How much rates vary
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 $812.83 Median $1,445.44 Typical High $2,238.72 | Facility | None | $812.83 | $1,445.44 | $2,238.72 |
Aetna Setting Professional Modifier None (both parts) Typical Low $812.83 Median $1,412.54 Typical High $1,412.54 | Professional | None (both parts) | $812.83 | $1,412.54 | $1,412.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $162.18 Median $281.84 Typical High $281.84 | Professional | 26 · Professional part | $162.18 | $281.84 | $281.84 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $645.65 Median $1,122.02 Typical High $1,122.02 | Professional | TC · Technical part | $645.65 | $1,122.02 | $1,122.02 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $281.84 Median $323.59 Typical High $371.54 | Professional | None (both parts) | $281.84 | $323.59 | $371.54 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $85.11 Typical High $95.50 | Professional | 26 · Professional part | $74.13 | $85.11 | $95.50 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $245.47 Typical High $275.42 | Professional | TC · Technical part | $208.93 | $245.47 | $275.42 |
Cigna Setting Facility Modifier None Typical Low $63.10 Median $158.49 Typical High $467.74 | Facility | None | $63.10 | $158.49 | $467.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,412.54 Median $1,412.54 Typical High $1,412.54 | Professional | None (both parts) | $1,412.54 | $1,412.54 | $1,412.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $354.81 Median $354.81 Typical High $354.81 | Professional | 26 · Professional part | $354.81 | $354.81 | $354.81 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Professional | TC · Technical part | $1,071.52 | $1,071.52 | $1,071.52 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $199.53 Median $288.40 Typical High $380.19 | Professional | None (both parts) | $199.53 | $288.40 | $380.19 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $141.25 Typical High $263.03 | Professional | 26 · Professional part | $79.43 | $141.25 | $263.03 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $912.01 Median $912.01 Typical High $1,659.59 | Professional | TC · Technical part | $912.01 | $912.01 | $1,659.59 |
Highmark BCBS Setting Facility Modifier None Typical Low $2,344.23 Median $2,344.23 Typical High $2,344.23 | Facility | None | $2,344.23 | $2,344.23 | $2,344.23 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $851.14 Median $851.14 Typical High $2,344.23 | Professional | None (both parts) | $851.14 | $851.14 | $2,344.23 |
United Setting Facility Modifier None Typical Low $1,862.09 Median $2,187.76 Typical High $2,691.53 | Facility | None | $1,862.09 | $2,187.76 | $2,691.53 |
United Setting Professional Modifier None (both parts) Typical Low $245.47 Median $831.76 Typical High $1,548.82 | Professional | None (both parts) | $245.47 | $831.76 | $1,548.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $57.54 Typical High $208.93 | Professional | 26 · Professional part | $48.98 | $57.54 | $208.93 |
United Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $831.76 Typical High $1,513.56 | Professional | TC · Technical part | $190.55 | $831.76 | $1,513.56 |
Univera Setting Facility Modifier None Typical Low $199.53 Median $199.53 Typical High $199.53 | Facility | None | $199.53 | $199.53 | $199.53 |
Univera Setting Professional Modifier None (both parts) Typical Low $120.23 Median $288.40 Typical High $371.54 | Professional | None (both parts) | $120.23 | $288.40 | $371.54 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $141.25 Typical High $257.04 | Professional | 26 · Professional part | $79.43 | $141.25 | $257.04 |
Univera Setting Professional Modifier TC · Technical part Typical Low $537.03 Median $912.01 Typical High $1,621.81 | Professional | TC · Technical part | $537.03 | $912.01 | $1,621.81 |
4 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 |
|---|---|---|---|---|---|
Excellus BCBS Setting Professional Modifier FX · Film X-ray Typical Low $794.33 Median $870.96 Typical High $1,584.89 | Professional | FX · Film X-ray | $794.33 | $870.96 | $1,584.89 |
Excellus BCBS Setting Professional Modifier FY · Cassette-based X-ray Typical Low $912.01 Median $977.24 Typical High $1,778.28 | Professional | FY · Cassette-based X-ray | $912.01 | $977.24 | $1,778.28 |
Univera Setting Professional Modifier FX · Film X-ray Typical Low $512.86 Median $794.33 Typical High $1,548.82 | Professional | FX · Film X-ray | $512.86 | $794.33 | $1,548.82 |
Univera Setting Professional Modifier FY · Cassette-based X-ray Typical Low $588.84 Median $912.01 Typical High $1,737.80 | Professional | FY · Cassette-based X-ray | $588.84 | $912.01 | $1,737.80 |
Where New York sits
The same service costs 4.6 times more in South Dakota than in New York. 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.
New York· 51st of 51
$331
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.