How much rates vary
Facilitymedian $347 · 10th to 90th $105 to $891Professionalmedian $182 · 10th to 90th $89 to $347
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 $104.71 Median $263.03 Typical High $457.09 | Facility | None | $104.71 | $263.03 | $457.09 |
Aetna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $100.00 Typical High $104.71 | Professional | None (both parts) | $89.13 | $100.00 | $104.71 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $61.66 Typical High $63.10 | Professional | 26 · Professional part | $54.95 | $61.66 | $63.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $39.81 Typical High $43.65 | Professional | TC · Technical part | $34.67 | $39.81 | $43.65 |
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 $691.83 Median $831.76 Typical High $5,011.87 | Facility | TC · Technical part | $691.83 | $831.76 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $208.93 Median $213.80 Typical High $501.19 | Professional | None (both parts) | $208.93 | $213.80 | $501.19 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $66.07 Typical High $194.98 | Professional | 26 · Professional part | $63.10 | $66.07 | $194.98 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $141.25 Typical High $309.03 | Professional | TC · Technical part | $134.90 | $141.25 | $309.03 |
Cigna Setting Facility Modifier None Typical Low $75.86 Median $204.17 Typical High $851.14 | Facility | None | $75.86 | $204.17 | $851.14 |
Cigna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $131.83 Typical High $229.09 | Professional | None (both parts) | $85.11 | $131.83 | $229.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $81.28 Typical High $138.04 | Professional | 26 · Professional part | $51.29 | $81.28 | $138.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $51.29 Typical High $93.33 | Professional | TC · Technical part | $33.11 | $51.29 | $93.33 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $549.54 Median $549.54 Typical High $549.54 | Professional | None (both parts) | $549.54 | $549.54 | $549.54 |
Geisinger Setting Facility Modifier None Typical Low $177.83 Median $177.83 Typical High $177.83 | Facility | None | $177.83 | $177.83 | $177.83 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $173.78 Median $194.98 Typical High $407.38 | Professional | None (both parts) | $173.78 | $194.98 | $407.38 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $87.10 Typical High $154.88 | Professional | 26 · Professional part | $67.61 | $87.10 | $154.88 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $120.23 Typical High $257.04 | Professional | TC · Technical part | $95.50 | $120.23 | $257.04 |
Martin's Point Setting Facility Modifier None Typical Low $104.71 Median $263.03 Typical High $457.09 | Facility | None | $104.71 | $263.03 | $457.09 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $89.13 Median $95.50 Typical High $104.71 | Professional | None (both parts) | $89.13 | $95.50 | $104.71 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $58.88 Typical High $63.10 | Professional | 26 · Professional part | $54.95 | $58.88 | $63.10 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $38.02 Typical High $43.65 | Professional | TC · Technical part | $34.67 | $38.02 | $43.65 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $239.88 Median $251.19 Typical High $302.00 | Professional | None (both parts) | $239.88 | $251.19 | $302.00 |
UPMC Health Plan Setting Facility Modifier None Typical Low $194.98 Median $446.68 Typical High $741.31 | Facility | None | $194.98 | $446.68 | $741.31 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $194.98 Median $194.98 Typical High $194.98 | Professional | None (both parts) | $194.98 | $194.98 | $194.98 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $87.10 Typical High $87.10 | Professional | 26 · Professional part | $63.10 | $87.10 | $87.10 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $109.65 Typical High $131.83 | Professional | TC · Technical part | $109.65 | $109.65 | $131.83 |
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 $165.96 Median $223.87 Typical High $380.19 | Professional | None (both parts) | $165.96 | $223.87 | $380.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $81.28 Typical High $125.89 | Professional | 26 · Professional part | $60.26 | $81.28 | $125.89 |
United Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $141.25 Typical High $251.19 | Professional | TC · Technical part | $60.26 | $141.25 | $251.19 |
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 $44.67 Median $50.12 Typical High $52.48 | Professional | 52 · Reduced service | $44.67 | $50.12 | $52.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $19.95 Typical High $20.89 | Professional | 53 · Discontinued | $17.78 | $19.95 | $20.89 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $70.79 Median $79.43 Typical High $83.18 | Professional | FX · Film X-ray | $70.79 | $79.43 | $83.18 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $44.67 Median $47.86 Typical High $52.48 | Professional | 52 · Reduced service | $44.67 | $47.86 | $52.48 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $19.05 Typical High $20.89 | Professional | 53 · Discontinued | $17.78 | $19.05 | $20.89 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $70.79 Median $75.86 Typical High $83.18 | Professional | FX · Film X-ray | $70.79 | $75.86 | $83.18 |
Where Pennsylvania sits
The same service costs 4.7 times more in Nebraska than in New Jersey. 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· 18th of 51
$195
NE $537NJ $115
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.