How much rates vary
Facilitymedian $871 · 10th to 90th $275 to $4,365Professionalmedian $302 · 10th to 90th $240 to $537
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 $239.88 Median $512.86 Typical High $1,071.52 | Facility | None | $239.88 | $512.86 | $1,071.52 |
Aetna Setting Professional Modifier None (both parts) Typical Low $239.88 Median $302.00 Typical High $389.05 | Professional | None (both parts) | $239.88 | $302.00 | $389.05 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $36.31 Typical High $53.70 | Professional | 26 · Professional part | $31.62 | $36.31 | $53.70 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $263.03 Typical High $338.84 | Professional | TC · Technical part | $208.93 | $263.03 | $338.84 |
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 $1,445.44 Median $1,737.80 Typical High $5,011.87 | Facility | TC · Technical part | $1,445.44 | $1,737.80 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $263.03 Median $275.42 Typical High $776.25 | Professional | None (both parts) | $263.03 | $275.42 | $776.25 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $38.02 Typical High $102.33 | Professional | 26 · Professional part | $37.15 | $38.02 | $102.33 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $234.42 Typical High $676.08 | Professional | TC · Technical part | $229.09 | $234.42 | $676.08 |
Cigna Setting Facility Modifier None Typical Low $416.87 Median $1,148.15 Typical High $4,365.16 | Facility | None | $416.87 | $1,148.15 | $4,365.16 |
Cigna Setting Professional Modifier None (both parts) Typical Low $204.17 Median $323.59 Typical High $575.44 | Professional | None (both parts) | $204.17 | $323.59 | $575.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $44.67 Typical High $72.44 | Professional | 26 · Professional part | $26.30 | $44.67 | $72.44 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $281.84 Typical High $501.19 | Professional | TC · Technical part | $177.83 | $281.84 | $501.19 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $467.74 Median $467.74 Typical High $467.74 | Professional | None (both parts) | $467.74 | $467.74 | $467.74 |
Geisinger Setting Facility Modifier None Typical Low $323.59 Median $323.59 Typical High $416.87 | Facility | None | $323.59 | $323.59 | $416.87 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $213.80 Median $338.84 Typical High $512.86 | Professional | None (both parts) | $213.80 | $338.84 | $512.86 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $50.12 Typical High $77.62 | Professional | 26 · Professional part | $34.67 | $50.12 | $77.62 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $288.40 Typical High $416.87 | Professional | TC · Technical part | $173.78 | $288.40 | $416.87 |
Highmark BCBS Setting Facility Modifier None Typical Low $501.19 Median $1,288.25 Typical High $1,548.82 | Facility | None | $501.19 | $1,288.25 | $1,548.82 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $50.12 Typical High $478.63 | Professional | 26 · Professional part | $50.12 | $50.12 | $478.63 |
Martin's Point Setting Facility Modifier None Typical Low $239.88 Median $512.86 Typical High $1,071.52 | Facility | None | $239.88 | $512.86 | $1,071.52 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $239.88 Median $302.00 Typical High $389.05 | Professional | None (both parts) | $239.88 | $302.00 | $389.05 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $36.31 Typical High $53.70 | Professional | 26 · Professional part | $31.62 | $36.31 | $53.70 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $263.03 Typical High $338.84 | Professional | TC · Technical part | $208.93 | $263.03 | $338.84 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $323.59 Median $346.74 Typical High $724.44 | Professional | None (both parts) | $323.59 | $346.74 | $724.44 |
UPMC Health Plan Setting Facility Modifier None Typical Low $257.04 Median $630.96 Typical High $1,047.13 | Facility | None | $257.04 | $630.96 | $1,047.13 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $257.04 Median $257.04 Typical High $275.42 | Professional | None (both parts) | $257.04 | $257.04 | $275.42 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $46.77 Typical High $46.77 | Professional | 26 · Professional part | $36.31 | $46.77 | $46.77 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $213.80 Typical High $239.88 | Professional | TC · Technical part | $213.80 | $213.80 | $239.88 |
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 $263.03 Median $346.74 Typical High $602.56 | Professional | None (both parts) | $263.03 | $346.74 | $602.56 |
United Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $46.77 Typical High $72.44 | Professional | 26 · Professional part | $34.67 | $46.77 | $72.44 |
United Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $309.03 Typical High $524.81 | Professional | TC · Technical part | $234.42 | $309.03 | $524.81 |
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 $120.23 Median $128.82 Typical High $147.91 | Professional | 52 · Reduced service | $120.23 | $128.82 | $147.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $51.29 Typical High $60.26 | Professional | 53 · Discontinued | $47.86 | $51.29 | $60.26 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $194.98 Median $204.17 Typical High $239.88 | Professional | FX · Film X-ray | $194.98 | $204.17 | $239.88 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $120.23 Median $128.82 Typical High $147.91 | Professional | 52 · Reduced service | $120.23 | $128.82 | $147.91 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $51.29 Typical High $60.26 | Professional | 53 · Discontinued | $47.86 | $51.29 | $60.26 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $194.98 Median $204.17 Typical High $239.88 | Professional | FX · Film X-ray | $194.98 | $204.17 | $239.88 |
Where Pennsylvania sits
The same service costs 3.7 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· 46th of 51
$302
AK $955FL $257
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.