How much rates vary
Facilitymedian $182 · 10th to 90th $72 to $355Professionalmedian $72 · 10th to 90th $59 to $132
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 $72.44 Median $147.91 Typical High $257.04 | Facility | None | $72.44 | $147.91 | $257.04 |
Aetna Setting Professional Modifier None (both parts) Typical Low $58.88 Median $61.66 Typical High $75.86 | Professional | None (both parts) | $58.88 | $61.66 | $75.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.31 Median $6.61 Typical High $7.59 | Professional | 26 · Professional part | $6.31 | $6.61 | $7.59 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $56.23 Typical High $69.18 | Professional | TC · Technical part | $52.48 | $56.23 | $69.18 |
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 $346.74 Median $426.58 Typical High $5,011.87 | Facility | TC · Technical part | $346.74 | $426.58 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $63.10 Median $66.07 Typical High $165.96 | Professional | None (both parts) | $63.10 | $66.07 | $165.96 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $7.59 Typical High $17.78 | Professional | 26 · Professional part | $7.41 | $7.59 | $17.78 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $57.54 Typical High $147.91 | Professional | TC · Technical part | $56.23 | $57.54 | $147.91 |
Cigna Setting Facility Modifier None Typical Low $72.44 Median $190.55 Typical High $346.74 | Facility | None | $72.44 | $190.55 | $346.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $51.29 Median $79.43 Typical High $131.83 | Professional | None (both parts) | $51.29 | $79.43 | $131.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.03 Median $9.12 Typical High $15.49 | Professional | 26 · Professional part | $6.03 | $9.12 | $15.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $69.18 Typical High $114.82 | Professional | TC · Technical part | $45.71 | $69.18 | $114.82 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | None (both parts) | $125.89 | $125.89 | $125.89 |
Geisinger Setting Facility Modifier None Typical Low $87.10 Median $87.10 Typical High $87.10 | Facility | None | $87.10 | $87.10 | $87.10 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $42.66 Median $81.28 Typical High $134.90 | Professional | None (both parts) | $42.66 | $81.28 | $134.90 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $11.75 Typical High $16.98 | Professional | 26 · Professional part | $8.13 | $11.75 | $16.98 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $72.44 Typical High $109.65 | Professional | TC · Technical part | $33.88 | $72.44 | $109.65 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $12.30 Typical High $12.30 | Professional | 26 · Professional part | $12.30 | $12.30 | $12.30 |
Martin's Point Setting Facility Modifier None Typical Low $72.44 Median $147.91 Typical High $257.04 | Facility | None | $72.44 | $147.91 | $257.04 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $58.88 Median $61.66 Typical High $72.44 | Professional | None (both parts) | $58.88 | $61.66 | $72.44 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $6.31 Median $6.61 Typical High $7.24 | Professional | 26 · Professional part | $6.31 | $6.61 | $7.24 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $54.95 Typical High $69.18 | Professional | TC · Technical part | $52.48 | $54.95 | $69.18 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $93.33 Median $100.00 Typical High $173.78 | Professional | None (both parts) | $93.33 | $100.00 | $173.78 |
UPMC Health Plan Setting Facility Modifier None Typical Low $64.57 Median $169.82 Typical High $354.81 | Facility | None | $64.57 | $169.82 | $354.81 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $64.57 Median $75.86 Typical High $75.86 | Professional | None (both parts) | $64.57 | $75.86 | $75.86 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $19.95 Typical High $19.95 | Professional | 26 · Professional part | $6.92 | $19.95 | $19.95 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $56.23 Typical High $57.54 | Professional | TC · Technical part | $56.23 | $56.23 | $57.54 |
United Setting Professional Modifier None (both parts) Typical Low $66.07 Median $85.11 Typical High $144.54 | Professional | None (both parts) | $66.07 | $85.11 | $144.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $9.77 Typical High $15.49 | Professional | 26 · Professional part | $7.08 | $9.77 | $15.49 |
United Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $75.86 Typical High $128.82 | Professional | TC · Technical part | $58.88 | $75.86 | $128.82 |
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 $29.51 Median $30.90 Typical High $36.31 | Professional | 52 · Reduced service | $29.51 | $30.90 | $36.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.75 Median $12.30 Typical High $14.45 | Professional | 53 · Discontinued | $11.75 | $12.30 | $14.45 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $46.77 Median $50.12 Typical High $57.54 | Professional | FX · Film X-ray | $46.77 | $50.12 | $57.54 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $29.51 Median $30.90 Typical High $36.31 | Professional | 52 · Reduced service | $29.51 | $30.90 | $36.31 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $11.75 Median $12.30 Typical High $14.45 | Professional | 53 · Discontinued | $11.75 | $12.30 | $14.45 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $46.77 Median $50.12 Typical High $57.54 | Professional | FX · Film X-ray | $46.77 | $50.12 | $57.54 |
Where Pennsylvania sits
The same service costs 4.6 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· 45th of 51
$74.13
AK $275KY $60.26
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.