $630.96 | $1,258.93 |
Cigna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $186.21 Typical High $331.13 | Professional | None (both parts) | $120.23 | $186.21 | $331.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $40.74 Typical High $70.79 | Professional | 26 · Professional part | $25.70 | $40.74 | $70.79 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $141.25 Typical High $263.03 | Professional | TC · Technical part | $95.50 | $141.25 | $263.03 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | None (both parts) | $295.12 | $295.12 | $295.12 |
Geisinger Setting Facility Modifier None Typical Low $131.83 Median $131.83 Typical High $131.83 | Facility | None | $131.83 | $131.83 | $131.83 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $112.20 Median $199.53 Typical High $288.40 | Professional | None (both parts) | $112.20 | $199.53 | $288.40 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $47.86 Typical High $70.79 | Professional | 26 · Professional part | $34.67 | $47.86 | $70.79 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $158.49 Typical High $223.87 | Professional | TC · Technical part | $75.86 | $158.49 | $223.87 |
Martin's Point Setting Facility Modifier None Typical Low $181.97 Median $354.81 Typical High $616.60 | Facility | None | $181.97 | $354.81 | $616.60 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $147.91 Median $165.96 Typical High $199.53 | Professional | None (both parts) | $147.91 | $165.96 | $199.53 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $33.88 Typical High $39.81 | Professional | 26 · Professional part | $30.90 | $33.88 | $39.81 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $134.90 Typical High $173.78 | Professional | TC · Technical part | $117.49 | $134.90 | $173.78 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $158.49 Median $169.82 Typical High $436.52 | Professional | None (both parts) | $158.49 | $169.82 | $436.52 |
UPMC Health Plan Setting Facility Modifier None Typical Low $131.83 Median $316.23 Typical High $524.81 | Facility | None | $131.83 | $316.23 | $524.81 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $131.83 Median $131.83 Typical High $169.82 | Professional | None (both parts) | $131.83 | $131.83 | $169.82 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $43.65 Typical High $43.65 | Professional | 26 · Professional part | $35.48 | $43.65 | $43.65 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $87.10 Typical High $131.83 | Professional | TC · Technical part | $87.10 | $87.10 | $131.83 |
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 $154.88 Median $208.93 Typical High $354.81 | Professional | None (both parts) | $154.88 | $208.93 | $354.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $44.67 Typical High $70.79 | Professional | 26 · Professional part | $33.88 | $44.67 | $70.79 |
United Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $169.82 Typical High $281.84 | Professional | TC · Technical part | $128.82 | $169.82 | $281.84 |
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 $74.13 Median $77.62 Typical High $91.20 | Professional | 52 · Reduced service | $74.13 | $77.62 | $91.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $30.90 Typical High $36.31 | Professional | 53 · Discontinued | $29.51 | $30.90 | $36.31 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $117.49 Median $125.89 Typical High $144.54 | Professional | FX · Film X-ray | $117.49 | $125.89 | $144.54 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $74.13 Median $77.62 Typical High $91.20 | Professional | 52 · Reduced service | $74.13 | $77.62 | $91.20 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $30.90 Typical High $36.31 | Professional | 53 · Discontinued | $29.51 | $30.90 | $36.31 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $117.49 Median $125.89 Typical High $144.54 | Professional | FX · Film X-ray | $117.49 | $125.89 | $144.54 |
Where Pennsylvania sits
The same service costs 3.8 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· 42nd of 51
$182
AK $562FL $148
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.