How much rates vary
Facilitymedian $174 · 10th to 90th $42 to $5,012Professionalmedian $45 · 10th to 90th $35 to $219
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 $41.69 Median $85.11 Typical High $147.91 | Facility | None | $41.69 | $85.11 | $147.91 |
Aetna Setting Professional Modifier None (both parts) Typical Low $35.48 Median $40.74 Typical High $54.95 | Professional | None (both parts) | $35.48 | $40.74 | $54.95 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $22.91 Typical High $26.30 | Professional | 26 · Professional part | $19.95 | $22.91 | $26.30 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $15.14 Median $18.20 Typical High $24.55 | Professional | TC · Technical part | $15.14 | $18.20 | $24.55 |
Capital Blue Cross Setting Facility Modifier None Typical Low $588.84 Median $5,011.87 Typical High $56,234.13 | Facility | None | $588.84 | $5,011.87 | $56,234.13 |
Capital Blue Cross Setting Facility Modifier TC · Technical part Typical Low $489.78 Median $602.56 Typical High $5,011.87 | Facility | TC · Technical part | $489.78 | $602.56 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $40.74 Median $42.66 Typical High $104.71 | Professional | None (both parts) | $40.74 | $42.66 | $104.71 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $23.44 Typical High $58.88 | Professional | 26 · Professional part | $22.39 | $23.44 | $58.88 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $18.62 Typical High $46.77 | Professional | TC · Technical part | $18.20 | $18.62 | $46.77 |
Cigna Setting Professional Modifier None (both parts) Typical Low $33.88 Median $69.18 Typical High $190.55 | Professional | None (both parts) | $33.88 | $69.18 | $190.55 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $26.30 Typical High $44.67 | Professional | 26 · Professional part | $16.60 | $26.30 | $44.67 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $14.79 Median $30.90 Typical High $147.91 | Professional | TC · Technical part | $14.79 | $30.90 | $147.91 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | None (both parts) | $70.79 | $70.79 | $70.79 |
Geisinger Setting Facility Modifier None Typical Low $407.38 Median $407.38 Typical High $407.38 | Facility | None | $407.38 | $407.38 | $407.38 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $47.86 Median $77.62 Typical High $223.87 | Professional | None (both parts) | $47.86 | $77.62 | $223.87 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $30.90 Typical High $44.67 | Professional | 26 · Professional part | $22.39 | $30.90 | $44.67 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $39.81 Typical High $204.17 | Professional | TC · Technical part | $21.38 | $39.81 | $204.17 |
Martin's Point Setting Facility Modifier None Typical Low $41.69 Median $85.11 Typical High $147.91 | Facility | None | $41.69 | $85.11 | $147.91 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $35.48 Median $39.81 Typical High $51.29 | Professional | None (both parts) | $35.48 | $39.81 | $51.29 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $22.39 Typical High $25.12 | Professional | 26 · Professional part | $19.95 | $22.39 | $25.12 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $15.14 Median $17.78 Typical High $24.55 | Professional | TC · Technical part | $15.14 | $17.78 | $24.55 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $269.15 Median $363.08 Typical High $389.05 | Professional | None (both parts) | $269.15 | $363.08 | $389.05 |
UPMC Health Plan Setting Facility Modifier None Typical Low $40.74 Median $204.17 Typical High $331.13 | Facility | None | $40.74 | $204.17 | $331.13 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $40.74 Median $275.42 Typical High $275.42 | Professional | None (both parts) | $40.74 | $275.42 | $275.42 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $36.31 Typical High $36.31 | Professional | 26 · Professional part | $22.91 | $36.31 | $36.31 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $239.88 Typical High $239.88 | Professional | TC · Technical part | $17.78 | $239.88 | $239.88 |
United Setting Professional Modifier None (both parts) Typical Low $38.90 Median $56.23 Typical High $239.88 | Professional | None (both parts) | $38.90 | $56.23 | $239.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $29.51 Typical High $45.71 | Professional | 26 · Professional part | $21.88 | $29.51 | $45.71 |
United Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $25.12 Typical High $190.55 | Professional | TC · Technical part | $16.60 | $25.12 | $190.55 |
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 $17.78 Median $18.62 Typical High $20.89 | Professional | 52 · Reduced service | $17.78 | $18.62 | $20.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.08 Median $7.41 Typical High $8.51 | Professional | 53 · Discontinued | $7.08 | $7.41 | $8.51 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $28.18 Median $30.20 Typical High $33.88 | Professional | FX · Film X-ray | $28.18 | $30.20 | $33.88 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $17.78 Median $18.62 Typical High $20.89 | Professional | 52 · Reduced service | $17.78 | $18.62 | $20.89 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $7.08 Median $7.41 Typical High $8.51 | Professional | 53 · Discontinued | $7.08 | $7.41 | $8.51 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $28.18 Median $30.20 Typical High $33.88 | Professional | FX · Film X-ray | $28.18 | $30.20 | $33.88 |
Where Pennsylvania sits
The same service costs 7.2 times more in Alabama than in Florida. 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
$46.77
AL $251FL $34.67
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.