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 $1,148.15 | Facility | None | $323.59 | $660.69 | $1,148.15 |
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 $24.55 Median $26.30 Typical High $28.84 | Professional | 26 · Professional part | $24.55 | $26.30 | $28.84 |
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 $1,318.26 Median $1,621.81 Typical High $5,011.87 | Facility | TC · Technical part | $1,318.26 | $1,621.81 | $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 $28.84 Median $30.20 Typical High $75.86 | Professional | 26 · Professional part | $28.84 | $30.20 | $75.86 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $269.15 Typical High $741.31 | Professional | TC · Technical part | $263.03 | $269.15 | $741.31 |
Cigna Setting Facility Modifier None Typical Low $338.84 Median $977.24 Typical High $1,621.81 | Facility | None | $338.84 | $977.24 | $1,621.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $338.84 Typical High $602.56 | Professional | None (both parts) | $162.18 | $338.84 | $602.56 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $32.36 Typical High $57.54 | Professional | 26 · Professional part | $20.89 | $32.36 | $57.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $309.03 Typical High $549.54 | Professional | TC · Technical part | $144.54 | $309.03 | $549.54 |
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 $151.36 Median $151.36 Typical High $151.36 | Facility | None | $151.36 | $151.36 | $151.36 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $112.20 Median $316.23 Typical High $489.78 | Professional | None (both parts) | $112.20 | $316.23 | $489.78 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $38.02 Typical High $54.95 | Professional | 26 · Professional part | $26.30 | $38.02 | $54.95 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $281.84 Typical High $436.52 | Professional | TC · Technical part | $85.11 | $281.84 | $436.52 |
Martin's Point Setting Facility Modifier None Typical Low $323.59 Median $660.69 Typical High $1,148.15 | Facility | None | $323.59 | $660.69 | $1,148.15 |
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 $24.55 Median $26.30 Typical High $28.84 | Professional | 26 · Professional part | $24.55 | $26.30 | $28.84 |
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 $162.18 Median $173.78 Typical High $660.69 | Professional | None (both parts) | $162.18 | $173.78 | $660.69 |
UPMC Health Plan Setting Facility Modifier None Typical Low $131.83 Median $331.13 Typical High $741.31 | Facility | None | $131.83 | $331.13 | $741.31 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $131.83 Median $131.83 Typical High $302.00 | Professional | None (both parts) | $131.83 | $131.83 | $302.00 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $34.67 Typical High $34.67 | Professional | 26 · Professional part | $28.84 | $34.67 | $34.67 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $97.72 Typical High $269.15 | Professional | TC · Technical part | $97.72 | $97.72 | $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 $251.19 Median $346.74 Typical High $645.65 | Professional | None (both parts) | $251.19 | $346.74 | $645.65 |
United Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $35.48 Typical High $57.54 | Professional | 26 · Professional part | $27.54 | $35.48 | $57.54 |
United Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $323.59 Typical High $575.44 | Professional | TC · Technical part | $245.47 | $323.59 | $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 $257.04 | Professional | FX · Film X-ray | $208.93 | $223.87 | $257.04 |
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 $257.04 | Professional | FX · Film X-ray | $208.93 | $223.87 | $257.04 |
Where Pennsylvania sits
The same service costs 4.9 times more in Alaska 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· 43rd of 51
$316
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.