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 $281.84 Median $1,148.15 Typical High $2,754.23 | Facility | None | $281.84 | $1,148.15 | $2,754.23 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $223.87 Median $263.03 Typical High $954.99 | Facility | TC · Technical part | $223.87 | $263.03 | $954.99 |
Aetna Setting Professional Modifier None (both parts) Typical Low $263.03 Median $323.59 Typical High $512.86 | Professional | None (both parts) | $263.03 | $323.59 | $512.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $61.66 Typical High $97.72 | Professional | 26 · Professional part | $53.70 | $61.66 | $97.72 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $263.03 Typical High $407.38 | Professional | TC · Technical part | $208.93 | $263.03 | $407.38 |
AmeriHealth Setting Facility Modifier None Typical Low $741.31 Median $5,128.61 Typical High $8,709.64 | Facility | None | $741.31 | $5,128.61 | $8,709.64 |
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 $812.83 Median $1,000.00 Typical High $5,011.87 | Facility | TC · Technical part | $812.83 | $1,000.00 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $295.12 Median $309.03 Typical High $812.83 | Professional | None (both parts) | $295.12 | $309.03 | $812.83 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $66.07 Typical High $162.18 | Professional | 26 · Professional part | $63.10 | $66.07 | $162.18 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $239.88 Typical High $645.65 | Professional | TC · Technical part | $229.09 | $239.88 | $645.65 |
Cigna Setting Facility Modifier None Typical Low $426.58 Median $1,174.90 Typical High $4,365.16 | Facility | None | $426.58 | $1,174.90 | $4,365.16 |
Cigna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $346.74 Typical High $616.60 | Professional | None (both parts) | $218.78 | $346.74 | $616.60 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $70.79 Typical High $125.89 | Professional | 26 · Professional part | $43.65 | $70.79 | $125.89 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $275.42 Typical High $501.19 | Professional | TC · Technical part | $173.78 | $275.42 | $501.19 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $537.03 Median $537.03 Typical High $537.03 | Professional | None (both parts) | $537.03 | $537.03 | $537.03 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $331.13 Median $416.87 Typical High $707.95 | Professional | None (both parts) | $331.13 | $416.87 | $707.95 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $95.50 Typical High $138.04 | Professional | 26 · Professional part | $67.61 | $95.50 | $138.04 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $323.59 Typical High $549.54 | Professional | TC · Technical part | $257.04 | $323.59 | $549.54 |
Highmark BCBS Setting Facility Modifier None Typical Low $812.83 Median $2,570.40 Typical High $6,025.60 | Facility | None | $812.83 | $2,570.40 | $6,025.60 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $69.18 Typical High $107.15 | Professional | 26 · Professional part | $69.18 | $69.18 | $107.15 |
Independence Blue Cross Setting Facility Modifier None Typical Low $707.95 Median $4,073.80 Typical High $8,709.64 | Facility | None | $707.95 | $4,073.80 | $8,709.64 |
Martin's Point Setting Facility Modifier None Typical Low $281.84 Median $676.08 Typical High $2,754.23 | Facility | None | $281.84 | $676.08 | $2,754.23 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $263.03 Median $323.59 Typical High $537.03 | Professional | None (both parts) | $263.03 | $323.59 | $537.03 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $61.66 Typical High $107.15 | Professional | 26 · Professional part | $53.70 | $61.66 | $107.15 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $263.03 Typical High $426.58 | Professional | TC · Technical part | $208.93 | $263.03 | $426.58 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $257.04 Median $257.04 Typical High $275.42 | Professional | None (both parts) | $257.04 | $257.04 | $275.42 |
UPMC Health Plan Setting Facility Modifier None Typical Low $302.00 Median $831.76 Typical High $1,862.09 | Facility | None | $302.00 | $831.76 | $1,862.09 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $302.00 Median $371.54 Typical High $371.54 | Professional | None (both parts) | $302.00 | $371.54 | $371.54 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $114.82 Typical High $114.82 | Professional | 26 · Professional part | $63.10 | $114.82 | $114.82 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $251.19 Typical High $251.19 | Professional | TC · Technical part | $239.88 | $251.19 | $251.19 |
United Setting Facility Modifier None Typical Low $1,778.28 Median $3,801.89 Typical High $4,365.16 | Facility | None | $1,778.28 | $3,801.89 | $4,365.16 |
United Setting Professional Modifier None (both parts) Typical Low $295.12 Median $426.58 Typical High $645.65 | Professional | None (both parts) | $295.12 | $426.58 | $645.65 |
United Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $85.11 Typical High $131.83 | Professional | 26 · Professional part | $60.26 | $85.11 | $131.83 |
United Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $323.59 Typical High $512.86 | Professional | TC · Technical part | $234.42 | $323.59 | $512.86 |
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 $213.80 Median $223.87 Typical High $263.03 | Professional | FX · Film X-ray | $213.80 | $223.87 | $263.03 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $213.80 Median $223.87 Typical High $263.03 | Professional | FX · Film X-ray | $213.80 | $223.87 | $263.03 |
Where Pennsylvania sits
The same service costs 3.6 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· 38th of 51
$363
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.