How much rates vary
Facilitymedian $501 · 10th to 90th $162 to $1,349Professionalmedian $170 · 10th to 90th $135 to $324
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 $177.83 Median $354.81 Typical High $602.56 | Facility | None | $177.83 | $354.81 | $602.56 |
Aetna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $151.36 Typical High $177.83 | Professional | None (both parts) | $144.54 | $151.36 | $177.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $18.62 Typical High $20.42 | Professional | 26 · Professional part | $17.78 | $18.62 | $20.42 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $131.83 Typical High $158.49 | Professional | TC · Technical part | $125.89 | $131.83 | $158.49 |
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 $776.25 Median $954.99 Typical High $5,011.87 | Facility | TC · Technical part | $776.25 | $954.99 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $158.49 Median $165.96 Typical High $436.52 | Professional | None (both parts) | $158.49 | $165.96 | $436.52 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $21.38 Typical High $54.95 | Professional | 26 · Professional part | $20.42 | $21.38 | $54.95 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $144.54 Typical High $389.05 | Professional | TC · Technical part | $138.04 | $144.54 | $389.05 |
Cigna Setting Facility Modifier None Typical Low $239.88 Median $630.96 Typical High $1,258.93 | Facility | None | $239.88 | $630.96 | $1,258.93 |
Cigna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $186.21 Typical High $323.59 | Professional | None (both parts) | $107.15 | $186.21 | $323.59 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $22.91 Typical High $40.74 | Professional | 26 · Professional part | $14.45 | $22.91 | $40.74 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $162.18 Typical High $288.40 | Professional | TC · Technical part | $95.50 | $162.18 | $288.40 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $288.40 Median $288.40 Typical High $288.40 | Professional | None (both parts) | $288.40 | $288.40 | $288.40 |
Geisinger Setting Facility Modifier None Typical Low $169.82 Median $169.82 Typical High $169.82 | Facility | None | $169.82 | $169.82 | $169.82 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $114.82 Median $208.93 Typical High $275.42 | Professional | None (both parts) | $114.82 | $208.93 | $275.42 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $26.92 Typical High $39.81 | Professional | 26 · Professional part | $19.05 | $26.92 | $39.81 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $181.97 Typical High $239.88 | Professional | TC · Technical part | $95.50 | $181.97 | $239.88 |
Martin's Point Setting Facility Modifier None Typical Low $177.83 Median $354.81 Typical High $602.56 | Facility | None | $177.83 | $354.81 | $602.56 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $144.54 Median $151.36 Typical High $177.83 | Professional | None (both parts) | $144.54 | $151.36 | $177.83 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $18.62 Typical High $20.42 | Professional | 26 · Professional part | $17.78 | $18.62 | $20.42 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $131.83 Typical High $158.49 | Professional | TC · Technical part | $125.89 | $131.83 | $158.49 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $165.96 Median $177.83 Typical High $389.05 | Professional | None (both parts) | $165.96 | $177.83 | $389.05 |
UPMC Health Plan Setting Facility Modifier None Typical Low $120.23 Median $346.74 Typical High $575.44 | Facility | None | $120.23 | $346.74 | $575.44 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $120.23 Median $120.23 Typical High $162.18 | Professional | None (both parts) | $120.23 | $120.23 | $162.18 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $22.39 Typical High $22.39 | Professional | 26 · Professional part | $20.42 | $22.39 | $22.39 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $97.72 Typical High $141.25 | Professional | TC · Technical part | $97.72 | $97.72 | $141.25 |
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 $151.36 Median $204.17 Typical High $346.74 | Professional | None (both parts) | $151.36 | $204.17 | $346.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $25.70 Typical High $41.69 | Professional | 26 · Professional part | $19.95 | $25.70 | $41.69 |
United Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $181.97 Typical High $309.03 | Professional | TC · Technical part | $138.04 | $181.97 | $309.03 |
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 $70.79 Median $75.86 Typical High $89.13 | Professional | 52 · Reduced service | $70.79 | $75.86 | $89.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $30.20 Typical High $35.48 | Professional | 53 · Discontinued | $28.84 | $30.20 | $35.48 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $114.82 Median $120.23 Typical High $141.25 | Professional | FX · Film X-ray | $114.82 | $120.23 | $141.25 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $70.79 Median $75.86 Typical High $89.13 | Professional | 52 · Reduced service | $70.79 | $75.86 | $89.13 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $30.20 Typical High $35.48 | Professional | 53 · Discontinued | $28.84 | $30.20 | $35.48 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $114.82 Median $120.23 Typical High $141.25 | Professional | FX · Film X-ray | $114.82 | $120.23 | $141.25 |
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· 43rd of 51
$178
AK $676TX $145
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.