How much rates vary
Facilitymedian $35 · 10th to 90th $15 to $135Professionalmedian $28 · 10th to 90th $21 to $48
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 $22.91 Median $32.36 Typical High $91.20 | Facility | None | $22.91 | $32.36 | $91.20 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $7.94 Median $10.00 Typical High $26.92 | Facility | 26 · Professional part | $7.94 | $10.00 | $26.92 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $14.79 Median $22.39 Typical High $102.33 | Facility | TC · Technical part | $14.79 | $22.39 | $102.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $22.91 Median $22.91 Typical High $40.74 | Professional | None (both parts) | $22.91 | $22.91 | $40.74 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $7.94 Typical High $12.59 | Professional | 26 · Professional part | $7.94 | $7.94 | $12.59 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $14.79 Median $14.79 Typical High $27.54 | Professional | TC · Technical part | $14.79 | $14.79 | $27.54 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $21.88 Median $22.39 Typical High $26.30 | Professional | None (both parts) | $21.88 | $22.39 | $26.30 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $18.62 Median $26.92 Typical High $38.90 | Professional | None (both parts) | $18.62 | $26.92 | $38.90 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $9.77 Typical High $12.59 | Professional | 26 · Professional part | $8.32 | $9.77 | $12.59 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $15.14 Median $16.98 Typical High $33.11 | Professional | TC · Technical part | $15.14 | $16.98 | $33.11 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $14.13 Median $30.90 Typical High $44.67 | Professional | None (both parts) | $14.13 | $30.90 | $44.67 |
Cigna Setting Facility Modifier None Typical Low $54.95 Median $74.13 Typical High $194.98 | Facility | None | $54.95 | $74.13 | $194.98 |
Cigna Setting Professional Modifier None (both parts) Typical Low $23.99 Median $37.15 Typical High $109.65 | Professional | None (both parts) | $23.99 | $37.15 | $109.65 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $7.59 Typical High $26.92 | Professional | 26 · Professional part | $6.92 | $7.59 | $26.92 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $18.20 Typical High $107.15 | Professional | TC · Technical part | $15.85 | $18.20 | $107.15 |
Emblem Health Setting Facility Modifier None Typical Low $17.78 Median $26.92 Typical High $77.62 | Facility | None | $17.78 | $26.92 | $77.62 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $30.20 Median $38.02 Typical High $53.70 | Professional | None (both parts) | $30.20 | $38.02 | $53.70 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $11.48 Typical High $20.89 | Professional | 26 · Professional part | $9.77 | $11.48 | $20.89 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $26.30 Typical High $38.90 | Professional | TC · Technical part | $25.12 | $26.30 | $38.90 |
Excellus BCBS Setting Facility Modifier None Typical Low $15.14 Median $15.14 Typical High $15.14 | Facility | None | $15.14 | $15.14 | $15.14 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $9.12 Median $9.12 Typical High $9.12 | Facility | TC · Technical part | $9.12 | $9.12 | $9.12 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $20.42 Median $30.20 Typical High $45.71 | Professional | None (both parts) | $20.42 | $30.20 | $45.71 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $5.37 Median $9.33 Typical High $14.13 | Professional | 26 · Professional part | $5.37 | $9.33 | $14.13 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $15.14 Median $20.89 Typical High $31.62 | Professional | TC · Technical part | $15.14 | $20.89 | $31.62 |
Highmark BCBS Setting Facility Modifier None Typical Low $53.70 Median $53.70 Typical High $93.33 | Facility | None | $53.70 | $53.70 | $93.33 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | None (both parts) | $32.36 | $32.36 | $32.36 |
MVP Health Care Setting Facility Modifier None Typical Low $22.39 Median $107.15 Typical High $257.04 | Facility | None | $22.39 | $107.15 | $257.04 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $34.67 Median $34.67 Typical High $77.62 | Professional | None (both parts) | $34.67 | $34.67 | $77.62 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $13.18 Typical High $16.98 | Professional | 26 · Professional part | $10.72 | $13.18 | $16.98 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $27.54 Typical High $37.15 | Professional | TC · Technical part | $21.88 | $27.54 | $37.15 |
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 $23.99 Median $29.51 Typical High $53.70 | Professional | None (both parts) | $23.99 | $29.51 | $53.70 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $8.91 Typical High $16.98 | Professional | 26 · Professional part | $7.59 | $8.91 | $16.98 |
United Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $19.95 Typical High $37.15 | Professional | TC · Technical part | $16.60 | $19.95 | $37.15 |
Univera Setting Facility Modifier None Typical Low $15.14 Median $15.14 Typical High $75.86 | Facility | None | $15.14 | $15.14 | $75.86 |
Univera Setting Facility Modifier TC · Technical part Typical Low $9.12 Median $9.12 Typical High $64.57 | Facility | TC · Technical part | $9.12 | $9.12 | $64.57 |
Univera Setting Professional Modifier None (both parts) Typical Low $20.42 Median $30.20 Typical High $45.71 | Professional | None (both parts) | $20.42 | $30.20 | $45.71 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $5.37 Median $9.33 Typical High $14.13 | Professional | 26 · Professional part | $5.37 | $9.33 | $14.13 |
Univera Setting Professional Modifier TC · Technical part Typical Low $15.14 Median $20.89 Typical High $31.62 | Professional | TC · Technical part | $15.14 | $20.89 | $31.62 |
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 $11.48 Median $11.48 Typical High $16.22 | Professional | 52 · Reduced service | $11.48 | $11.48 | $16.22 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.57 Median $4.57 Typical High $6.46 | Professional | 53 · Discontinued | $4.57 | $4.57 | $6.46 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $18.20 Median $18.20 Typical High $26.30 | Professional | FX · Film X-ray | $18.20 | $18.20 | $26.30 |
Emblem Health Setting Professional Modifier GL · Free upgrade Typical Low $26.30 Median $26.30 Typical High $27.54 | Professional | GL · Free upgrade | $26.30 | $26.30 | $27.54 |
Excellus BCBS Setting Professional Modifier FY · Cassette-based X-ray Typical Low $23.99 Median $33.11 Typical High $43.65 | Professional | FY · Cassette-based X-ray | $23.99 | $33.11 | $43.65 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $20.42 Typical High $32.36 | Professional | 53 · Discontinued | $16.22 | $20.42 | $32.36 |
Univera Setting Professional Modifier FY · Cassette-based X-ray Typical Low $23.99 Median $29.51 Typical High $43.65 | Professional | FY · Cassette-based X-ray | $23.99 | $29.51 | $43.65 |
Where New York sits
The same service costs 3.8 times more in Alaska than in Florida. 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· 50th of 51
$27.54
AK $95.50FL $25.12
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.