How much rates vary
Facilitymedian $550 · 10th to 90th $191 to $1,349Professionalmedian $200 · 10th to 90th $155 to $380
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 $204.17 Median $407.38 Typical High $707.95 | Facility | None | $204.17 | $407.38 | $707.95 |
Aetna Setting Professional Modifier None (both parts) Typical Low $165.96 Median $173.78 Typical High $204.17 | Professional | None (both parts) | $165.96 | $173.78 | $204.17 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $30.20 Typical High $33.11 | Professional | 26 · Professional part | $28.84 | $30.20 | $33.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $144.54 Typical High $169.82 | Professional | TC · Technical part | $138.04 | $144.54 | $169.82 |
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 $870.96 Median $1,071.52 Typical High $5,011.87 | Facility | TC · Technical part | $870.96 | $1,071.52 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $389.05 Median $398.11 Typical High $56,234.13 | Professional | None (both parts) | $389.05 | $398.11 | $56,234.13 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $35.48 Typical High $87.10 | Professional | 26 · Professional part | $33.88 | $35.48 | $87.10 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $158.49 Typical High $416.87 | Professional | TC · Technical part | $154.88 | $158.49 | $416.87 |
Cigna Setting Facility Modifier None Typical Low $269.15 Median $676.08 Typical High $1,258.93 | Facility | None | $269.15 | $676.08 | $1,258.93 |
Cigna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $208.93 Typical High $380.19 | Professional | None (both parts) | $128.82 | $208.93 | $380.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $38.02 Typical High $67.61 | Professional | 26 · Professional part | $23.99 | $38.02 | $67.61 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $169.82 Typical High $323.59 | Professional | TC · Technical part | $107.15 | $169.82 | $323.59 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $323.59 Median $323.59 Typical High $323.59 | Professional | None (both parts) | $323.59 | $323.59 | $323.59 |
Geisinger Setting Facility Modifier None Typical Low $190.55 Median $190.55 Typical High $263.03 | Facility | None | $190.55 | $190.55 | $263.03 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $131.83 Median $223.87 Typical High $316.23 | Professional | None (both parts) | $131.83 | $223.87 | $316.23 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $42.66 Typical High $66.07 | Professional | 26 · Professional part | $30.90 | $42.66 | $66.07 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $181.97 Typical High $257.04 | Professional | TC · Technical part | $100.00 | $181.97 | $257.04 |
Martin's Point Setting Facility Modifier None Typical Low $204.17 Median $407.38 Typical High $707.95 | Facility | None | $204.17 | $407.38 | $707.95 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $165.96 Median $173.78 Typical High $204.17 | Professional | None (both parts) | $165.96 | $173.78 | $204.17 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $30.20 Typical High $33.11 | Professional | 26 · Professional part | $28.84 | $30.20 | $33.11 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $144.54 Typical High $169.82 | Professional | TC · Technical part | $138.04 | $144.54 | $169.82 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $199.53 Median $213.80 Typical High $457.09 | Professional | None (both parts) | $199.53 | $213.80 | $457.09 |
UPMC Health Plan Setting Facility Modifier None Typical Low $162.18 Median $416.87 Typical High $691.83 | Facility | None | $162.18 | $416.87 | $691.83 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $162.18 Median $162.18 Typical High $190.55 | Professional | None (both parts) | $162.18 | $162.18 | $190.55 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $38.90 Typical High $38.90 | Professional | 26 · Professional part | $33.88 | $38.90 | $38.90 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $123.03 Typical High $158.49 | Professional | TC · Technical part | $123.03 | $123.03 | $158.49 |
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 $173.78 Median $234.42 Typical High $407.38 | Professional | None (both parts) | $173.78 | $234.42 | $407.38 |
United Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $40.74 Typical High $67.61 | Professional | 26 · Professional part | $32.36 | $40.74 | $67.61 |
United Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $194.98 Typical High $331.13 | Professional | TC · Technical part | $147.91 | $194.98 | $331.13 |
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 $83.18 Median $87.10 Typical High $102.33 | Professional | 52 · Reduced service | $83.18 | $87.10 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $35.48 Typical High $40.74 | Professional | 53 · Discontinued | $33.11 | $35.48 | $40.74 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $131.83 Median $141.25 Typical High $162.18 | Professional | FX · Film X-ray | $131.83 | $141.25 | $162.18 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $83.18 Median $87.10 Typical High $102.33 | Professional | 52 · Reduced service | $83.18 | $87.10 | $102.33 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $35.48 Typical High $40.74 | Professional | 53 · Discontinued | $33.11 | $35.48 | $40.74 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $131.83 Median $141.25 Typical High $162.18 | Professional | FX · Film X-ray | $131.83 | $141.25 | $162.18 |
Where Pennsylvania sits
The same service costs 4.6 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· 41st of 51
$204
AK $794FL $174
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.