How much rates vary
Facilitymedian $776 · 10th to 90th $234 to $1,820Professionalmedian $234 · 10th to 90th $191 to $457
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 $234.42 Median $467.74 Typical High $812.83 | Facility | None | $234.42 | $467.74 | $812.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $204.17 Typical High $234.42 | Professional | None (both parts) | $190.55 | $204.17 | $234.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $61.66 Typical High $67.61 | Professional | 26 · Professional part | $58.88 | $61.66 | $67.61 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $141.25 Typical High $165.96 | Professional | TC · Technical part | $131.83 | $141.25 | $165.96 |
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 $1,258.93 Median $1,548.82 Typical High $5,011.87 | Facility | TC · Technical part | $1,258.93 | $1,548.82 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $208.93 Median $218.78 Typical High $575.44 | Professional | None (both parts) | $208.93 | $218.78 | $575.44 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $70.79 Typical High $173.78 | Professional | 26 · Professional part | $67.61 | $70.79 | $173.78 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $147.91 Typical High $407.38 | Professional | TC · Technical part | $144.54 | $147.91 | $407.38 |
Cigna Setting Facility Modifier None Typical Low $257.04 Median $758.58 Typical High $1,621.81 | Facility | None | $257.04 | $758.58 | $1,621.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $275.42 Typical High $489.78 | Professional | None (both parts) | $177.83 | $275.42 | $489.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $79.43 Typical High $134.90 | Professional | 26 · Professional part | $47.86 | $79.43 | $134.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $190.55 Typical High $346.74 | Professional | TC · Technical part | $123.03 | $190.55 | $346.74 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $371.54 Median $371.54 Typical High $371.54 | Professional | None (both parts) | $371.54 | $371.54 | $371.54 |
Geisinger Setting Facility Modifier None Typical Low $467.74 Median $467.74 Typical High $467.74 | Facility | None | $467.74 | $467.74 | $467.74 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $245.47 Median $316.23 Typical High $489.78 | Professional | None (both parts) | $245.47 | $316.23 | $489.78 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $91.20 Typical High $134.90 | Professional | 26 · Professional part | $66.07 | $91.20 | $134.90 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $229.09 Typical High $354.81 | Professional | TC · Technical part | $165.96 | $229.09 | $354.81 |
Martin's Point Setting Facility Modifier None Typical Low $234.42 Median $467.74 Typical High $812.83 | Facility | None | $234.42 | $467.74 | $812.83 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $190.55 Median $204.17 Typical High $234.42 | Professional | None (both parts) | $190.55 | $204.17 | $234.42 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $61.66 Typical High $67.61 | Professional | 26 · Professional part | $58.88 | $61.66 | $67.61 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $141.25 Typical High $165.96 | Professional | TC · Technical part | $131.83 | $141.25 | $165.96 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $467.74 Median $501.19 Typical High $724.44 | Professional | None (both parts) | $467.74 | $501.19 | $724.44 |
UPMC Health Plan Setting Facility Modifier None Typical Low $213.80 Median $691.83 Typical High $1,445.44 | Facility | None | $213.80 | $691.83 | $1,445.44 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $213.80 Median $389.05 Typical High $389.05 | Professional | None (both parts) | $213.80 | $389.05 | $389.05 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $77.62 Typical High $77.62 | Professional | 26 · Professional part | $67.61 | $77.62 | $77.62 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $309.03 Typical High $309.03 | Professional | TC · Technical part | $147.91 | $309.03 | $309.03 |
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 $213.80 Median $316.23 Typical High $467.74 | Professional | None (both parts) | $213.80 | $316.23 | $467.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $85.11 Typical High $134.90 | Professional | 26 · Professional part | $64.57 | $85.11 | $134.90 |
United Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $213.80 Typical High $346.74 | Professional | TC · Technical part | $147.91 | $213.80 | $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 $95.50 Median $102.33 Typical High $117.49 | Professional | 52 · Reduced service | $95.50 | $102.33 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $40.74 Typical High $46.77 | Professional | 53 · Discontinued | $38.02 | $40.74 | $46.77 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $151.36 Median $162.18 Typical High $186.21 | Professional | FX · Film X-ray | $151.36 | $162.18 | $186.21 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $95.50 Median $102.33 Typical High $117.49 | Professional | 52 · Reduced service | $95.50 | $102.33 | $117.49 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $40.74 Typical High $46.77 | Professional | 53 · Discontinued | $38.02 | $40.74 | $46.77 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $151.36 Median $162.18 Typical High $186.21 | Professional | FX · Film X-ray | $151.36 | $162.18 | $186.21 |
Where Pennsylvania sits
The same service costs 5.0 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
$251
AK $891TX $178
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.