How much rates vary
Facilitymedian $2,570 · 10th to 90th $1,000 to $5,888Professionalmedian $1,000 · 10th to 90th $355 to $2,239
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 $1,000.00 Median $3,311.31 Typical High $6,760.83 | Facility | None | $1,000.00 | $3,311.31 | $6,760.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,000.00 Median $1,000.00 Typical High $1,348.96 | Professional | None (both parts) | $1,000.00 | $1,000.00 | $1,348.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $125.89 Typical High $125.89 | Professional | 26 · Professional part | $114.82 | $125.89 | $125.89 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $870.96 Median $870.96 Typical High $1,174.90 | Professional | TC · Technical part | $870.96 | $870.96 | $1,174.90 |
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 $5,011.87 Median $7,413.10 Typical High $8,709.64 | Facility | TC · Technical part | $5,011.87 | $7,413.10 | $8,709.64 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $1,348.96 Median $1,412.54 Typical High $2,754.23 | Professional | None (both parts) | $1,348.96 | $1,412.54 | $2,754.23 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $75.86 Typical High $169.82 | Professional | 26 · Professional part | $72.44 | $75.86 | $169.82 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $1,288.25 Median $1,318.26 Typical High $2,570.40 | Professional | TC · Technical part | $1,288.25 | $1,318.26 | $2,570.40 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $1,445.44 Typical High $4,365.16 | Facility | None | $501.19 | $1,445.44 | $4,365.16 |
Cigna Setting Professional Modifier None (both parts) Typical Low $204.17 Median $407.38 Typical High $831.76 | Professional | None (both parts) | $204.17 | $407.38 | $831.76 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $79.43 Typical High $144.54 | Professional | 26 · Professional part | $50.12 | $79.43 | $144.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $331.13 Typical High $660.69 | Professional | TC · Technical part | $128.82 | $331.13 | $660.69 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $1,995.26 Median $1,995.26 Typical High $1,995.26 | Professional | None (both parts) | $1,995.26 | $1,995.26 | $1,995.26 |
Geisinger Setting Facility Modifier None Typical Low $1,174.90 Median $1,995.26 Typical High $3,235.94 | Facility | None | $1,174.90 | $1,995.26 | $3,235.94 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $602.56 Median $1,148.15 Typical High $2,238.72 | Professional | None (both parts) | $602.56 | $1,148.15 | $2,238.72 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $95.50 Typical High $138.04 | Professional | 26 · Professional part | $69.18 | $95.50 | $138.04 |
Highmark BCBS Setting Facility Modifier None Typical Low $3,162.28 Median $3,162.28 Typical High $6,025.60 | Facility | None | $3,162.28 | $3,162.28 | $6,025.60 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | 26 · Professional part | $83.18 | $83.18 | $83.18 |
Martin's Point Setting Facility Modifier None Typical Low $1,000.00 Median $3,311.31 Typical High $7,413.10 | Facility | None | $1,000.00 | $3,311.31 | $7,413.10 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $1,000.00 Median $1,000.00 Typical High $1,288.25 | Professional | None (both parts) | $1,000.00 | $1,000.00 | $1,288.25 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | 26 · Professional part | $125.89 | $125.89 | $125.89 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $870.96 Median $870.96 Typical High $870.96 | Professional | TC · Technical part | $870.96 | $870.96 | $870.96 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $602.56 Median $602.56 Typical High $602.56 | Professional | None (both parts) | $602.56 | $602.56 | $602.56 |
UPMC Health Plan Setting Facility Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $3,630.78 | Facility | None | $1,318.26 | $1,318.26 | $3,630.78 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $1,318.26 Median $1,318.26 Typical High $1,318.26 | Professional | None (both parts) | $1,318.26 | $1,318.26 | $1,318.26 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $158.49 Typical High $158.49 | Professional | 26 · Professional part | $70.79 | $158.49 | $158.49 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $630.96 Median $1,174.90 Typical High $1,258.93 | Professional | TC · Technical part | $630.96 | $1,174.90 | $1,258.93 |
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 $1,071.52 Median $1,659.59 Typical High $2,511.89 | Professional | None (both parts) | $1,071.52 | $1,659.59 | $2,511.89 |
United Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $91.20 Typical High $144.54 | Professional | 26 · Professional part | $64.57 | $91.20 | $144.54 |
United Setting Professional Modifier TC · Technical part Typical Low $1,023.29 Median $1,445.44 Typical High $2,344.23 | Professional | TC · Technical part | $1,023.29 | $1,445.44 | $2,344.23 |
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 $501.19 Median $501.19 Typical High $501.19 | Professional | 52 · Reduced service | $501.19 | $501.19 | $501.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | 53 · Discontinued | $199.53 | $199.53 | $199.53 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $794.33 Median $794.33 Typical High $794.33 | Professional | FX · Film X-ray | $794.33 | $794.33 | $794.33 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | 52 · Reduced service | $501.19 | $501.19 | $501.19 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | 53 · Discontinued | $199.53 | $199.53 | $199.53 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $794.33 Median $794.33 Typical High $794.33 | Professional | FX · Film X-ray | $794.33 | $794.33 | $794.33 |
Where Pennsylvania sits
The same service costs 4.4 times more in Nebraska than in Washington. 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
$1,072
NE $2,512WA $575
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.