How much rates vary
Facilitymedian $1,413 · 10th to 90th $575 to $4,365Professionalmedian $575 · 10th to 90th $447 to $1,096
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 $630.96 Median $1,096.48 Typical High $1,905.46 | Facility | None | $630.96 | $1,096.48 | $1,905.46 |
Aetna Setting Professional Modifier None (both parts) Typical Low $501.19 Median $537.03 Typical High $630.96 | Professional | None (both parts) | $501.19 | $537.03 | $630.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $41.69 Typical High $46.77 | Professional | 26 · Professional part | $39.81 | $41.69 | $46.77 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $467.74 Median $489.78 Typical High $588.84 | Professional | TC · Technical part | $467.74 | $489.78 | $588.84 |
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 $2,630.27 Median $3,235.94 Typical High $5,011.87 | Facility | TC · Technical part | $2,630.27 | $3,235.94 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $549.54 Median $562.34 Typical High $1,348.96 | Professional | None (both parts) | $549.54 | $562.34 | $1,348.96 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $47.86 Typical High $125.89 | Professional | 26 · Professional part | $46.77 | $47.86 | $125.89 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $501.19 Median $512.86 Typical High $1,230.27 | Professional | TC · Technical part | $501.19 | $512.86 | $1,230.27 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $1,995.26 Typical High $4,365.16 | Facility | None | $645.65 | $1,995.26 | $4,365.16 |
Cigna Setting Professional Modifier None (both parts) Typical Low $363.08 Median $588.84 Typical High $1,122.02 | Professional | None (both parts) | $363.08 | $588.84 | $1,122.02 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $54.95 Typical High $91.20 | Professional | 26 · Professional part | $32.36 | $54.95 | $91.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $331.13 Median $537.03 Typical High $1,023.29 | Professional | TC · Technical part | $331.13 | $537.03 | $1,023.29 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $954.99 Median $954.99 Typical High $954.99 | Professional | None (both parts) | $954.99 | $954.99 | $954.99 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $309.03 Median $645.65 Typical High $933.25 | Professional | None (both parts) | $309.03 | $645.65 | $933.25 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $61.66 Typical High $97.72 | Professional | 26 · Professional part | $43.65 | $61.66 | $97.72 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $562.34 Typical High $851.14 | Professional | TC · Technical part | $263.03 | $562.34 | $851.14 |
Highmark BCBS Setting Facility Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $3,715.35 | Facility | None | $2,089.30 | $2,089.30 | $3,715.35 |
Martin's Point Setting Facility Modifier None Typical Low $630.96 Median $1,096.48 Typical High $1,905.46 | Facility | None | $630.96 | $1,096.48 | $1,905.46 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $501.19 Median $537.03 Typical High $630.96 | Professional | None (both parts) | $501.19 | $537.03 | $630.96 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $41.69 Typical High $46.77 | Professional | 26 · Professional part | $39.81 | $41.69 | $46.77 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $467.74 Median $489.78 Typical High $588.84 | Professional | TC · Technical part | $467.74 | $489.78 | $588.84 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $588.84 Median $630.96 Typical High $1,288.25 | Professional | None (both parts) | $588.84 | $630.96 | $1,288.25 |
UPMC Health Plan Setting Facility Modifier None Typical Low $446.68 Median $794.33 Typical High $1,412.54 | Facility | None | $446.68 | $794.33 | $1,412.54 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $446.68 Median $446.68 Typical High $575.44 | Professional | None (both parts) | $446.68 | $446.68 | $575.44 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $61.66 Typical High $61.66 | Professional | 26 · Professional part | $45.71 | $61.66 | $61.66 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $380.19 Median $380.19 Typical High $524.81 | Professional | TC · Technical part | $380.19 | $380.19 | $524.81 |
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 $512.86 Median $707.95 Typical High $1,258.93 | Professional | None (both parts) | $512.86 | $707.95 | $1,258.93 |
United Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $58.88 Typical High $93.33 | Professional | 26 · Professional part | $44.67 | $58.88 | $93.33 |
United Setting Professional Modifier TC · Technical part Typical Low $489.78 Median $660.69 Typical High $1,148.15 | Professional | TC · Technical part | $489.78 | $660.69 | $1,148.15 |
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 $251.19 Median $269.15 Typical High $316.23 | Professional | 52 · Reduced service | $251.19 | $269.15 | $316.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $102.33 Median $107.15 Typical High $125.89 | Professional | 53 · Discontinued | $102.33 | $107.15 | $125.89 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $407.38 Median $426.58 Typical High $501.19 | Professional | FX · Film X-ray | $407.38 | $426.58 | $501.19 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $251.19 Median $269.15 Typical High $316.23 | Professional | 52 · Reduced service | $251.19 | $269.15 | $316.23 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $102.33 Median $107.15 Typical High $125.89 | Professional | 53 · Discontinued | $102.33 | $107.15 | $125.89 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $407.38 Median $426.58 Typical High $501.19 | Professional | FX · Film X-ray | $407.38 | $426.58 | $501.19 |
Where Pennsylvania sits
The same service costs 4.4 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
$617
AK $1,950KY $447
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.