How much rates vary
Facilitymedian $2,239 · 10th to 90th $1,000 to $6,607Professionalmedian $1,288 · 10th to 90th $661 to $2,512
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 $1,000.00 Median $3,311.31 Typical High $6,760.83 | Facility | None | $1,000.00 | $3,311.31 | $6,760.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,000.00 Median $1,000.00 Typical High $2,187.76 | Professional | None (both parts) | $1,000.00 | $1,000.00 | $2,187.76 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $125.89 Typical High $138.04 | Professional | 26 · Professional part | $100.00 | $125.89 | $138.04 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $870.96 Median $870.96 Typical High $1,659.59 | Professional | TC · Technical part | $870.96 | $870.96 | $1,659.59 |
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 $4,786.30 Median $6,606.93 Typical High $7,762.47 | Facility | TC · Technical part | $4,786.30 | $6,606.93 | $7,762.47 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $1,513.56 Median $1,584.89 Typical High $3,235.94 | Professional | None (both parts) | $1,513.56 | $1,584.89 | $3,235.94 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $93.33 Typical High $234.42 | Professional | 26 · Professional part | $89.13 | $93.33 | $234.42 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $1,445.44 Median $1,479.11 Typical High $3,019.95 | Professional | TC · Technical part | $1,445.44 | $1,479.11 | $3,019.95 |
Cigna Setting Facility Modifier None Typical Low $977.24 Median $2,137.96 Typical High $5,011.87 | Facility | None | $977.24 | $2,137.96 | $5,011.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $269.15 Median $776.25 Typical High $1,445.44 | Professional | None (both parts) | $269.15 | $776.25 | $1,445.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $100.00 Typical High $177.83 | Professional | 26 · Professional part | $60.26 | $100.00 | $177.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $676.08 Typical High $1,258.93 | Professional | TC · Technical part | $208.93 | $676.08 | $1,258.93 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $2,630.27 Median $2,630.27 Typical High $2,630.27 | Professional | None (both parts) | $2,630.27 | $2,630.27 | $2,630.27 |
Geisinger Setting Facility Modifier None Typical Low $1,380.38 Median $1,995.26 Typical High $5,495.41 | Facility | None | $1,380.38 | $1,995.26 | $5,495.41 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $912.01 Median $1,445.44 Typical High $2,137.96 | Professional | None (both parts) | $912.01 | $1,445.44 | $2,137.96 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $117.49 Typical High $181.97 | Professional | 26 · Professional part | $85.11 | $117.49 | $181.97 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $794.33 Median $1,348.96 Typical High $1,995.26 | Professional | TC · Technical part | $794.33 | $1,348.96 | $1,995.26 |
Highmark BCBS Setting Facility Modifier None Typical Low $2,884.03 Median $8,912.51 Typical High $12,022.64 | Facility | None | $2,884.03 | $8,912.51 | $12,022.64 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $109.65 Typical High $131.83 | Professional | 26 · Professional part | $109.65 | $109.65 | $131.83 |
Martin's Point Setting Facility Modifier None Typical Low $1,000.00 Median $3,311.31 Typical High $7,413.10 | Facility | None | $1,000.00 | $3,311.31 | $7,413.10 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $1,000.00 Median $1,000.00 Typical High $1,949.84 | Professional | None (both parts) | $1,000.00 | $1,000.00 | $1,949.84 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $125.89 Typical High $125.89 | Professional | 26 · Professional part | $102.33 | $125.89 | $125.89 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $870.96 Median $870.96 Typical High $1,659.59 | Professional | TC · Technical part | $870.96 | $870.96 | $1,659.59 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $128.82 Median $1,905.46 Typical High $2,290.87 | Professional | None (both parts) | $128.82 | $1,905.46 | $2,290.87 |
UPMC Health Plan Setting Facility Modifier None Typical Low $870.96 Median $1,737.80 Typical High $4,073.80 | Facility | None | $870.96 | $1,737.80 | $4,073.80 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $2,041.74 Median $2,041.74 Typical High $2,137.96 | Professional | None (both parts) | $2,041.74 | $2,041.74 | $2,137.96 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $102.33 Typical High $102.33 | Professional | 26 · Professional part | $89.13 | $102.33 | $102.33 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $1,949.84 Median $1,949.84 Typical High $2,041.74 | Professional | TC · Technical part | $1,949.84 | $1,949.84 | $2,041.74 |
United Setting Facility Modifier None Typical Low $1,949.84 Median $4,168.69 Typical High $4,786.30 | Facility | None | $1,949.84 | $4,168.69 | $4,786.30 |
United Setting Professional Modifier None (both parts) Typical Low $1,230.27 Median $1,819.70 Typical High $2,818.38 | Professional | None (both parts) | $1,230.27 | $1,819.70 | $2,818.38 |
United Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $112.20 Typical High $177.83 | Professional | 26 · Professional part | $79.43 | $112.20 | $177.83 |
United Setting Professional Modifier TC · Technical part Typical Low $1,148.15 Median $1,621.81 Typical High $2,691.53 | Professional | TC · Technical part | $1,148.15 | $1,621.81 | $2,691.53 |
2 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 FX · Film X-ray Typical Low $794.33 Median $794.33 Typical High $794.33 | Professional | FX · Film X-ray | $794.33 | $794.33 | $794.33 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $794.33 Median $794.33 Typical High $794.33 | Professional | FX · Film X-ray | $794.33 | $794.33 | $794.33 |
Where Pennsylvania sits
The same service costs 16.2 times more in Nebraska than in Washington. 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· 39th of 51
$1,413
NE $3,236WA $200
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.