How much rates vary
Facilitymedian $661 · 10th to 90th $219 to $1,349Professionalmedian $224 · 10th to 90th $182 to $427
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 $218.78 Median $436.52 Typical High $758.58 | Facility | None | $218.78 | $436.52 | $758.58 |
Aetna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $194.98 Typical High $245.47 | Professional | None (both parts) | $181.97 | $194.98 | $245.47 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $50.12 Typical High $58.88 | Professional | 26 · Professional part | $46.77 | $50.12 | $58.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $144.54 Typical High $199.53 | Professional | TC · Technical part | $131.83 | $144.54 | $199.53 |
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 $1,148.15 Median $1,412.54 Typical High $5,011.87 | Facility | TC · Technical part | $1,148.15 | $1,412.54 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $204.17 Median $208.93 Typical High $549.54 | Professional | None (both parts) | $204.17 | $208.93 | $549.54 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $57.54 Typical High $144.54 | Professional | 26 · Professional part | $54.95 | $57.54 | $144.54 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $151.36 Typical High $407.38 | Professional | TC · Technical part | $147.91 | $151.36 | $407.38 |
Cigna Setting Facility Modifier None Typical Low $257.04 Median $741.31 Typical High $1,258.93 | Facility | None | $257.04 | $741.31 | $1,258.93 |
Cigna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $263.03 Typical High $457.09 | Professional | None (both parts) | $169.82 | $263.03 | $457.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $61.66 Typical High $109.65 | Professional | 26 · Professional part | $38.90 | $61.66 | $109.65 |
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 $363.08 Median $363.08 Typical High $363.08 | Professional | None (both parts) | $363.08 | $363.08 | $363.08 |
Geisinger Setting Facility Modifier None Typical Low $407.38 Median $407.38 Typical High $467.74 | Facility | None | $407.38 | $407.38 | $467.74 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $229.09 Median $288.40 Typical High $467.74 | Professional | None (both parts) | $229.09 | $288.40 | $467.74 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $74.13 Typical High $109.65 | Professional | 26 · Professional part | $53.70 | $74.13 | $109.65 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $218.78 Typical High $354.81 | Professional | TC · Technical part | $165.96 | $218.78 | $354.81 |
Highmark BCBS Setting Facility Modifier None Typical Low $660.69 Median $660.69 Typical High $660.69 | Facility | None | $660.69 | $660.69 | $660.69 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | 26 · Professional part | $58.88 | $58.88 | $58.88 |
Martin's Point Setting Facility Modifier None Typical Low $218.78 Median $436.52 Typical High $758.58 | Facility | None | $218.78 | $436.52 | $758.58 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $181.97 Median $190.55 Typical High $245.47 | Professional | None (both parts) | $181.97 | $190.55 | $245.47 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $50.12 Typical High $57.54 | Professional | 26 · Professional part | $46.77 | $50.12 | $57.54 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $141.25 Typical High $199.53 | Professional | TC · Technical part | $131.83 | $141.25 | $199.53 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $407.38 Median $436.52 Typical High $645.65 | Professional | None (both parts) | $407.38 | $436.52 | $645.65 |
UPMC Health Plan Setting Facility Modifier None Typical Low $204.17 Median $467.74 Typical High $977.24 | Facility | None | $204.17 | $467.74 | $977.24 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $204.17 Median $323.59 Typical High $323.59 | Professional | None (both parts) | $204.17 | $323.59 | $323.59 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $60.26 Typical High $60.26 | Professional | 26 · Professional part | $54.95 | $60.26 | $60.26 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $263.03 Typical High $263.03 | Professional | TC · Technical part | $151.36 | $263.03 | $263.03 |
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 $288.40 Typical High $436.52 | Professional | None (both parts) | $199.53 | $288.40 | $436.52 |
United Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $69.18 Typical High $109.65 | Professional | 26 · Professional part | $52.48 | $69.18 | $109.65 |
United Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $213.80 Typical High $331.13 | Professional | TC · Technical part | $147.91 | $213.80 | $331.13 |
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 $36.31 Median $38.02 Typical High $43.65 | Professional | 53 · Discontinued | $36.31 | $38.02 | $43.65 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $144.54 Median $151.36 Typical High $177.83 | Professional | FX · Film X-ray | $144.54 | $151.36 | $177.83 |
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 $36.31 Median $38.02 Typical High $43.65 | Professional | 53 · Discontinued | $36.31 | $38.02 | $43.65 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $144.54 Median $151.36 Typical High $177.83 | Professional | FX · Film X-ray | $144.54 | $151.36 | $177.83 |
Where Pennsylvania sits
The same service costs 4.7 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
$245
AK $851TX $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.