How much rates vary
Facilitymedian $575 · 10th to 90th $182 to $1,820Professionalmedian $186 · 10th to 90th $155 to $355
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 $190.55 Median $380.19 Typical High $660.69 | Facility | None | $190.55 | $380.19 | $660.69 |
Aetna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $162.18 Typical High $190.55 | Professional | None (both parts) | $154.88 | $162.18 | $190.55 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $33.88 Typical High $36.31 | Professional | 26 · Professional part | $31.62 | $33.88 | $36.31 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $128.82 Typical High $151.36 | Professional | TC · Technical part | $123.03 | $128.82 | $151.36 |
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 $954.99 Median $1,148.15 Typical High $5,011.87 | Facility | TC · Technical part | $954.99 | $1,148.15 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $173.78 Median $181.97 Typical High $467.74 | Professional | None (both parts) | $173.78 | $181.97 | $467.74 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $38.90 Typical High $95.50 | Professional | 26 · Professional part | $37.15 | $38.90 | $95.50 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $141.25 Typical High $371.54 | Professional | TC · Technical part | $138.04 | $141.25 | $371.54 |
Cigna Setting Facility Modifier None Typical Low $239.88 Median $691.83 Typical High $1,621.81 | Facility | None | $239.88 | $691.83 | $1,621.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $213.80 Typical High $354.81 | Professional | None (both parts) | $144.54 | $213.80 | $354.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $41.69 Typical High $74.13 | Professional | 26 · Professional part | $26.30 | $41.69 | $74.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $169.82 Typical High $288.40 | Professional | TC · Technical part | $114.82 | $169.82 | $288.40 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $316.23 Median $316.23 Typical High $316.23 | Professional | None (both parts) | $316.23 | $316.23 | $316.23 |
Geisinger Setting Facility Modifier None Typical Low $213.80 Median $213.80 Typical High $213.80 | Facility | None | $213.80 | $213.80 | $213.80 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $158.49 Median $239.88 Typical High $363.08 | Professional | None (both parts) | $158.49 | $239.88 | $363.08 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $50.12 Typical High $74.13 | Professional | 26 · Professional part | $35.48 | $50.12 | $74.13 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $186.21 Typical High $275.42 | Professional | TC · Technical part | $117.49 | $186.21 | $275.42 |
Martin's Point Setting Facility Modifier None Typical Low $190.55 Median $380.19 Typical High $660.69 | Facility | None | $190.55 | $380.19 | $660.69 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $154.88 Median $162.18 Typical High $190.55 | Professional | None (both parts) | $154.88 | $162.18 | $190.55 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $33.88 Typical High $36.31 | Professional | 26 · Professional part | $31.62 | $33.88 | $36.31 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $128.82 Typical High $151.36 | Professional | TC · Technical part | $123.03 | $128.82 | $151.36 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $229.09 Median $245.47 Typical High $512.86 | Professional | None (both parts) | $229.09 | $245.47 | $512.86 |
UPMC Health Plan Setting Facility Modifier None Typical Low $173.78 Median $389.05 Typical High $707.95 | Facility | None | $173.78 | $389.05 | $707.95 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $173.78 Median $181.97 Typical High $181.97 | Professional | None (both parts) | $173.78 | $181.97 | $181.97 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $42.66 Typical High $42.66 | Professional | 26 · Professional part | $36.31 | $42.66 | $42.66 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $141.25 Typical High $141.25 | Professional | TC · Technical part | $138.04 | $141.25 | $141.25 |
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 $169.82 Median $218.78 Typical High $371.54 | Professional | None (both parts) | $169.82 | $218.78 | $371.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $46.77 Typical High $74.13 | Professional | 26 · Professional part | $35.48 | $46.77 | $74.13 |
United Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $177.83 Typical High $295.12 | Professional | TC · Technical part | $134.90 | $177.83 | $295.12 |
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 $77.62 Median $81.28 Typical High $95.50 | Professional | 52 · Reduced service | $77.62 | $81.28 | $95.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $32.36 Typical High $38.02 | Professional | 53 · Discontinued | $30.90 | $32.36 | $38.02 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $123.03 Median $131.83 Typical High $151.36 | Professional | FX · Film X-ray | $123.03 | $131.83 | $151.36 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $77.62 Median $81.28 Typical High $95.50 | Professional | 52 · Reduced service | $77.62 | $81.28 | $95.50 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $32.36 Typical High $38.02 | Professional | 53 · Discontinued | $30.90 | $32.36 | $38.02 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $123.03 Median $131.83 Typical High $151.36 | Professional | FX · Film X-ray | $123.03 | $131.83 | $151.36 |
Where Pennsylvania sits
The same service costs 4.7 times more in Alaska 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
$191
AK $741TX $158
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.