How much rates vary
Facilitymedian $617 · 10th to 90th $209 to $1,318Professionalmedian $204 · 10th to 90th $162 to $389
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 $213.80 Median $537.03 Typical High $870.96 | Facility | None | $213.80 | $537.03 | $870.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $173.78 Median $181.97 Typical High $213.80 | Professional | None (both parts) | $173.78 | $181.97 | $213.80 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $20.42 Typical High $22.39 | Professional | 26 · Professional part | $19.50 | $20.42 | $22.39 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $162.18 Typical High $190.55 | Professional | TC · Technical part | $151.36 | $162.18 | $190.55 |
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 $933.25 Median $1,148.15 Typical High $5,011.87 | Facility | TC · Technical part | $933.25 | $1,148.15 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $194.98 Median $204.17 Typical High $501.19 | Professional | None (both parts) | $194.98 | $204.17 | $501.19 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $23.99 Typical High $57.54 | Professional | 26 · Professional part | $22.91 | $23.99 | $57.54 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $181.97 Typical High $446.68 | Professional | TC · Technical part | $173.78 | $181.97 | $446.68 |
Cigna Setting Facility Modifier None Typical Low $281.84 Median $724.44 Typical High $1,258.93 | Facility | None | $281.84 | $724.44 | $1,258.93 |
Cigna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $213.80 Typical High $389.05 | Professional | None (both parts) | $131.83 | $213.80 | $389.05 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $25.70 Typical High $45.71 | Professional | 26 · Professional part | $16.22 | $25.70 | $45.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $186.21 Typical High $346.74 | Professional | TC · Technical part | $117.49 | $186.21 | $346.74 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | None (both parts) | $346.74 | $346.74 | $346.74 |
Geisinger Setting Facility Modifier None Typical Low $208.93 Median $208.93 Typical High $263.03 | Facility | None | $208.93 | $208.93 | $263.03 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $134.90 Median $234.42 Typical High $338.84 | Professional | None (both parts) | $134.90 | $234.42 | $338.84 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $29.51 Typical High $45.71 | Professional | 26 · Professional part | $21.38 | $29.51 | $45.71 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $208.93 Typical High $295.12 | Professional | TC · Technical part | $112.20 | $208.93 | $295.12 |
Highmark BCBS Setting Facility Modifier None Typical Low $851.14 Median $851.14 Typical High $954.99 | Facility | None | $851.14 | $851.14 | $954.99 |
Martin's Point Setting Facility Modifier None Typical Low $213.80 Median $724.44 Typical High $870.96 | Facility | None | $213.80 | $724.44 | $870.96 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $173.78 Median $181.97 Typical High $213.80 | Professional | None (both parts) | $173.78 | $181.97 | $213.80 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $20.42 Typical High $22.39 | Professional | 26 · Professional part | $19.50 | $20.42 | $22.39 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $162.18 Typical High $190.55 | Professional | TC · Technical part | $151.36 | $162.18 | $190.55 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $204.17 Median $218.78 Typical High $467.74 | Professional | None (both parts) | $204.17 | $218.78 | $467.74 |
UPMC Health Plan Setting Facility Modifier None Typical Low $162.18 Median $363.08 Typical High $602.56 | Facility | None | $162.18 | $363.08 | $602.56 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $162.18 Median $162.18 Typical High $199.53 | Professional | None (both parts) | $162.18 | $162.18 | $199.53 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $26.30 Typical High $26.30 | Professional | 26 · Professional part | $22.91 | $26.30 | $26.30 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $134.90 Typical High $177.83 | Professional | TC · Technical part | $134.90 | $134.90 | $177.83 |
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 $181.97 Median $245.47 Typical High $416.87 | Professional | None (both parts) | $181.97 | $245.47 | $416.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $28.18 Typical High $45.71 | Professional | 26 · Professional part | $21.88 | $28.18 | $45.71 |
United Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $218.78 Typical High $371.54 | Professional | TC · Technical part | $165.96 | $218.78 | $371.54 |
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 $85.11 Median $91.20 Typical High $107.15 | Professional | 52 · Reduced service | $85.11 | $91.20 | $107.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $36.31 Typical High $42.66 | Professional | 53 · Discontinued | $34.67 | $36.31 | $42.66 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $138.04 Median $144.54 Typical High $169.82 | Professional | FX · Film X-ray | $138.04 | $144.54 | $169.82 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $85.11 Median $91.20 Typical High $107.15 | Professional | 52 · Reduced service | $85.11 | $91.20 | $107.15 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $36.31 Typical High $42.66 | Professional | 53 · Discontinued | $34.67 | $36.31 | $42.66 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $138.04 Median $144.54 Typical High $169.82 | Professional | FX · Film X-ray | $138.04 | $144.54 | $169.82 |
Where Pennsylvania sits
The same service costs 4.8 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· 43rd of 51
$214
AK $851KY $178
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.