How much rates vary
Facilitymedian $42 · 10th to 90th $15 to $135Professionalmedian $34 · 10th to 90th $25 to $55
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 $25.12 Median $38.90 Typical High $109.65 | Facility | None | $25.12 | $38.90 | $109.65 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $6.61 Median $8.71 Typical High $23.44 | Facility | 26 · Professional part | $6.61 | $8.71 | $23.44 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $18.62 Median $30.20 Typical High $87.10 | Facility | TC · Technical part | $18.62 | $30.20 | $87.10 |
Aetna Setting Professional Modifier None (both parts) Typical Low $25.12 Median $25.12 Typical High $57.54 | Professional | None (both parts) | $25.12 | $25.12 | $57.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.61 Median $6.61 Typical High $13.49 | Professional | 26 · Professional part | $6.61 | $6.61 | $13.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $18.62 Typical High $44.67 | Professional | TC · Technical part | $18.62 | $18.62 | $44.67 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $26.30 Median $26.30 Typical High $30.90 | Professional | None (both parts) | $26.30 | $26.30 | $30.90 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $22.39 Median $32.36 Typical High $44.67 | Professional | None (both parts) | $22.39 | $32.36 | $44.67 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $5.89 Median $6.92 Typical High $11.75 | Professional | 26 · Professional part | $5.89 | $6.92 | $11.75 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $26.30 Typical High $35.48 | Professional | TC · Technical part | $22.39 | $26.30 | $35.48 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $12.30 Median $40.74 Typical High $53.70 | Professional | None (both parts) | $12.30 | $40.74 | $53.70 |
Cigna Setting Facility Modifier None Typical Low $70.79 Median $97.72 Typical High $194.98 | Facility | None | $70.79 | $97.72 | $194.98 |
Cigna Setting Professional Modifier None (both parts) Typical Low $26.30 Median $30.90 Typical High $181.97 | Professional | None (both parts) | $26.30 | $30.90 | $181.97 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.03 Median $6.61 Typical High $22.91 | Professional | 26 · Professional part | $6.03 | $6.61 | $22.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $23.99 Typical High $141.25 | Professional | TC · Technical part | $18.62 | $23.99 | $141.25 |
Emblem Health Setting Facility Modifier None Typical Low $23.44 Median $35.48 Typical High $102.33 | Facility | None | $23.44 | $35.48 | $102.33 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $35.48 Median $44.67 Typical High $64.57 | Professional | None (both parts) | $35.48 | $44.67 | $64.57 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $9.77 Typical High $17.78 | Professional | 26 · Professional part | $8.51 | $9.77 | $17.78 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $34.67 Typical High $51.29 | Professional | TC · Technical part | $33.11 | $34.67 | $51.29 |
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 $22.39 Median $35.48 Typical High $53.70 | Professional | None (both parts) | $22.39 | $35.48 | $53.70 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $4.68 Median $8.13 Typical High $12.30 | Professional | 26 · Professional part | $4.68 | $8.13 | $12.30 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $27.54 Typical High $41.69 | Professional | TC · Technical part | $17.78 | $27.54 | $41.69 |
Highmark BCBS Setting Facility Modifier None Typical Low $43.65 Median $93.33 Typical High $107.15 | Facility | None | $43.65 | $93.33 | $107.15 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $37.15 Median $37.15 Typical High $61.66 | Professional | None (both parts) | $37.15 | $37.15 | $61.66 |
MVP Health Care Setting Facility Modifier None Typical Low $29.51 Median $107.15 Typical High $257.04 | Facility | None | $29.51 | $107.15 | $257.04 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $39.81 Median $39.81 Typical High $89.13 | Professional | None (both parts) | $39.81 | $39.81 | $89.13 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $11.48 Typical High $14.45 | Professional | 26 · Professional part | $9.12 | $11.48 | $14.45 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $35.48 Typical High $47.86 | Professional | TC · Technical part | $28.18 | $35.48 | $47.86 |
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 $26.92 Median $33.88 Typical High $61.66 | Professional | None (both parts) | $26.92 | $33.88 | $61.66 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.46 Median $7.76 Typical High $14.79 | Professional | 26 · Professional part | $6.46 | $7.76 | $14.79 |
United Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $25.70 Typical High $47.86 | Professional | TC · Technical part | $20.89 | $25.70 | $47.86 |
Univera Setting Facility Modifier None Typical Low $15.14 Median $15.14 Typical High $72.44 | Facility | None | $15.14 | $15.14 | $72.44 |
Univera Setting Facility Modifier TC · Technical part Typical Low $9.12 Median $9.12 Typical High $61.66 | Facility | TC · Technical part | $9.12 | $9.12 | $61.66 |
Univera Setting Professional Modifier None (both parts) Typical Low $22.39 Median $35.48 Typical High $48.98 | Professional | None (both parts) | $22.39 | $35.48 | $48.98 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $4.68 Median $8.13 Typical High $11.22 | Professional | 26 · Professional part | $4.68 | $8.13 | $11.22 |
Univera Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $27.54 Typical High $38.02 | Professional | TC · Technical part | $17.78 | $27.54 | $38.02 |
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 $12.59 Median $12.59 Typical High $19.50 | Professional | 52 · Reduced service | $12.59 | $12.59 | $19.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.01 Median $5.01 Typical High $7.76 | Professional | 53 · Discontinued | $5.01 | $5.01 | $7.76 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $19.95 Median $19.95 Typical High $30.90 | Professional | FX · Film X-ray | $19.95 | $19.95 | $30.90 |
Emblem Health Setting Professional Modifier GL · Free upgrade Typical Low $29.51 Median $29.51 Typical High $30.90 | Professional | GL · Free upgrade | $29.51 | $29.51 | $30.90 |
Excellus BCBS Setting Professional Modifier FY · Cassette-based X-ray Typical Low $28.18 Median $38.90 Typical High $51.29 | Professional | FY · Cassette-based X-ray | $28.18 | $38.90 | $51.29 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $23.44 Typical High $37.15 | Professional | 53 · Discontinued | $19.05 | $23.44 | $37.15 |
Univera Setting Professional Modifier FY · Cassette-based X-ray Typical Low $33.11 Median $34.67 Typical High $51.29 | Professional | FY · Cassette-based X-ray | $33.11 | $34.67 | $51.29 |
Where New York sits
The same service costs 3.9 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· 46th of 51
$33.88
AK $112FL $28.84
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.