How much rates vary
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 $169.82 Median $338.84 Typical High $588.84 | Facility | None | $169.82 | $338.84 | $588.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $147.91 Typical High $169.82 | Professional | None (both parts) | $141.25 | $147.91 | $169.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $40.74 Typical High $45.71 | Professional | 26 · Professional part | $38.90 | $40.74 | $45.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $107.15 Typical High $125.89 | Professional | TC · Technical part | $102.33 | $107.15 | $125.89 |
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 $912.01 Median $1,122.02 Typical High $5,011.87 | Facility | TC · Technical part | $912.01 | $1,122.02 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $154.88 Median $162.18 Typical High $416.87 | Professional | None (both parts) | $154.88 | $162.18 | $416.87 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $46.77 Typical High $114.82 | Professional | 26 · Professional part | $44.67 | $46.77 | $114.82 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $114.82 Typical High $302.00 | Professional | TC · Technical part | $112.20 | $114.82 | $302.00 |
Cigna Setting Facility Modifier None Typical Low $204.17 Median $602.56 Typical High $1,621.81 | Facility | None | $204.17 | $602.56 | $1,621.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $204.17 Typical High $346.74 | Professional | None (both parts) | $131.83 | $204.17 | $346.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $52.48 Typical High $89.13 | Professional | 26 · Professional part | $32.36 | $52.48 | $89.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $144.54 Typical High $263.03 | Professional | TC · Technical part | $95.50 | $144.54 | $263.03 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $275.42 Median $275.42 Typical High $275.42 | Professional | None (both parts) | $275.42 | $275.42 | $275.42 |
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 $173.78 Median $229.09 Typical High $371.54 | Professional | None (both parts) | $173.78 | $229.09 | $371.54 |
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 $128.82 Median $165.96 Typical High $275.42 | Professional | TC · Technical part | $128.82 | $165.96 | $275.42 |
Martin's Point Setting Facility Modifier None Typical Low $169.82 Median $338.84 Typical High $588.84 | Facility | None | $169.82 | $338.84 | $588.84 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $141.25 Median $147.91 Typical High $169.82 | Professional | None (both parts) | $141.25 | $147.91 | $169.82 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $40.74 Typical High $44.67 | Professional | 26 · Professional part | $38.90 | $40.74 | $44.67 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $107.15 Typical High $125.89 | Professional | TC · Technical part | $102.33 | $107.15 | $125.89 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $316.23 Median $338.84 Typical High $512.86 | Professional | None (both parts) | $316.23 | $338.84 | $512.86 |
UPMC Health Plan Setting Facility Modifier None Typical Low $158.49 Median $467.74 Typical High $977.24 | Facility | None | $158.49 | $467.74 | $977.24 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $158.49 Median $251.19 Typical High $251.19 | Professional | None (both parts) | $158.49 | $251.19 | $251.19 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $53.70 Typical High $53.70 | Professional | 26 · Professional part | $45.71 | $53.70 | $53.70 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $199.53 Typical High $199.53 | Professional | TC · Technical part | $114.82 | $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 $154.88 Median $223.87 Typical High $338.84 | Professional | None (both parts) | $154.88 | $223.87 | $338.84 |
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 $112.20 Median $162.18 Typical High $257.04 | Professional | TC · Technical part | $112.20 | $162.18 | $257.04 |
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 $85.11 | Professional | 52 · Reduced service | $70.79 | $74.13 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $29.51 Typical High $33.88 | Professional | 53 · Discontinued | $28.18 | $29.51 | $33.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $112.20 Median $117.49 Typical High $138.04 | Professional | FX · Film X-ray | $112.20 | $117.49 | $138.04 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $70.79 Median $74.13 Typical High $85.11 | Professional | 52 · Reduced service | $70.79 | $74.13 | $85.11 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $29.51 Typical High $33.88 | Professional | 53 · Discontinued | $28.18 | $29.51 | $33.88 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $112.20 Median $117.49 Typical High $138.04 | Professional | FX · Film X-ray | $112.20 | $117.49 | $138.04 |
Where Pennsylvania sits
The same service costs 4.8 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
$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.