How much rates vary
Facilitymedian $355 · 10th to 90th $129 to $1,096Professionalmedian $135 · 10th to 90th $112 to $269
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 $131.83 Median $302.00 Typical High $524.81 | Facility | None | $131.83 | $302.00 | $524.81 |
Aetna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $123.03 Typical High $131.83 | Professional | None (both parts) | $112.20 | $123.03 | $131.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $75.86 Typical High $79.43 | Professional | 26 · Professional part | $67.61 | $75.86 | $79.43 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $47.86 Typical High $54.95 | Professional | TC · Technical part | $43.65 | $47.86 | $54.95 |
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 $389.05 Median $467.74 Typical High $5,011.87 | Facility | TC · Technical part | $389.05 | $467.74 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $128.82 Median $134.90 Typical High $331.13 | Professional | None (both parts) | $128.82 | $134.90 | $331.13 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $83.18 Typical High $208.93 | Professional | 26 · Professional part | $79.43 | $83.18 | $208.93 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $52.48 Typical High $125.89 | Professional | TC · Technical part | $50.12 | $52.48 | $125.89 |
Cigna Setting Facility Modifier None Typical Low $81.28 Median $257.04 Typical High $851.14 | Facility | None | $81.28 | $257.04 | $851.14 |
Cigna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $165.96 Typical High $281.84 | Professional | None (both parts) | $107.15 | $165.96 | $281.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $102.33 Typical High $169.82 | Professional | 26 · Professional part | $60.26 | $102.33 | $169.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $63.10 Typical High $114.82 | Professional | TC · Technical part | $41.69 | $63.10 | $114.82 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | None (both parts) | $213.80 | $213.80 | $213.80 |
Geisinger Setting Facility Modifier None Typical Low $154.88 Median $154.88 Typical High $154.88 | Facility | None | $154.88 | $154.88 | $154.88 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $141.25 Median $177.83 Typical High $316.23 | Professional | None (both parts) | $141.25 | $177.83 | $316.23 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $109.65 Typical High $194.98 | Professional | 26 · Professional part | $81.28 | $109.65 | $194.98 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $75.86 Typical High $144.54 | Professional | TC · Technical part | $56.23 | $75.86 | $144.54 |
Martin's Point Setting Facility Modifier None Typical Low $131.83 Median $302.00 Typical High $524.81 | Facility | None | $131.83 | $302.00 | $524.81 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $112.20 Median $120.23 Typical High $131.83 | Professional | None (both parts) | $112.20 | $120.23 | $131.83 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $72.44 Typical High $77.62 | Professional | 26 · Professional part | $67.61 | $72.44 | $77.62 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $46.77 Typical High $54.95 | Professional | TC · Technical part | $43.65 | $46.77 | $54.95 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $251.19 Median $269.15 Typical High $380.19 | Professional | None (both parts) | $251.19 | $269.15 | $380.19 |
UPMC Health Plan Setting Facility Modifier None Typical Low $128.82 Median $478.63 Typical High $1,000.00 | Facility | None | $128.82 | $478.63 | $1,000.00 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $128.82 Median $208.93 Typical High $208.93 | Professional | None (both parts) | $128.82 | $208.93 | $208.93 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $107.15 Typical High $107.15 | Professional | 26 · Professional part | $77.62 | $107.15 | $107.15 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $100.00 Typical High $100.00 | Professional | TC · Technical part | $50.12 | $100.00 | $100.00 |
United Setting Facility Modifier None Typical Low $323.59 Median $676.08 Typical High $794.33 | Facility | None | $323.59 | $676.08 | $794.33 |
United Setting Professional Modifier None (both parts) Typical Low $120.23 Median $169.82 Typical High $263.03 | Professional | None (both parts) | $120.23 | $169.82 | $263.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $97.72 Typical High $158.49 | Professional | 26 · Professional part | $75.86 | $97.72 | $158.49 |
United Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $66.07 Typical High $109.65 | Professional | TC · Technical part | $45.71 | $66.07 | $109.65 |
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 $56.23 Median $60.26 Typical High $66.07 | Professional | 52 · Reduced service | $56.23 | $60.26 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $24.55 Typical High $26.30 | Professional | 53 · Discontinued | $22.39 | $24.55 | $26.30 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $89.13 Median $97.72 Typical High $104.71 | Professional | FX · Film X-ray | $89.13 | $97.72 | $104.71 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $56.23 Median $60.26 Typical High $66.07 | Professional | 52 · Reduced service | $56.23 | $60.26 | $66.07 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $23.99 Typical High $26.30 | Professional | 53 · Discontinued | $22.39 | $23.99 | $26.30 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $89.13 Median $95.50 Typical High $104.71 | Professional | FX · Film X-ray | $89.13 | $95.50 | $104.71 |
Where Pennsylvania sits
The same service costs 5.6 times more in Alaska than in Texas. 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· 44th of 51
$141
AK $525TX $93.33
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.