How much rates vary
Facilitymedian $2,042 · 10th to 90th $1,072 to $5,623Professionalmedian $1,175 · 10th to 90th $437 to $2,455
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 $1,000.00 Median $3,311.31 Typical High $6,760.83 | Facility | None | $1,000.00 | $3,311.31 | $6,760.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,000.00 Median $1,000.00 Typical High $2,187.76 | Professional | None (both parts) | $1,000.00 | $1,000.00 | $2,187.76 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $125.89 Typical High $125.89 | Professional | 26 · Professional part | $95.50 | $125.89 | $125.89 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $870.96 Median $870.96 Typical High $1,819.70 | Professional | TC · Technical part | $870.96 | $870.96 | $1,819.70 |
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 $5,011.87 Median $7,413.10 Typical High $8,709.64 | Facility | TC · Technical part | $5,011.87 | $7,413.10 | $8,709.64 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $1,513.56 Median $1,584.89 Typical High $3,162.28 | Professional | None (both parts) | $1,513.56 | $1,584.89 | $3,162.28 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $87.10 Typical High $218.78 | Professional | 26 · Professional part | $83.18 | $87.10 | $218.78 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $1,445.44 Median $1,479.11 Typical High $2,951.21 | Professional | TC · Technical part | $1,445.44 | $1,479.11 | $2,951.21 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $1,819.70 Typical High $5,011.87 | Facility | None | $676.08 | $1,819.70 | $5,011.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $257.04 Median $549.54 Typical High $1,000.00 | Professional | None (both parts) | $257.04 | $549.54 | $1,000.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $97.72 Typical High $165.96 | Professional | 26 · Professional part | $61.66 | $97.72 | $165.96 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $457.09 Typical High $831.76 | Professional | TC · Technical part | $165.96 | $457.09 | $831.76 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $2,238.72 Median $2,238.72 Typical High $2,238.72 | Professional | None (both parts) | $2,238.72 | $2,238.72 | $2,238.72 |
Geisinger Setting Facility Modifier None Typical Low $1,202.26 Median $1,995.26 Typical High $3,235.94 | Facility | None | $1,202.26 | $1,995.26 | $3,235.94 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $691.83 Median $1,288.25 Typical High $2,137.96 | Professional | None (both parts) | $691.83 | $1,288.25 | $2,137.96 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $114.82 Typical High $173.78 | Professional | 26 · Professional part | $85.11 | $114.82 | $173.78 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $588.84 Median $1,202.26 Typical High $2,041.74 | Professional | TC · Technical part | $588.84 | $1,202.26 | $2,041.74 |
Highmark BCBS Setting Facility Modifier None Typical Low $5,248.07 Median $5,248.07 Typical High $5,248.07 | Facility | None | $5,248.07 | $5,248.07 | $5,248.07 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | 26 · Professional part | $123.03 | $123.03 | $123.03 |
Martin's Point Setting Facility Modifier None Typical Low $1,000.00 Median $3,311.31 Typical High $7,413.10 | Facility | None | $1,000.00 | $3,311.31 | $7,413.10 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $1,000.00 Median $1,000.00 Typical High $2,187.76 | Professional | None (both parts) | $1,000.00 | $1,000.00 | $2,187.76 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $125.89 Typical High $125.89 | Professional | 26 · Professional part | $95.50 | $125.89 | $125.89 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $870.96 Median $870.96 Typical High $1,819.70 | Professional | TC · Technical part | $870.96 | $870.96 | $1,819.70 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $389.05 Median $398.11 Typical High $758.58 | Professional | None (both parts) | $389.05 | $398.11 | $758.58 |
UPMC Health Plan Setting Facility Modifier None Typical Low $1,174.90 Median $1,819.70 Typical High $4,073.80 | Facility | None | $1,174.90 | $1,819.70 | $4,073.80 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $1,513.56 Median $1,819.70 Typical High $1,819.70 | Professional | None (both parts) | $1,513.56 | $1,819.70 | $1,819.70 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $112.20 Typical High $112.20 | Professional | 26 · Professional part | $83.18 | $112.20 | $112.20 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $630.96 Median $1,412.54 Typical High $1,698.24 | Professional | TC · Technical part | $630.96 | $1,412.54 | $1,698.24 |
United Setting Facility Modifier None Typical Low $1,949.84 Median $4,168.69 Typical High $4,786.30 | Facility | None | $1,949.84 | $4,168.69 | $4,786.30 |
United Setting Professional Modifier None (both parts) Typical Low $1,071.52 Median $1,584.89 Typical High $2,818.38 | Professional | None (both parts) | $1,071.52 | $1,584.89 | $2,818.38 |
United Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $109.65 Typical High $165.96 | Professional | 26 · Professional part | $74.13 | $109.65 | $165.96 |
United Setting Professional Modifier TC · Technical part Typical Low $977.24 Median $1,479.11 Typical High $2,630.27 | Professional | TC · Technical part | $977.24 | $1,479.11 | $2,630.27 |
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 $501.19 Median $501.19 Typical High $616.60 | Professional | 52 · Reduced service | $501.19 | $501.19 | $616.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $199.53 Median $199.53 Typical High $245.47 | Professional | 53 · Discontinued | $199.53 | $199.53 | $245.47 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $794.33 Median $794.33 Typical High $794.33 | Professional | FX · Film X-ray | $794.33 | $794.33 | $794.33 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | 52 · Reduced service | $501.19 | $501.19 | $501.19 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | 53 · Discontinued | $199.53 | $199.53 | $199.53 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $794.33 Median $794.33 Typical High $794.33 | Professional | FX · Film X-ray | $794.33 | $794.33 | $794.33 |
Where Pennsylvania sits
The same service costs 15.1 times more in Nebraska than in Washington. 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· 36th of 51
$1,288
NE $3,090WA $204
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.