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 $295.12 Median $776.25 Typical High $1,148.15 | Facility | None | $295.12 | $776.25 | $1,148.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $234.42 Median $251.19 Typical High $295.12 | Professional | None (both parts) | $234.42 | $251.19 | $295.12 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $35.48 Typical High $38.02 | Professional | 26 · Professional part | $33.11 | $35.48 | $38.02 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $213.80 Typical High $251.19 | Professional | TC · Technical part | $204.17 | $213.80 | $251.19 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $56.23 Typical High $56.23 | Professional | 26 · Professional part | $56.23 | $56.23 | $56.23 |
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 $1,348.96 Median $1,659.59 Typical High $5,011.87 | Facility | TC · Technical part | $1,348.96 | $1,659.59 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $257.04 Median $269.15 Typical High $724.44 | Professional | None (both parts) | $257.04 | $269.15 | $724.44 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $39.81 Typical High $100.00 | Professional | 26 · Professional part | $38.02 | $39.81 | $100.00 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $229.09 Typical High $630.96 | Professional | TC · Technical part | $218.78 | $229.09 | $630.96 |
Cigna Setting Facility Modifier None Typical Low $346.74 Median $891.25 Typical High $1,621.81 | Facility | None | $346.74 | $891.25 | $1,621.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $323.59 Typical High $602.56 | Professional | None (both parts) | $218.78 | $323.59 | $602.56 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $43.65 Typical High $75.86 | Professional | 26 · Professional part | $27.54 | $43.65 | $75.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $281.84 Typical High $512.86 | Professional | TC · Technical part | $186.21 | $281.84 | $512.86 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $457.09 Median $457.09 Typical High $457.09 | Professional | None (both parts) | $457.09 | $457.09 | $457.09 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $229.09 Median $309.03 Typical High $478.63 | Professional | None (both parts) | $229.09 | $309.03 | $478.63 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $47.86 Typical High $66.07 | Professional | 26 · Professional part | $37.15 | $47.86 | $66.07 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $263.03 Typical High $407.38 | Professional | TC · Technical part | $190.55 | $263.03 | $407.38 |
Highmark BCBS Setting Facility Modifier None Typical Low $1,000.00 Median $1,230.27 Typical High $1,621.81 | Facility | None | $1,000.00 | $1,230.27 | $1,621.81 |
Martin's Point Setting Facility Modifier None Typical Low $295.12 Median $1,023.29 Typical High $1,148.15 | Facility | None | $295.12 | $1,023.29 | $1,148.15 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $234.42 Median $251.19 Typical High $295.12 | Professional | None (both parts) | $234.42 | $251.19 | $295.12 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $35.48 Typical High $38.02 | Professional | 26 · Professional part | $33.11 | $35.48 | $38.02 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $213.80 Typical High $251.19 | Professional | TC · Technical part | $204.17 | $213.80 | $251.19 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $354.81 Median $354.81 Typical High $354.81 | Professional | None (both parts) | $354.81 | $354.81 | $354.81 |
UPMC Health Plan Setting Facility Modifier None Typical Low $257.04 Median $1,096.48 Typical High $2,454.71 | Facility | None | $257.04 | $1,096.48 | $2,454.71 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $257.04 Median $257.04 Typical High $269.15 | Professional | None (both parts) | $257.04 | $257.04 | $269.15 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $35.48 Typical High $38.90 | Professional | 26 · Professional part | $35.48 | $35.48 | $38.90 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $223.87 Typical High $229.09 | Professional | TC · Technical part | $223.87 | $223.87 | $229.09 |
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 $269.15 Median $346.74 Typical High $575.44 | Professional | None (both parts) | $269.15 | $346.74 | $575.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $47.86 Typical High $77.62 | Professional | 26 · Professional part | $37.15 | $47.86 | $77.62 |
United Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $309.03 Typical High $501.19 | Professional | TC · Technical part | $229.09 | $309.03 | $501.19 |
2 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 FX · Film X-ray Typical Low $190.55 Median $199.53 Typical High $234.42 | Professional | FX · Film X-ray | $190.55 | $199.53 | $234.42 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $190.55 Median $199.53 Typical High $234.42 | Professional | FX · Film X-ray | $190.55 | $199.53 | $234.42 |
Where Pennsylvania sits
The same service costs 4.4 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· 44th of 51
$295
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.