How much rates vary
Facilitymedian $457 · 10th to 90th $158 to $1,820Professionalmedian $162 · 10th to 90th $117 to $309
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 $169.82 Median $338.84 Typical High $588.84 | Facility | None | $169.82 | $338.84 | $588.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $158.49 Typical High $213.80 | Professional | None (both parts) | $134.90 | $158.49 | $213.80 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $13.49 Typical High $19.05 | Professional | 26 · Professional part | $11.75 | $13.49 | $19.05 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $144.54 Typical High $194.98 | Professional | TC · Technical part | $123.03 | $144.54 | $194.98 |
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 $812.83 Median $1,000.00 Typical High $5,011.87 | Facility | TC · Technical part | $812.83 | $1,000.00 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $151.36 Median $158.49 Typical High $416.87 | Professional | None (both parts) | $151.36 | $158.49 | $416.87 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $14.45 Typical High $36.31 | Professional | 26 · Professional part | $13.80 | $14.45 | $36.31 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $144.54 Typical High $380.19 | Professional | TC · Technical part | $138.04 | $144.54 | $380.19 |
Cigna Setting Facility Modifier None Typical Low $199.53 Median $691.83 Typical High $1,621.81 | Facility | None | $199.53 | $691.83 | $1,621.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $173.78 Typical High $316.23 | Professional | None (both parts) | $117.49 | $173.78 | $316.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $15.85 Typical High $27.54 | Professional | 26 · Professional part | $10.00 | $15.85 | $27.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $158.49 Typical High $288.40 | Professional | TC · Technical part | $107.15 | $158.49 | $288.40 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $269.15 Median $269.15 Typical High $269.15 | Professional | None (both parts) | $269.15 | $269.15 | $269.15 |
Geisinger Setting Facility Modifier None Typical Low $93.33 Median $93.33 Typical High $93.33 | Facility | None | $93.33 | $93.33 | $93.33 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $67.61 Median $169.82 Typical High $263.03 | Professional | None (both parts) | $67.61 | $169.82 | $263.03 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $18.62 Typical High $27.54 | Professional | 26 · Professional part | $13.49 | $18.62 | $27.54 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $154.88 Typical High $234.42 | Professional | TC · Technical part | $52.48 | $154.88 | $234.42 |
Martin's Point Setting Facility Modifier None Typical Low $169.82 Median $338.84 Typical High $588.84 | Facility | None | $169.82 | $338.84 | $588.84 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $134.90 Median $147.91 Typical High $199.53 | Professional | None (both parts) | $134.90 | $147.91 | $199.53 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $12.59 Typical High $14.79 | Professional | 26 · Professional part | $11.75 | $12.59 | $14.79 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $134.90 Typical High $194.98 | Professional | TC · Technical part | $123.03 | $134.90 | $194.98 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $95.50 Median $102.33 Typical High $398.11 | Professional | None (both parts) | $95.50 | $102.33 | $398.11 |
UPMC Health Plan Setting Facility Modifier None Typical Low $77.62 Median $229.09 Typical High $398.11 | Facility | None | $77.62 | $229.09 | $398.11 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $77.62 Median $77.62 Typical High $158.49 | Professional | None (both parts) | $77.62 | $77.62 | $158.49 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $16.60 Typical High $16.60 | Professional | 26 · Professional part | $13.80 | $16.60 | $16.60 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $60.26 Typical High $141.25 | Professional | TC · Technical part | $60.26 | $60.26 | $141.25 |
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 $141.25 Median $194.98 Typical High $331.13 | Professional | None (both parts) | $141.25 | $194.98 | $331.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $17.38 Typical High $28.18 | Professional | 26 · Professional part | $13.49 | $17.38 | $28.18 |
United Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $177.83 Typical High $302.00 | Professional | TC · Technical part | $134.90 | $177.83 | $302.00 |
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 $67.61 Median $72.44 Typical High $85.11 | Professional | 52 · Reduced service | $67.61 | $72.44 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $28.84 Typical High $33.88 | Professional | 53 · Discontinued | $26.92 | $28.84 | $33.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $109.65 Median $114.82 Typical High $134.90 | Professional | FX · Film X-ray | $109.65 | $114.82 | $134.90 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $67.61 Median $72.44 Typical High $85.11 | Professional | 52 · Reduced service | $67.61 | $72.44 | $85.11 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $28.84 Typical High $33.88 | Professional | 53 · Discontinued | $26.92 | $28.84 | $33.88 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $109.65 Median $114.82 Typical High $134.90 | Professional | FX · Film X-ray | $109.65 | $114.82 | $134.90 |
Where Pennsylvania sits
The same service costs 4.3 times more in Alabama than in Indiana. 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· 41st of 51
$170
AL $562IN $132
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.