How much rates vary
Facilitymedian $741 · 10th to 90th $214 to $1,820Professionalmedian $214 · 10th to 90th $174 to $407
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 $213.80 Median $436.52 Typical High $758.58 | Facility | None | $213.80 | $436.52 | $758.58 |
Aetna Setting Professional Modifier None (both parts) Typical Low $173.78 Median $181.97 Typical High $213.80 | Professional | None (both parts) | $173.78 | $181.97 | $213.80 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $38.90 Typical High $42.66 | Professional | 26 · Professional part | $36.31 | $38.90 | $42.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $144.54 Typical High $169.82 | Professional | TC · Technical part | $138.04 | $144.54 | $169.82 |
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 $1,096.48 Median $1,318.26 Typical High $5,011.87 | Facility | TC · Technical part | $1,096.48 | $1,318.26 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $194.98 Median $204.17 Typical High $537.03 | Professional | None (both parts) | $194.98 | $204.17 | $537.03 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $44.67 Typical High $109.65 | Professional | 26 · Professional part | $42.66 | $44.67 | $109.65 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $158.49 Typical High $436.52 | Professional | TC · Technical part | $154.88 | $158.49 | $436.52 |
Cigna Setting Facility Modifier None Typical Low $269.15 Median $776.25 Typical High $1,737.80 | Facility | None | $269.15 | $776.25 | $1,737.80 |
Cigna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $257.04 Typical High $416.87 | Professional | None (both parts) | $162.18 | $257.04 | $416.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $47.86 Typical High $85.11 | Professional | 26 · Professional part | $30.20 | $47.86 | $85.11 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $199.53 Typical High $331.13 | Professional | TC · Technical part | $128.82 | $199.53 | $331.13 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | None (both parts) | $346.74 | $346.74 | $346.74 |
Geisinger Setting Facility Modifier None Typical Low $309.03 Median $309.03 Typical High $309.03 | Facility | None | $309.03 | $309.03 | $309.03 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $190.55 Median $269.15 Typical High $416.87 | Professional | None (both parts) | $190.55 | $269.15 | $416.87 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $57.54 Typical High $85.11 | Professional | 26 · Professional part | $40.74 | $57.54 | $85.11 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $208.93 Typical High $331.13 | Professional | TC · Technical part | $151.36 | $208.93 | $331.13 |
Highmark BCBS Setting Facility Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,174.90 | Facility | None | $1,174.90 | $1,174.90 | $1,174.90 |
Martin's Point Setting Facility Modifier None Typical Low $213.80 Median $436.52 Typical High $758.58 | Facility | None | $213.80 | $436.52 | $758.58 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $173.78 Median $181.97 Typical High $213.80 | Professional | None (both parts) | $173.78 | $181.97 | $213.80 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $38.90 Typical High $41.69 | Professional | 26 · Professional part | $36.31 | $38.90 | $41.69 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $144.54 Typical High $169.82 | Professional | TC · Technical part | $138.04 | $144.54 | $169.82 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $309.03 Median $331.13 Typical High $588.84 | Professional | None (both parts) | $309.03 | $331.13 | $588.84 |
UPMC Health Plan Setting Facility Modifier None Typical Low $199.53 Median $457.09 Typical High $954.99 | Facility | None | $199.53 | $457.09 | $954.99 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $199.53 Median $251.19 Typical High $251.19 | Professional | None (both parts) | $199.53 | $251.19 | $251.19 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $50.12 Typical High $50.12 | Professional | 26 · Professional part | $42.66 | $50.12 | $50.12 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $199.53 Typical High $199.53 | Professional | TC · Technical part | $158.49 | $199.53 | $199.53 |
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 $194.98 Median $257.04 Typical High $426.58 | Professional | None (both parts) | $194.98 | $257.04 | $426.58 |
United Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $53.70 Typical High $85.11 | Professional | 26 · Professional part | $40.74 | $53.70 | $85.11 |
United Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $208.93 Typical High $338.84 | Professional | TC · Technical part | $154.88 | $208.93 | $338.84 |
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 $87.10 Median $91.20 Typical High $107.15 | Professional | 52 · Reduced service | $87.10 | $91.20 | $107.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $36.31 Typical High $42.66 | Professional | 53 · Discontinued | $34.67 | $36.31 | $42.66 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $138.04 Median $147.91 Typical High $169.82 | Professional | FX · Film X-ray | $138.04 | $147.91 | $169.82 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $87.10 Median $91.20 Typical High $107.15 | Professional | 52 · Reduced service | $87.10 | $91.20 | $107.15 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $36.31 Typical High $42.66 | Professional | 53 · Discontinued | $34.67 | $36.31 | $42.66 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $138.04 Median $147.91 Typical High $169.82 | Professional | FX · Film X-ray | $138.04 | $147.91 | $169.82 |
Where Pennsylvania sits
The same service costs 4.6 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· 46th of 51
$224
AK $832TX $182
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.