How much rates vary
Facilitymedian $501 · 10th to 90th $170 to $1,349Professionalmedian $174 · 10th to 90th $110 to $347
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 $204.17 Median $331.13 Typical High $575.44 | Facility | None | $204.17 | $331.13 | $575.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $173.78 Typical High $204.17 | Professional | None (both parts) | $162.18 | $173.78 | $204.17 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $21.88 Typical High $23.99 | Professional | 26 · Professional part | $20.89 | $21.88 | $23.99 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $151.36 Typical High $177.83 | Professional | TC · Technical part | $144.54 | $151.36 | $177.83 |
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 $724.44 Median $870.96 Typical High $5,011.87 | Facility | TC · Technical part | $724.44 | $870.96 | $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 $23.44 Median $24.55 Typical High $58.88 | Professional | 26 · Professional part | $23.44 | $24.55 | $58.88 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $147.91 Typical High $371.54 | Professional | TC · Technical part | $141.25 | $147.91 | $371.54 |
Cigna Setting Facility Modifier None Typical Low $208.93 Median $630.96 Typical High $1,258.93 | Facility | None | $208.93 | $630.96 | $1,258.93 |
Cigna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $173.78 Typical High $354.81 | Professional | None (both parts) | $95.50 | $173.78 | $354.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $25.70 Typical High $44.67 | Professional | 26 · Professional part | $16.22 | $25.70 | $44.67 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $151.36 Typical High $309.03 | Professional | TC · Technical part | $81.28 | $151.36 | $309.03 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $288.40 Median $288.40 Typical High $288.40 | Professional | None (both parts) | $288.40 | $288.40 | $288.40 |
Geisinger Setting Facility Modifier None Typical Low $109.65 Median $109.65 Typical High $109.65 | Facility | None | $109.65 | $109.65 | $109.65 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $85.11 Median $186.21 Typical High $275.42 | Professional | None (both parts) | $85.11 | $186.21 | $275.42 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $30.20 Typical High $42.66 | Professional | 26 · Professional part | $20.89 | $30.20 | $42.66 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $151.36 Typical High $239.88 | Professional | TC · Technical part | $61.66 | $151.36 | $239.88 |
Martin's Point Setting Facility Modifier None Typical Low $204.17 Median $331.13 Typical High $575.44 | Facility | None | $204.17 | $331.13 | $575.44 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $162.18 Median $173.78 Typical High $204.17 | Professional | None (both parts) | $162.18 | $173.78 | $204.17 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $21.88 Typical High $23.99 | Professional | 26 · Professional part | $20.89 | $21.88 | $23.99 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $151.36 Typical High $177.83 | Professional | TC · Technical part | $144.54 | $151.36 | $177.83 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $120.23 Median $128.82 Typical High $371.54 | Professional | None (both parts) | $120.23 | $128.82 | $371.54 |
UPMC Health Plan Setting Facility Modifier None Typical Low $97.72 Median $229.09 Typical High $398.11 | Facility | None | $97.72 | $229.09 | $398.11 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $97.72 Median $97.72 Typical High $186.21 | Professional | None (both parts) | $97.72 | $97.72 | $186.21 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $26.92 Typical High $26.92 | Professional | 26 · Professional part | $23.99 | $26.92 | $26.92 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $70.79 Typical High $162.18 | Professional | TC · Technical part | $70.79 | $70.79 | $162.18 |
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 $151.36 Median $204.17 Typical High $371.54 | Professional | None (both parts) | $151.36 | $204.17 | $371.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $29.51 Typical High $47.86 | Professional | 26 · Professional part | $22.91 | $29.51 | $47.86 |
United Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $177.83 Typical High $323.59 | Professional | TC · Technical part | $134.90 | $177.83 | $323.59 |
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 $81.28 Median $87.10 Typical High $102.33 | Professional | 52 · Reduced service | $81.28 | $87.10 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $34.67 Typical High $40.74 | Professional | 53 · Discontinued | $33.11 | $34.67 | $40.74 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $131.83 Median $138.04 Typical High $162.18 | Professional | FX · Film X-ray | $131.83 | $138.04 | $162.18 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $81.28 Median $87.10 Typical High $102.33 | Professional | 52 · Reduced service | $81.28 | $87.10 | $102.33 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $34.67 Typical High $40.74 | Professional | 53 · Discontinued | $33.11 | $34.67 | $40.74 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $131.83 Median $138.04 Typical High $162.18 | Professional | FX · Film X-ray | $131.83 | $138.04 | $162.18 |
Where Pennsylvania sits
The same service costs 5.5 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· 42nd of 51
$186
AK $759KY $138
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.