How much rates vary
Facilitymedian $759 · 10th to 90th $219 to $1,413Professionalmedian $224 · 10th to 90th $178 to $417
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 $199.53 Median $446.68 Typical High $870.96 | Facility | None | $199.53 | $446.68 | $870.96 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $147.91 Median $173.78 Typical High $630.96 | Facility | TC · Technical part | $147.91 | $173.78 | $630.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $218.78 Typical High $288.40 | Professional | None (both parts) | $177.83 | $218.78 | $288.40 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $44.67 Typical High $61.66 | Professional | 26 · Professional part | $38.90 | $44.67 | $61.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $173.78 Typical High $229.09 | Professional | TC · Technical part | $141.25 | $173.78 | $229.09 |
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 $1,348.96 Typical High $5,011.87 | Facility | TC · Technical part | $1,096.48 | $1,348.96 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $199.53 Median $208.93 Typical High $549.54 | Professional | None (both parts) | $199.53 | $208.93 | $549.54 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $46.77 Typical High $117.49 | Professional | 26 · Professional part | $45.71 | $46.77 | $117.49 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $158.49 Typical High $426.58 | Professional | TC · Technical part | $154.88 | $158.49 | $426.58 |
Cigna Setting Facility Modifier None Typical Low $275.42 Median $741.31 Typical High $1,258.93 | Facility | None | $275.42 | $741.31 | $1,258.93 |
Cigna Setting Professional Modifier None (both parts) Typical Low $165.96 Median $257.04 Typical High $426.58 | Professional | None (both parts) | $165.96 | $257.04 | $426.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $51.29 Typical High $89.13 | Professional | 26 · Professional part | $32.36 | $51.29 | $89.13 |
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 $354.81 Median $354.81 Typical High $354.81 | Professional | None (both parts) | $354.81 | $354.81 | $354.81 |
Geisinger Setting Facility Modifier None Typical Low $323.59 Median $323.59 Typical High $407.38 | Facility | None | $323.59 | $323.59 | $407.38 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $199.53 Median $275.42 Typical High $426.58 | Professional | None (both parts) | $199.53 | $275.42 | $426.58 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $60.26 Typical High $89.13 | Professional | 26 · Professional part | $43.65 | $60.26 | $89.13 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $208.93 Typical High $338.84 | Professional | TC · Technical part | $158.49 | $208.93 | $338.84 |
Highmark BCBS Setting Facility Modifier None Typical Low $776.25 Median $977.24 Typical High $2,238.72 | Facility | None | $776.25 | $977.24 | $2,238.72 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $48.98 Typical High $48.98 | Professional | 26 · Professional part | $48.98 | $48.98 | $48.98 |
Martin's Point Setting Facility Modifier None Typical Low $199.53 Median $446.68 Typical High $870.96 | Facility | None | $199.53 | $446.68 | $870.96 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $177.83 Median $218.78 Typical High $281.84 | Professional | None (both parts) | $177.83 | $218.78 | $281.84 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $44.67 Typical High $51.29 | Professional | 26 · Professional part | $38.90 | $44.67 | $51.29 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $173.78 Typical High $229.09 | Professional | TC · Technical part | $141.25 | $173.78 | $229.09 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $331.13 Median $354.81 Typical High $588.84 | Professional | None (both parts) | $331.13 | $354.81 | $588.84 |
UPMC Health Plan Setting Facility Modifier None Typical Low $204.17 Median $489.78 Typical High $1,023.29 | Facility | None | $204.17 | $489.78 | $1,023.29 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $204.17 Median $263.03 Typical High $263.03 | Professional | None (both parts) | $204.17 | $263.03 | $263.03 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $53.70 Typical High $53.70 | Professional | 26 · Professional part | $44.67 | $53.70 | $53.70 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $213.80 Typical High $213.80 | Professional | TC · Technical part | $158.49 | $213.80 | $213.80 |
United Setting Facility Modifier None Typical Low $549.54 Median $1,174.90 Typical High $1,348.96 | Facility | None | $549.54 | $1,174.90 | $1,348.96 |
United Setting Professional Modifier None (both parts) Typical Low $199.53 Median $263.03 Typical High $436.52 | Professional | None (both parts) | $199.53 | $263.03 | $436.52 |
United Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $57.54 Typical High $91.20 | Professional | 26 · Professional part | $43.65 | $57.54 | $91.20 |
United Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $208.93 Typical High $346.74 | Professional | TC · Technical part | $154.88 | $208.93 | $346.74 |
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 $89.13 Median $95.50 Typical High $109.65 | Professional | 52 · Reduced service | $89.13 | $95.50 | $109.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $38.02 Typical High $43.65 | Professional | 53 · Discontinued | $35.48 | $38.02 | $43.65 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $141.25 Median $151.36 Typical High $173.78 | Professional | FX · Film X-ray | $141.25 | $151.36 | $173.78 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $89.13 Median $95.50 Typical High $109.65 | Professional | 52 · Reduced service | $89.13 | $95.50 | $109.65 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $38.02 Typical High $43.65 | Professional | 53 · Discontinued | $35.48 | $38.02 | $43.65 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $141.25 Median $151.36 Typical High $173.78 | Professional | FX · Film X-ray | $141.25 | $151.36 | $173.78 |
Where Pennsylvania sits
The same service costs 3.5 times more in Wisconsin 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· 43rd of 51
$240
WI $676TX $191
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.