How much rates vary
Facilitymedian $537 · 10th to 90th $234 to $1,288Professionalmedian $229 · 10th to 90th $166 to $407
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 $245.47 Median $331.13 Typical High $501.19 | Facility | None | $245.47 | $331.13 | $501.19 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $30.20 Median $40.74 Typical High $81.28 | Facility | 26 · Professional part | $30.20 | $40.74 | $81.28 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $181.97 Median $263.03 Typical High $436.52 | Facility | TC · Technical part | $181.97 | $263.03 | $436.52 |
Aetna Setting Professional Modifier None (both parts) Typical Low $199.53 Median $208.93 Typical High $245.47 | Professional | None (both parts) | $199.53 | $208.93 | $245.47 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $28.18 Typical High $32.36 | Professional | 26 · Professional part | $25.70 | $28.18 | $32.36 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $181.97 Typical High $218.78 | Professional | TC · Technical part | $169.82 | $181.97 | $218.78 |
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 $776.25 Median $954.99 Typical High $5,011.87 | Facility | TC · Technical part | $776.25 | $954.99 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $218.78 Median $229.09 Typical High $457.09 | Professional | None (both parts) | $218.78 | $229.09 | $457.09 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $31.62 Typical High $81.28 | Professional | 26 · Professional part | $30.20 | $31.62 | $81.28 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $194.98 Typical High $380.19 | Professional | TC · Technical part | $190.55 | $194.98 | $380.19 |
Cigna Setting Facility Modifier None Typical Low $251.19 Median $691.83 Typical High $1,258.93 | Facility | None | $251.19 | $691.83 | $1,258.93 |
Cigna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $213.80 Typical High $416.87 | Professional | None (both parts) | $131.83 | $213.80 | $416.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $34.67 Typical High $60.26 | Professional | 26 · Professional part | $21.88 | $34.67 | $60.26 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $177.83 Typical High $363.08 | Professional | TC · Technical part | $100.00 | $177.83 | $363.08 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $398.11 Median $398.11 Typical High $398.11 | Professional | None (both parts) | $398.11 | $398.11 | $398.11 |
Geisinger Setting Facility Modifier None Typical Low $199.53 Median $199.53 Typical High $524.81 | Facility | None | $199.53 | $199.53 | $524.81 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $131.83 Median $263.03 Typical High $389.05 | Professional | None (both parts) | $131.83 | $263.03 | $389.05 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $39.81 Typical High $63.10 | Professional | 26 · Professional part | $28.84 | $39.81 | $63.10 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $218.78 Typical High $323.59 | Professional | TC · Technical part | $100.00 | $218.78 | $323.59 |
Highmark BCBS Setting Facility Modifier None Typical Low $645.65 Median $912.01 Typical High $1,412.54 | Facility | None | $645.65 | $912.01 | $1,412.54 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $41.69 Typical High $45.71 | Professional | 26 · Professional part | $41.69 | $41.69 | $45.71 |
Martin's Point Setting Facility Modifier None Typical Low $245.47 Median $346.74 Typical High $645.65 | Facility | None | $245.47 | $346.74 | $645.65 |
Martin's Point Setting Facility Modifier TC · Technical part Typical Low $181.97 Median $281.84 Typical High $537.03 | Facility | TC · Technical part | $181.97 | $281.84 | $537.03 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $199.53 Median $208.93 Typical High $245.47 | Professional | None (both parts) | $199.53 | $208.93 | $245.47 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $28.18 Typical High $32.36 | Professional | 26 · Professional part | $25.70 | $28.18 | $32.36 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $181.97 Typical High $213.80 | Professional | TC · Technical part | $169.82 | $181.97 | $213.80 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $204.17 Median $218.78 Typical High $416.87 | Professional | None (both parts) | $204.17 | $218.78 | $416.87 |
UPMC Health Plan Setting Facility Modifier None Typical Low $165.96 Median $389.05 Typical High $645.65 | Facility | None | $165.96 | $389.05 | $645.65 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $165.96 Median $165.96 Typical High $223.87 | Professional | None (both parts) | $165.96 | $165.96 | $223.87 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $36.31 Typical High $36.31 | Professional | 26 · Professional part | $30.20 | $36.31 | $36.31 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $128.82 Typical High $194.98 | Professional | TC · Technical part | $128.82 | $128.82 | $194.98 |
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 $194.98 Median $263.03 Typical High $478.63 | Professional | None (both parts) | $194.98 | $263.03 | $478.63 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $38.02 Typical High $60.26 | Professional | 26 · Professional part | $28.84 | $38.02 | $60.26 |
United Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $234.42 Typical High $426.58 | Professional | TC · Technical part | $173.78 | $234.42 | $426.58 |
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 $97.72 Median $104.71 Typical High $123.03 | Professional | 52 · Reduced service | $97.72 | $104.71 | $123.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $41.69 Typical High $48.98 | Professional | 53 · Discontinued | $39.81 | $41.69 | $48.98 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $158.49 Median $165.96 Typical High $194.98 | Professional | FX · Film X-ray | $158.49 | $165.96 | $194.98 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $97.72 Median $104.71 Typical High $123.03 | Professional | 52 · Reduced service | $97.72 | $104.71 | $123.03 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $41.69 Typical High $48.98 | Professional | 53 · Discontinued | $39.81 | $41.69 | $48.98 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $158.49 Median $165.96 Typical High $194.98 | Professional | FX · Film X-ray | $158.49 | $165.96 | $194.98 |
Where Pennsylvania sits
The same service costs 5.2 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· 40th of 51
$240
AK $933KY $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.