How much rates vary
Facilitymedian $562 · 10th to 90th $151 to $1,820Professionalmedian $170 · 10th to 90th $135 to $324
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 $173.78 Median $380.19 Typical High $645.65 | Facility | None | $173.78 | $380.19 | $645.65 |
Aetna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $151.36 Typical High $173.78 | Professional | None (both parts) | $141.25 | $151.36 | $173.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $32.36 Typical High $36.31 | Professional | 26 · Professional part | $30.90 | $32.36 | $36.31 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $117.49 Typical High $138.04 | Professional | TC · Technical part | $109.65 | $117.49 | $138.04 |
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 $776.25 Median $933.25 Typical High $5,011.87 | Facility | TC · Technical part | $776.25 | $933.25 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $151.36 Median $154.88 Typical High $416.87 | Professional | None (both parts) | $151.36 | $154.88 | $416.87 |
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 $114.82 Median $120.23 Typical High $331.13 | Professional | TC · Technical part | $114.82 | $120.23 | $331.13 |
Cigna Setting Facility Modifier None Typical Low $169.82 Median $562.34 Typical High $1,737.80 | Facility | None | $169.82 | $562.34 | $1,737.80 |
Cigna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $186.21 Typical High $338.84 | Professional | None (both parts) | $117.49 | $186.21 | $338.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $39.81 Typical High $70.79 | Professional | 26 · Professional part | $25.70 | $39.81 | $70.79 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $147.91 Typical High $263.03 | Professional | TC · Technical part | $93.33 | $147.91 | $263.03 |
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 $158.49 Median $158.49 Typical High $158.49 | Facility | None | $158.49 | $158.49 | $158.49 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $123.03 Median $194.98 Typical High $281.84 | Professional | None (both parts) | $123.03 | $194.98 | $281.84 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $46.77 Typical High $70.79 | Professional | 26 · Professional part | $33.11 | $46.77 | $70.79 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $151.36 Typical High $218.78 | Professional | TC · Technical part | $87.10 | $151.36 | $218.78 |
Martin's Point Setting Facility Modifier None Typical Low $173.78 Median $380.19 Typical High $645.65 | Facility | None | $173.78 | $380.19 | $645.65 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $141.25 Median $151.36 Typical High $173.78 | Professional | None (both parts) | $141.25 | $151.36 | $173.78 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $32.36 Typical High $35.48 | Professional | 26 · Professional part | $30.90 | $32.36 | $35.48 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $117.49 Typical High $138.04 | Professional | TC · Technical part | $109.65 | $117.49 | $138.04 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $177.83 Median $190.55 Typical High $426.58 | Professional | None (both parts) | $177.83 | $190.55 | $426.58 |
UPMC Health Plan Setting Facility Modifier None Typical Low $144.54 Median $354.81 Typical High $741.31 | Facility | None | $144.54 | $354.81 | $741.31 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $144.54 Median $144.54 Typical High $151.36 | Professional | None (both parts) | $144.54 | $144.54 | $151.36 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $41.69 Typical High $41.69 | Professional | 26 · Professional part | $35.48 | $41.69 | $41.69 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $102.33 Typical High $114.82 | Professional | TC · Technical part | $102.33 | $102.33 | $114.82 |
United Setting Facility Modifier None Typical Low $741.31 Median $1,584.89 Typical High $1,819.70 | Facility | None | $741.31 | $1,584.89 | $1,819.70 |
United Setting Professional Modifier None (both parts) Typical Low $147.91 Median $199.53 Typical High $338.84 | Professional | None (both parts) | $147.91 | $199.53 | $338.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $43.65 Typical High $70.79 | Professional | 26 · Professional part | $33.88 | $43.65 | $70.79 |
United Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $162.18 Typical High $263.03 | Professional | TC · Technical part | $120.23 | $162.18 | $263.03 |
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 $70.79 Median $74.13 Typical High $87.10 | Professional | 52 · Reduced service | $70.79 | $74.13 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $30.20 Typical High $34.67 | Professional | 53 · Discontinued | $28.18 | $30.20 | $34.67 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $112.20 Median $120.23 Typical High $138.04 | Professional | FX · Film X-ray | $112.20 | $120.23 | $138.04 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $70.79 Median $74.13 Typical High $87.10 | Professional | 52 · Reduced service | $70.79 | $74.13 | $87.10 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $30.20 Typical High $34.67 | Professional | 53 · Discontinued | $28.18 | $30.20 | $34.67 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $112.20 Median $120.23 Typical High $138.04 | Professional | FX · Film X-ray | $112.20 | $120.23 | $138.04 |
Where Pennsylvania sits
The same service costs 4.8 times more in Alabama than in Texas. 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· 45th of 51
$174
AL $661TX $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.