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 $323.59 Median $660.69 Typical High $1,122.02 | Facility | None | $323.59 | $660.69 | $1,122.02 |
Aetna Setting Professional Modifier None (both parts) Typical Low $263.03 Median $275.42 Typical High $323.59 | Professional | None (both parts) | $263.03 | $275.42 | $323.59 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $28.84 Typical High $31.62 | Professional | 26 · Professional part | $26.92 | $28.84 | $31.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $251.19 Typical High $295.12 | Professional | TC · Technical part | $234.42 | $251.19 | $295.12 |
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 $1,479.11 Median $1,778.28 Typical High $5,011.87 | Facility | TC · Technical part | $1,479.11 | $1,778.28 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $288.40 Median $302.00 Typical High $812.83 | Professional | None (both parts) | $288.40 | $302.00 | $812.83 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $33.11 Typical High $81.28 | Professional | 26 · Professional part | $31.62 | $33.11 | $81.28 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $269.15 Typical High $724.44 | Professional | TC · Technical part | $257.04 | $269.15 | $724.44 |
Cigna Setting Facility Modifier None Typical Low $467.74 Median $977.24 Typical High $1,621.81 | Facility | None | $467.74 | $977.24 | $1,621.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $199.53 Median $338.84 Typical High $616.60 | Professional | None (both parts) | $199.53 | $338.84 | $616.60 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $36.31 Typical High $63.10 | Professional | 26 · Professional part | $22.39 | $36.31 | $63.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $302.00 Typical High $562.34 | Professional | TC · Technical part | $177.83 | $302.00 | $562.34 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | None (both parts) | $501.19 | $501.19 | $501.19 |
Geisinger Setting Facility Modifier None Typical Low $295.12 Median $295.12 Typical High $363.08 | Facility | None | $295.12 | $295.12 | $363.08 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $186.21 Median $346.74 Typical High $489.78 | Professional | None (both parts) | $186.21 | $346.74 | $489.78 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $40.74 Typical High $63.10 | Professional | 26 · Professional part | $29.51 | $40.74 | $63.10 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $302.00 Typical High $436.52 | Professional | TC · Technical part | $154.88 | $302.00 | $436.52 |
Martin's Point Setting Facility Modifier None Typical Low $323.59 Median $660.69 Typical High $1,122.02 | Facility | None | $323.59 | $660.69 | $1,122.02 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $263.03 Median $275.42 Typical High $323.59 | Professional | None (both parts) | $263.03 | $275.42 | $323.59 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $28.84 Typical High $31.62 | Professional | 26 · Professional part | $26.92 | $28.84 | $31.62 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $251.19 Typical High $295.12 | Professional | TC · Technical part | $234.42 | $251.19 | $295.12 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $288.40 Median $309.03 Typical High $724.44 | Professional | None (both parts) | $288.40 | $309.03 | $724.44 |
UPMC Health Plan Setting Facility Modifier None Typical Low $229.09 Median $524.81 Typical High $870.96 | Facility | None | $229.09 | $524.81 | $870.96 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $229.09 Median $229.09 Typical High $302.00 | Professional | None (both parts) | $229.09 | $229.09 | $302.00 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $37.15 Typical High $37.15 | Professional | 26 · Professional part | $31.62 | $37.15 | $37.15 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $194.98 Typical High $269.15 | Professional | TC · Technical part | $194.98 | $194.98 | $269.15 |
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 $275.42 Median $371.54 Typical High $645.65 | Professional | None (both parts) | $275.42 | $371.54 | $645.65 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $38.90 Typical High $63.10 | Professional | 26 · Professional part | $30.20 | $38.90 | $63.10 |
United Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $338.84 Typical High $575.44 | Professional | TC · Technical part | $257.04 | $338.84 | $575.44 |
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 $131.83 Median $138.04 Typical High $162.18 | Professional | 52 · Reduced service | $131.83 | $138.04 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $52.48 Median $54.95 Typical High $64.57 | Professional | 53 · Discontinued | $52.48 | $54.95 | $64.57 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $208.93 Median $223.87 Typical High $263.03 | Professional | FX · Film X-ray | $208.93 | $223.87 | $263.03 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $131.83 Median $138.04 Typical High $162.18 | Professional | 52 · Reduced service | $131.83 | $138.04 | $162.18 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $52.48 Median $54.95 Typical High $64.57 | Professional | 53 · Discontinued | $52.48 | $54.95 | $64.57 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $208.93 Median $223.87 Typical High $263.03 | Professional | FX · Film X-ray | $208.93 | $223.87 | $263.03 |
Where Pennsylvania sits
The same service costs 4.4 times more in Alaska than in Kentucky. 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
$324
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.