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 $27.54 Median $36.31 Typical High $85.11 | Facility | None | $27.54 | $36.31 | $85.11 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $8.91 Median $9.55 Typical High $20.89 | Facility | 26 · Professional part | $8.91 | $9.55 | $20.89 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $18.20 Median $27.54 Typical High $123.03 | Facility | TC · Technical part | $18.20 | $27.54 | $123.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $27.54 Median $27.54 Typical High $60.26 | Professional | None (both parts) | $27.54 | $27.54 | $60.26 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $9.55 Typical High $14.45 | Professional | 26 · Professional part | $8.91 | $9.55 | $14.45 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $18.20 Typical High $43.65 | Professional | TC · Technical part | $18.20 | $18.20 | $43.65 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $25.70 Median $26.92 Typical High $29.51 | Professional | None (both parts) | $25.70 | $26.92 | $29.51 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $25.12 Median $31.62 Typical High $51.29 | Professional | None (both parts) | $25.12 | $31.62 | $51.29 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $6.17 Median $7.24 Typical High $13.18 | Professional | 26 · Professional part | $6.17 | $7.24 | $13.18 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $23.99 Typical High $33.11 | Professional | TC · Technical part | $20.42 | $23.99 | $33.11 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $12.59 Median $37.15 Typical High $50.12 | Professional | None (both parts) | $12.59 | $37.15 | $50.12 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $89.13 Typical High $208.93 | Facility | None | $66.07 | $89.13 | $208.93 |
Cigna Setting Professional Modifier None (both parts) Typical Low $26.92 Median $31.62 Typical High $173.78 | Professional | None (both parts) | $26.92 | $31.62 | $173.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.31 Median $8.51 Typical High $26.30 | Professional | 26 · Professional part | $6.31 | $8.51 | $26.30 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $21.88 Typical High $131.83 | Professional | TC · Technical part | $19.50 | $21.88 | $131.83 |
Emblem Health Setting Facility Modifier None Typical Low $21.88 Median $33.11 Typical High $95.50 | Facility | None | $21.88 | $33.11 | $95.50 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $33.88 Median $42.66 Typical High $61.66 | Professional | None (both parts) | $33.88 | $42.66 | $61.66 |
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 $30.90 Median $32.36 Typical High $47.86 | Professional | TC · Technical part | $30.90 | $32.36 | $47.86 |
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 $25.12 Median $33.88 Typical High $51.29 | Professional | None (both parts) | $25.12 | $33.88 | $51.29 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $6.61 Median $8.51 Typical High $12.59 | Professional | 26 · Professional part | $6.61 | $8.51 | $12.59 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $25.70 Typical High $38.90 | Professional | TC · Technical part | $18.62 | $25.70 | $38.90 |
Highmark BCBS Setting Facility Modifier None Typical Low $109.65 Median $177.83 Typical High $263.03 | Facility | None | $109.65 | $177.83 | $263.03 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $33.11 Median $38.90 Typical High $48.98 | Professional | None (both parts) | $33.11 | $38.90 | $48.98 |
MVP Health Care Setting Facility Modifier None Typical Low $27.54 Median $107.15 Typical High $257.04 | Facility | None | $27.54 | $107.15 | $257.04 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $39.81 Median $39.81 Typical High $87.10 | Professional | None (both parts) | $39.81 | $39.81 | $87.10 |
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 $26.30 Median $33.11 Typical High $44.67 | Professional | TC · Technical part | $26.30 | $33.11 | $44.67 |
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 $27.54 Median $33.11 Typical High $61.66 | Professional | None (both parts) | $27.54 | $33.11 | $61.66 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $8.91 Typical High $17.38 | Professional | 26 · Professional part | $6.92 | $8.91 | $17.38 |
United Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $23.44 Typical High $44.67 | Professional | TC · Technical part | $19.95 | $23.44 | $44.67 |
Univera Setting Facility Modifier None Typical Low $15.14 Median $15.14 Typical High $79.43 | Facility | None | $15.14 | $15.14 | $79.43 |
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 $25.12 Median $33.88 Typical High $46.77 | Professional | None (both parts) | $25.12 | $33.88 | $46.77 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $6.61 Median $8.51 Typical High $11.75 | Professional | 26 · Professional part | $6.61 | $8.51 | $11.75 |
Univera Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $25.70 Typical High $35.48 | Professional | TC · Technical part | $18.62 | $25.70 | $35.48 |
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 $13.80 Median $13.80 Typical High $18.20 | Professional | 52 · Reduced service | $13.80 | $13.80 | $18.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.62 Median $5.62 Typical High $7.24 | Professional | 53 · Discontinued | $5.62 | $5.62 | $7.24 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $22.39 Median $22.39 Typical High $28.84 | Professional | FX · Film X-ray | $22.39 | $22.39 | $28.84 |
Emblem Health Setting Professional Modifier GL · Free upgrade Typical Low $32.36 Median $32.36 Typical High $33.88 | Professional | GL · Free upgrade | $32.36 | $32.36 | $33.88 |
Excellus BCBS Setting Professional Modifier FY · Cassette-based X-ray Typical Low $26.92 Median $37.15 Typical High $48.98 | Professional | FY · Cassette-based X-ray | $26.92 | $37.15 | $48.98 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $23.44 Typical High $36.31 | Professional | 53 · Discontinued | $18.62 | $23.44 | $36.31 |
Univera Setting Professional Modifier FY · Cassette-based X-ray Typical Low $31.62 Median $32.36 Typical High $48.98 | Professional | FY · Cassette-based X-ray | $31.62 | $32.36 | $48.98 |
Where New York sits
The same service costs 3.6 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· 48th of 51
$32.36
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.