How much rates vary
Facilitymedian $832 · 10th to 90th $269 to $4,365Professionalmedian $263 · 10th to 90th $209 to $513
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 $269.15 Median $660.69 Typical High $1,122.02 | Facility | None | $269.15 | $660.69 | $1,122.02 |
Aetna Setting Professional Modifier None (both parts) Typical Low $213.80 Median $229.09 Typical High $269.15 | Professional | None (both parts) | $213.80 | $229.09 | $269.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $22.39 Typical High $24.55 | Professional | 26 · Professional part | $20.89 | $22.39 | $24.55 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $204.17 Typical High $245.47 | Professional | TC · Technical part | $194.98 | $204.17 | $245.47 |
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 $1,445.44 Median $1,778.28 Typical High $5,011.87 | Facility | TC · Technical part | $1,445.44 | $1,778.28 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $234.42 Median $239.88 Typical High $794.33 | Professional | None (both parts) | $234.42 | $239.88 | $794.33 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $25.12 Typical High $72.44 | Professional | 26 · Professional part | $24.55 | $25.12 | $72.44 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $213.80 Typical High $707.95 | Professional | TC · Technical part | $208.93 | $213.80 | $707.95 |
Cigna Setting Facility Modifier None Typical Low $457.09 Median $1,122.02 Typical High $4,365.16 | Facility | None | $457.09 | $1,122.02 | $4,365.16 |
Cigna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $302.00 Typical High $562.34 | Professional | None (both parts) | $190.55 | $302.00 | $562.34 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $30.20 Typical High $50.12 | Professional | 26 · Professional part | $19.05 | $30.20 | $50.12 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $269.15 Typical High $501.19 | Professional | TC · Technical part | $173.78 | $269.15 | $501.19 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $416.87 Median $416.87 Typical High $416.87 | Professional | None (both parts) | $416.87 | $416.87 | $416.87 |
Geisinger Setting Facility Modifier None Typical Low $275.42 Median $275.42 Typical High $363.08 | Facility | None | $275.42 | $275.42 | $363.08 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $181.97 Median $316.23 Typical High $457.09 | Professional | None (both parts) | $181.97 | $316.23 | $457.09 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $33.11 Typical High $51.29 | Professional | 26 · Professional part | $25.12 | $33.11 | $51.29 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $281.84 Typical High $407.38 | Professional | TC · Technical part | $154.88 | $281.84 | $407.38 |
Martin's Point Setting Facility Modifier None Typical Low $269.15 Median $660.69 Typical High $1,122.02 | Facility | None | $269.15 | $660.69 | $1,122.02 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $213.80 Median $229.09 Typical High $269.15 | Professional | None (both parts) | $213.80 | $229.09 | $269.15 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $22.39 Typical High $24.55 | Professional | 26 · Professional part | $20.89 | $22.39 | $24.55 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $204.17 Typical High $245.47 | Professional | TC · Technical part | $194.98 | $204.17 | $245.47 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $263.03 Median $281.84 Typical High $707.95 | Professional | None (both parts) | $263.03 | $281.84 | $707.95 |
UPMC Health Plan Setting Facility Modifier None Typical Low $208.93 Median $537.03 Typical High $891.25 | Facility | None | $208.93 | $537.03 | $891.25 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $208.93 Median $208.93 Typical High $239.88 | Professional | None (both parts) | $208.93 | $208.93 | $239.88 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $33.11 Typical High $33.11 | Professional | 26 · Professional part | $23.99 | $33.11 | $33.11 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $177.83 Typical High $213.80 | Professional | TC · Technical part | $177.83 | $177.83 | $213.80 |
United Setting Facility Modifier None Typical Low $1,778.28 Median $3,801.89 Typical High $4,365.16 | Facility | None | $1,778.28 | $3,801.89 | $4,365.16 |
United Setting Professional Modifier None (both parts) Typical Low $229.09 Median $309.03 Typical High $524.81 | Professional | None (both parts) | $229.09 | $309.03 | $524.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $31.62 Typical High $48.98 | Professional | 26 · Professional part | $23.44 | $31.62 | $48.98 |
United Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $281.84 Typical High $478.63 | Professional | TC · Technical part | $218.78 | $281.84 | $478.63 |
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 $107.15 Median $114.82 Typical High $134.90 | Professional | 52 · Reduced service | $107.15 | $114.82 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $45.71 Typical High $53.70 | Professional | 53 · Discontinued | $42.66 | $45.71 | $53.70 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $173.78 Median $181.97 Typical High $213.80 | Professional | FX · Film X-ray | $173.78 | $181.97 | $213.80 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $107.15 Median $114.82 Typical High $134.90 | Professional | 52 · Reduced service | $107.15 | $114.82 | $134.90 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $45.71 Typical High $53.70 | Professional | 53 · Discontinued | $42.66 | $45.71 | $53.70 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $173.78 Median $181.97 Typical High $213.80 | Professional | FX · Film X-ray | $173.78 | $181.97 | $213.80 |
Where Pennsylvania sits
The same service costs 4.3 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
$269
AK $1,000TX $234
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.