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 $32.36 Median $48.98 Typical High $138.04 | Facility | None | $32.36 | $48.98 | $138.04 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $10.47 Median $13.80 Typical High $37.15 | Facility | 26 · Professional part | $10.47 | $13.80 | $37.15 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $21.88 Median $35.48 Typical High $102.33 | Facility | TC · Technical part | $21.88 | $35.48 | $102.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $32.36 Median $32.36 Typical High $70.79 | Professional | None (both parts) | $32.36 | $32.36 | $70.79 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $10.47 Typical High $18.62 | Professional | 26 · Professional part | $10.47 | $10.47 | $18.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $21.88 Typical High $45.71 | Professional | TC · Technical part | $21.88 | $21.88 | $45.71 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $26.92 Median $38.02 Typical High $57.54 | Professional | None (both parts) | $26.92 | $38.02 | $57.54 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $13.49 Typical High $17.78 | Professional | 26 · Professional part | $11.48 | $13.49 | $17.78 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $25.70 Typical High $45.71 | Professional | TC · Technical part | $21.88 | $25.70 | $45.71 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $19.50 Median $47.86 Typical High $67.61 | Professional | None (both parts) | $19.50 | $47.86 | $67.61 |
Cigna Setting Facility Modifier None Typical Low $83.18 Median $114.82 Typical High $263.03 | Facility | None | $83.18 | $114.82 | $263.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $34.67 Median $40.74 Typical High $223.87 | Professional | None (both parts) | $34.67 | $40.74 | $223.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $10.47 Typical High $36.31 | Professional | 26 · Professional part | $9.33 | $10.47 | $36.31 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $28.18 Typical High $162.18 | Professional | TC · Technical part | $23.99 | $28.18 | $162.18 |
Emblem Health Setting Facility Modifier None Typical Low $26.92 Median $41.69 Typical High $120.23 | Facility | None | $26.92 | $41.69 | $120.23 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $44.67 Median $56.23 Typical High $79.43 | Professional | None (both parts) | $44.67 | $56.23 | $79.43 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $15.14 Typical High $27.54 | Professional | 26 · Professional part | $13.18 | $15.14 | $27.54 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $40.74 Typical High $60.26 | Professional | TC · Technical part | $38.90 | $40.74 | $60.26 |
Excellus BCBS Setting Facility Modifier None Typical Low $25.12 Median $25.12 Typical High $25.12 | Facility | None | $25.12 | $25.12 | $25.12 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $15.14 Median $15.14 Typical High $15.14 | Facility | TC · Technical part | $15.14 | $15.14 | $15.14 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $30.20 Median $44.67 Typical High $67.61 | Professional | None (both parts) | $30.20 | $44.67 | $67.61 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $12.88 Typical High $19.50 | Professional | 26 · Professional part | $7.59 | $12.88 | $19.50 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $31.62 Typical High $48.98 | Professional | TC · Technical part | $22.39 | $31.62 | $48.98 |
Highmark BCBS Setting Facility Modifier None Typical Low $32.36 Median $117.49 Typical High $181.97 | Facility | None | $32.36 | $117.49 | $181.97 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $47.86 Median $48.98 Typical High $81.28 | Professional | None (both parts) | $47.86 | $48.98 | $81.28 |
MVP Health Care Setting Facility Modifier None Typical Low $34.67 Median $107.15 Typical High $257.04 | Facility | None | $34.67 | $107.15 | $257.04 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $64.57 Median $64.57 Typical High $114.82 | Professional | None (both parts) | $64.57 | $64.57 | $114.82 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $18.20 Typical High $22.91 | Professional | 26 · Professional part | $14.79 | $18.20 | $22.91 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $42.66 Typical High $56.23 | Professional | TC · Technical part | $33.88 | $42.66 | $56.23 |
United Setting Facility Modifier None Typical Low $208.93 Median $245.47 Typical High $302.00 | Facility | None | $208.93 | $245.47 | $302.00 |
United Setting Professional Modifier None (both parts) Typical Low $35.48 Median $42.66 Typical High $77.62 | Professional | None (both parts) | $35.48 | $42.66 | $77.62 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $12.30 Typical High $23.44 | Professional | 26 · Professional part | $10.23 | $12.30 | $23.44 |
United Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $30.20 Typical High $56.23 | Professional | TC · Technical part | $25.12 | $30.20 | $56.23 |
Univera Setting Facility Modifier None Typical Low $25.12 Median $25.12 Typical High $100.00 | Facility | None | $25.12 | $25.12 | $100.00 |
Univera Setting Facility Modifier TC · Technical part Typical Low $15.14 Median $15.14 Typical High $81.28 | Facility | TC · Technical part | $15.14 | $15.14 | $81.28 |
Univera Setting Professional Modifier None (both parts) Typical Low $30.20 Median $44.67 Typical High $61.66 | Professional | None (both parts) | $30.20 | $44.67 | $61.66 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $12.88 Typical High $17.78 | Professional | 26 · Professional part | $7.59 | $12.88 | $17.78 |
Univera Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $31.62 Typical High $44.67 | Professional | TC · Technical part | $22.39 | $31.62 | $44.67 |
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 $16.22 Median $16.22 Typical High $24.55 | Professional | 52 · Reduced service | $16.22 | $16.22 | $24.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.46 Median $6.46 Typical High $9.77 | Professional | 53 · Discontinued | $6.46 | $6.46 | $9.77 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $25.70 Median $25.70 Typical High $38.90 | Professional | FX · Film X-ray | $25.70 | $25.70 | $38.90 |
Emblem Health Setting Professional Modifier GL · Free upgrade Typical Low $38.02 Median $38.02 Typical High $40.74 | Professional | GL · Free upgrade | $38.02 | $38.02 | $40.74 |
Excellus BCBS Setting Professional Modifier FY · Cassette-based X-ray Typical Low $35.48 Median $50.12 Typical High $64.57 | Professional | FY · Cassette-based X-ray | $35.48 | $50.12 | $64.57 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $30.20 Typical High $45.71 | Professional | 53 · Discontinued | $24.55 | $30.20 | $45.71 |
Univera Setting Professional Modifier FY · Cassette-based X-ray Typical Low $41.69 Median $43.65 Typical High $64.57 | Professional | FY · Cassette-based X-ray | $41.69 | $43.65 | $64.57 |
Where New York sits
The same service costs 4.1 times more in Alaska than in Utah. 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· 48th of 51
$38.90
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.