How much rates vary
Facilitymedian $324 · 10th to 90th $107 to $1,349Professionalmedian $107 · 10th to 90th $85 to $195
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 $112.20 Median $208.93 Typical High $363.08 | Facility | None | $112.20 | $208.93 | $363.08 |
Aetna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $100.00 Typical High $114.82 | Professional | None (both parts) | $91.20 | $100.00 | $114.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $16.22 Typical High $18.20 | Professional | 26 · Professional part | $14.79 | $16.22 | $18.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $83.18 Typical High $100.00 | Professional | TC · Technical part | $75.86 | $83.18 | $100.00 |
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 $416.87 Median $512.86 Typical High $5,011.87 | Facility | TC · Technical part | $416.87 | $512.86 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $93.33 Median $97.72 Typical High $251.19 | Professional | None (both parts) | $93.33 | $97.72 | $251.19 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $17.38 Typical High $44.67 | Professional | 26 · Professional part | $16.98 | $17.38 | $44.67 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $79.43 Typical High $208.93 | Professional | TC · Technical part | $77.62 | $79.43 | $208.93 |
Cigna Setting Facility Modifier None Typical Low $138.04 Median $380.19 Typical High $1,258.93 | Facility | None | $138.04 | $380.19 | $1,258.93 |
Cigna Setting Professional Modifier None (both parts) Typical Low $70.79 Median $107.15 Typical High $204.17 | Professional | None (both parts) | $70.79 | $107.15 | $204.17 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $19.05 Typical High $33.88 | Professional | 26 · Professional part | $12.30 | $19.05 | $33.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $89.13 Typical High $169.82 | Professional | TC · Technical part | $54.95 | $89.13 | $169.82 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | None (both parts) | $169.82 | $169.82 | $169.82 |
Geisinger Setting Facility Modifier None Typical Low $107.15 Median $107.15 Typical High $141.25 | Facility | None | $107.15 | $107.15 | $141.25 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $72.44 Median $117.49 Typical High $177.83 | Professional | None (both parts) | $72.44 | $117.49 | $177.83 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $22.91 Typical High $33.88 | Professional | 26 · Professional part | $16.22 | $22.91 | $33.88 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $95.50 Typical High $138.04 | Professional | TC · Technical part | $53.70 | $95.50 | $138.04 |
Highmark BCBS Setting Facility Modifier TC · Technical part Typical Low $977.24 Median $977.24 Typical High $977.24 | Facility | TC · Technical part | $977.24 | $977.24 | $977.24 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $302.00 Median $302.00 Typical High $302.00 | Professional | 26 · Professional part | $302.00 | $302.00 | $302.00 |
Martin's Point Setting Facility Modifier None Typical Low $112.20 Median $208.93 Typical High $363.08 | Facility | None | $112.20 | $208.93 | $363.08 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $91.20 Median $100.00 Typical High $114.82 | Professional | None (both parts) | $91.20 | $100.00 | $114.82 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $16.60 Typical High $18.20 | Professional | 26 · Professional part | $14.79 | $16.60 | $18.20 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $85.11 Typical High $95.50 | Professional | TC · Technical part | $75.86 | $85.11 | $95.50 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $109.65 Median $117.49 Typical High $223.87 | Professional | None (both parts) | $109.65 | $117.49 | $223.87 |
UPMC Health Plan Setting Facility Modifier None Typical Low $89.13 Median $218.78 Typical High $389.05 | Facility | None | $89.13 | $218.78 | $389.05 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $89.13 Median $89.13 Typical High $107.15 | Professional | None (both parts) | $89.13 | $89.13 | $107.15 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $20.42 Typical High $20.42 | Professional | 26 · Professional part | $17.38 | $20.42 | $20.42 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $69.18 Typical High $91.20 | Professional | TC · Technical part | $69.18 | $69.18 | $91.20 |
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 $89.13 Median $120.23 Typical High $204.17 | Professional | None (both parts) | $89.13 | $120.23 | $204.17 |
United Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $21.38 Typical High $33.88 | Professional | 26 · Professional part | $16.22 | $21.38 | $33.88 |
United Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $100.00 Typical High $169.82 | Professional | TC · Technical part | $75.86 | $100.00 | $169.82 |
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 $45.71 Median $48.98 Typical High $56.23 | Professional | 52 · Reduced service | $45.71 | $48.98 | $56.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $19.50 Typical High $22.39 | Professional | 53 · Discontinued | $18.20 | $19.50 | $22.39 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $72.44 Median $77.62 Typical High $91.20 | Professional | FX · Film X-ray | $72.44 | $77.62 | $91.20 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $45.71 Median $48.98 Typical High $56.23 | Professional | 52 · Reduced service | $45.71 | $48.98 | $56.23 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $19.50 Typical High $22.39 | Professional | 53 · Discontinued | $18.20 | $19.50 | $22.39 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $72.44 Median $77.62 Typical High $91.20 | Professional | FX · Film X-ray | $72.44 | $77.62 | $91.20 |
Where Pennsylvania sits
The same service costs 5.5 times more in Alabama 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
$110
AL $479FL $87.10
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.