How much rates vary
Facilitymedian $43 · 10th to 90th $23 to $155Professionalmedian $23 · 10th to 90th $19 to $49
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 $21.38 Median $33.11 Typical High $93.33 | Facility | None | $21.38 | $33.11 | $93.33 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $6.31 Median $8.91 Typical High $24.55 | Facility | 26 · Professional part | $6.31 | $8.91 | $24.55 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $15.14 Median $23.99 Typical High $107.15 | Facility | TC · Technical part | $15.14 | $23.99 | $107.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $21.38 Median $21.38 Typical High $40.74 | Professional | None (both parts) | $21.38 | $21.38 | $40.74 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.31 Median $6.31 Typical High $10.72 | Professional | 26 · Professional part | $6.31 | $6.31 | $10.72 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $15.14 Median $15.14 Typical High $28.84 | Professional | TC · Technical part | $15.14 | $15.14 | $28.84 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $23.44 Median $23.44 Typical High $26.92 | Professional | None (both parts) | $23.44 | $23.44 | $26.92 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $18.62 Median $21.88 Typical High $39.81 | Professional | None (both parts) | $18.62 | $21.88 | $39.81 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $4.79 Median $5.62 Typical High $12.88 | Professional | 26 · Professional part | $4.79 | $5.62 | $12.88 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $28.18 Median $33.11 Typical High $60.26 | Professional | 50 · Both sides | $28.18 | $33.11 | $60.26 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $14.13 Median $16.60 Typical High $28.84 | Professional | TC · Technical part | $14.13 | $16.60 | $28.84 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $12.59 Median $32.36 Typical High $44.67 | Professional | None (both parts) | $12.59 | $32.36 | $44.67 |
Cigna Setting Facility Modifier None Typical Low $58.88 Median $77.62 Typical High $165.96 | Facility | None | $58.88 | $77.62 | $165.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $23.44 Median $26.92 Typical High $158.49 | Professional | None (both parts) | $23.44 | $26.92 | $158.49 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.17 Median $6.31 Typical High $22.39 | Professional | 26 · Professional part | $6.17 | $6.31 | $22.39 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $15.49 Median $19.05 Typical High $114.82 | Professional | TC · Technical part | $15.49 | $19.05 | $114.82 |
Emblem Health Setting Facility Modifier None Typical Low $19.05 Median $29.51 Typical High $85.11 | Facility | None | $19.05 | $29.51 | $85.11 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $30.90 Median $38.90 Typical High $56.23 | Professional | None (both parts) | $30.90 | $38.90 | $56.23 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $10.23 Typical High $18.62 | Professional | 26 · Professional part | $8.71 | $10.23 | $18.62 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $28.84 Typical High $42.66 | Professional | TC · Technical part | $27.54 | $28.84 | $42.66 |
Excellus BCBS Setting Facility Modifier None Typical Low $40.74 Median $40.74 Typical High $40.74 | Facility | None | $40.74 | $40.74 | $40.74 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $23.99 Median $23.99 Typical High $23.99 | Facility | TC · Technical part | $23.99 | $23.99 | $23.99 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $19.50 Median $30.90 Typical High $46.77 | Professional | None (both parts) | $19.50 | $30.90 | $46.77 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $4.68 Median $8.51 Typical High $12.59 | Professional | 26 · Professional part | $4.68 | $8.51 | $12.59 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $14.79 Median $22.91 Typical High $34.67 | Professional | TC · Technical part | $14.79 | $22.91 | $34.67 |
Highmark BCBS Setting Facility Modifier None Typical Low $56.23 Median $251.19 Typical High $645.65 | Facility | None | $56.23 | $251.19 | $645.65 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $30.90 Median $30.90 Typical High $33.88 | Professional | None (both parts) | $30.90 | $30.90 | $33.88 |
MVP Health Care Setting Facility Modifier None Typical Low $43.65 Median $107.15 Typical High $257.04 | Facility | None | $43.65 | $107.15 | $257.04 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $44.67 Median $44.67 Typical High $75.86 | Professional | None (both parts) | $44.67 | $44.67 | $75.86 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $10.96 Typical High $14.13 | Professional | 26 · Professional part | $9.12 | $10.96 | $14.13 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $29.51 Typical High $39.81 | Professional | TC · Technical part | $22.91 | $29.51 | $39.81 |
United Setting Facility Modifier None Typical Low $173.78 Median $204.17 Typical High $251.19 | Facility | None | $173.78 | $204.17 | $251.19 |
United Setting Professional Modifier None (both parts) Typical Low $23.44 Median $28.84 Typical High $53.70 | Professional | None (both parts) | $23.44 | $28.84 | $53.70 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.31 Median $7.76 Typical High $14.13 | Professional | 26 · Professional part | $6.31 | $7.76 | $14.13 |
United Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $20.89 Typical High $38.90 | Professional | TC · Technical part | $17.38 | $20.89 | $38.90 |
Univera Setting Facility Modifier None Typical Low $36.31 Median $40.74 Typical High $63.10 | Facility | None | $36.31 | $40.74 | $63.10 |
Univera Setting Facility Modifier TC · Technical part Typical Low $23.99 Median $23.99 Typical High $50.12 | Facility | TC · Technical part | $23.99 | $23.99 | $50.12 |
Univera Setting Professional Modifier None (both parts) Typical Low $19.50 Median $30.90 Typical High $46.77 | Professional | None (both parts) | $19.50 | $30.90 | $46.77 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $4.68 Median $8.51 Typical High $12.59 | Professional | 26 · Professional part | $4.68 | $8.51 | $12.59 |
Univera Setting Professional Modifier TC · Technical part Typical Low $14.79 Median $22.91 Typical High $34.67 | Professional | TC · Technical part | $14.79 | $22.91 | $34.67 |
7 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 $10.72 Median $10.72 Typical High $16.60 | Professional | 52 · Reduced service | $10.72 | $10.72 | $16.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.27 Median $4.27 Typical High $6.61 | Professional | 53 · Discontinued | $4.27 | $4.27 | $6.61 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $17.38 Median $17.38 Typical High $26.30 | Professional | FX · Film X-ray | $17.38 | $17.38 | $26.30 |
Emblem Health Setting Professional Modifier GL · Free upgrade Typical Low $25.70 Median $25.70 Typical High $26.92 | Professional | GL · Free upgrade | $25.70 | $25.70 | $26.92 |
Excellus BCBS Setting Professional Modifier FY · Cassette-based X-ray Typical Low $24.55 Median $34.67 Typical High $44.67 | Professional | FY · Cassette-based X-ray | $24.55 | $34.67 | $44.67 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $19.95 Typical High $31.62 | Professional | 53 · Discontinued | $16.22 | $19.95 | $31.62 |
Univera Setting Professional Modifier FY · Cassette-based X-ray Typical Low $24.55 Median $29.51 Typical High $44.67 | Professional | FY · Cassette-based X-ray | $24.55 | $29.51 | $44.67 |
Where New York sits
The same service costs 4.1 times more in Alaska 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
$23.44
AK $95.50NY $23.44
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.