How much rates vary
Facilitymedian $575 · 10th to 90th $224 to $1,905Professionalmedian $224 · 10th to 90th $182 to $417
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 $245.47 Typical High $575.44 | Facility | None | $213.80 | $245.47 | $575.44 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $151.36 Median $181.97 Typical High $630.96 | Facility | TC · Technical part | $151.36 | $181.97 | $630.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $208.93 Typical High $275.42 | Professional | None (both parts) | $181.97 | $208.93 | $275.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $41.69 Typical High $58.88 | Professional | 26 · Professional part | $37.15 | $41.69 | $58.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $169.82 Typical High $234.42 | Professional | TC · Technical part | $144.54 | $169.82 | $234.42 |
AmeriHealth Setting Facility Modifier None Typical Low $213.80 Median $512.86 Typical High $1,513.56 | Facility | None | $213.80 | $512.86 | $1,513.56 |
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 $977.24 Median $1,202.26 Typical High $5,011.87 | Facility | TC · Technical part | $977.24 | $1,202.26 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $204.17 Median $213.80 Typical High $549.54 | Professional | None (both parts) | $204.17 | $213.80 | $549.54 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $45.71 Typical High $114.82 | Professional | 26 · Professional part | $43.65 | $45.71 | $114.82 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $165.96 Typical High $446.68 | Professional | TC · Technical part | $162.18 | $165.96 | $446.68 |
Cigna Setting Facility Modifier None Typical Low $275.42 Median $812.83 Typical High $1,621.81 | Facility | None | $275.42 | $812.83 | $1,621.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $245.47 Typical High $407.38 | Professional | None (both parts) | $158.49 | $245.47 | $407.38 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $48.98 Typical High $87.10 | Professional | 26 · Professional part | $30.90 | $48.98 | $87.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $194.98 Typical High $331.13 | Professional | TC · Technical part | $128.82 | $194.98 | $331.13 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $354.81 Median $354.81 Typical High $354.81 | Professional | None (both parts) | $354.81 | $354.81 | $354.81 |
Geisinger Setting Facility Modifier None Typical Low $263.03 Median $263.03 Typical High $346.74 | Facility | None | $263.03 | $263.03 | $346.74 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $173.78 Median $275.42 Typical High $426.58 | Professional | None (both parts) | $173.78 | $275.42 | $426.58 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $57.54 Typical High $87.10 | Professional | 26 · Professional part | $41.69 | $57.54 | $87.10 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $213.80 Typical High $338.84 | Professional | TC · Technical part | $131.83 | $213.80 | $338.84 |
Highmark BCBS Setting Facility Modifier None Typical Low $1,230.27 Median $1,819.70 Typical High $2,344.23 | Facility | None | $1,230.27 | $1,819.70 | $2,344.23 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $64.57 Typical High $81.28 | Professional | 26 · Professional part | $64.57 | $64.57 | $81.28 |
Martin's Point Setting Facility Modifier None Typical Low $223.87 Median $338.84 Typical High $776.25 | Facility | None | $223.87 | $338.84 | $776.25 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $181.97 Median $208.93 Typical High $269.15 | Professional | None (both parts) | $181.97 | $208.93 | $269.15 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $41.69 Typical High $45.71 | Professional | 26 · Professional part | $37.15 | $41.69 | $45.71 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $169.82 Typical High $218.78 | Professional | TC · Technical part | $144.54 | $169.82 | $218.78 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $275.42 Median $295.12 Typical High $537.03 | Professional | None (both parts) | $275.42 | $295.12 | $537.03 |
UPMC Health Plan Setting Facility Modifier None Typical Low $208.93 Median $457.09 Typical High $812.83 | Facility | None | $208.93 | $457.09 | $812.83 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $208.93 Median $223.87 Typical High $223.87 | Professional | None (both parts) | $208.93 | $223.87 | $223.87 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $50.12 Typical High $50.12 | Professional | 26 · Professional part | $43.65 | $50.12 | $50.12 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $173.78 Typical High $173.78 | Professional | TC · Technical part | $165.96 | $173.78 | $173.78 |
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 $204.17 Median $263.03 Typical High $446.68 | Professional | None (both parts) | $204.17 | $263.03 | $446.68 |
United Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $54.95 Typical High $89.13 | Professional | 26 · Professional part | $42.66 | $54.95 | $89.13 |
United Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $213.80 Typical High $354.81 | Professional | TC · Technical part | $162.18 | $213.80 | $354.81 |
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 $91.20 Median $95.50 Typical High $112.20 | Professional | 52 · Reduced service | $91.20 | $95.50 | $112.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $38.02 Typical High $44.67 | Professional | 53 · Discontinued | $36.31 | $38.02 | $44.67 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $144.54 Median $154.88 Typical High $177.83 | Professional | FX · Film X-ray | $144.54 | $154.88 | $177.83 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $91.20 Median $95.50 Typical High $112.20 | Professional | 52 · Reduced service | $91.20 | $95.50 | $112.20 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $38.02 Typical High $44.67 | Professional | 53 · Discontinued | $36.31 | $38.02 | $44.67 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $144.54 Median $154.88 Typical High $177.83 | Professional | FX · Film X-ray | $144.54 | $154.88 | $177.83 |
Where Pennsylvania sits
The same service costs 3.8 times more in Alaska than in Florida. 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
$224
AK $708FL $186
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.