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 $7.94 Median $18.20 Typical High $43.65 | Facility | None | $7.94 | $18.20 | $43.65 |
Aetna Setting Professional Modifier None (both parts) Typical Low $16.22 Median $16.22 Typical High $23.44 | Professional | None (both parts) | $16.22 | $16.22 | $23.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $8.71 Typical High $11.48 | Professional | 26 · Professional part | $8.71 | $8.71 | $11.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $7.41 Median $7.41 Typical High $11.75 | Professional | TC · Technical part | $7.41 | $7.41 | $11.75 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $18.62 Median $18.62 Typical High $18.62 | Professional | None (both parts) | $18.62 | $18.62 | $18.62 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $14.13 Median $18.62 Typical High $23.99 | Professional | None (both parts) | $14.13 | $18.62 | $23.99 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $10.47 Typical High $16.60 | Professional | 26 · Professional part | $8.91 | $10.47 | $16.60 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $7.59 Median $8.91 Typical High $13.80 | Professional | TC · Technical part | $7.59 | $8.91 | $13.80 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $11.48 Median $14.79 Typical High $26.30 | Professional | None (both parts) | $11.48 | $14.79 | $26.30 |
Cigna Setting Facility Modifier None Typical Low $21.88 Median $29.51 Typical High $134.90 | Facility | None | $21.88 | $29.51 | $134.90 |
Cigna Setting Professional Modifier None (both parts) Typical Low $13.49 Median $23.44 Typical High $74.13 | Professional | None (both parts) | $13.49 | $23.44 | $74.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $8.13 Typical High $27.54 | Professional | 26 · Professional part | $6.92 | $8.13 | $27.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $6.46 Median $7.94 Typical High $45.71 | Professional | TC · Technical part | $6.46 | $7.94 | $45.71 |
Emblem Health Setting Facility Modifier None Typical Low $7.59 Median $11.48 Typical High $33.88 | Facility | None | $7.59 | $11.48 | $33.88 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $18.62 Median $22.91 Typical High $33.11 | Professional | None (both parts) | $18.62 | $22.91 | $33.11 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $11.75 Typical High $18.20 | Professional | 26 · Professional part | $10.23 | $11.75 | $18.20 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $10.72 Median $11.22 Typical High $16.60 | Professional | TC · Technical part | $10.72 | $11.22 | $16.60 |
Excellus BCBS Setting Facility Modifier None Typical Low $13.18 Median $13.18 Typical High $13.18 | Facility | None | $13.18 | $13.18 | $13.18 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $7.94 Median $7.94 Typical High $7.94 | Facility | TC · Technical part | $7.94 | $7.94 | $7.94 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $14.45 Median $18.62 Typical High $27.54 | Professional | None (both parts) | $14.45 | $18.62 | $27.54 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $5.75 Median $9.77 Typical High $14.79 | Professional | 26 · Professional part | $5.75 | $9.77 | $14.79 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $7.41 Median $8.71 Typical High $12.59 | Professional | TC · Technical part | $7.41 | $8.71 | $12.59 |
Highmark BCBS Setting Facility Modifier None Typical Low $34.67 Median $34.67 Typical High $34.67 | Facility | None | $34.67 | $34.67 | $34.67 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $12.59 Typical High $12.59 | Professional | 26 · Professional part | $12.59 | $12.59 | $12.59 |
MVP Health Care Setting Facility Modifier None Typical Low $15.49 Median $45.71 Typical High $257.04 | Facility | None | $15.49 | $45.71 | $257.04 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $16.98 Median $16.98 Typical High $46.77 | Professional | None (both parts) | $16.98 | $16.98 | $46.77 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $13.80 Typical High $17.38 | Professional | 26 · Professional part | $10.96 | $13.80 | $17.38 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $8.71 Median $11.48 Typical High $15.85 | Professional | TC · Technical part | $8.71 | $11.48 | $15.85 |
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 $14.79 Median $17.78 Typical High $35.48 | Professional | None (both parts) | $14.79 | $17.78 | $35.48 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $9.33 Typical High $17.78 | Professional | 26 · Professional part | $7.76 | $9.33 | $17.78 |
United Setting Professional Modifier TC · Technical part Typical Low $6.76 Median $8.32 Typical High $17.78 | Professional | TC · Technical part | $6.76 | $8.32 | $17.78 |
Univera Setting Facility Modifier None Typical Low $13.18 Median $13.18 Typical High $64.57 | Facility | None | $13.18 | $13.18 | $64.57 |
Univera Setting Facility Modifier TC · Technical part Typical Low $7.94 Median $7.94 Typical High $29.51 | Facility | TC · Technical part | $7.94 | $7.94 | $29.51 |
Univera Setting Professional Modifier None (both parts) Typical Low $14.45 Median $18.62 Typical High $25.12 | Professional | None (both parts) | $14.45 | $18.62 | $25.12 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $5.75 Median $9.77 Typical High $13.49 | Professional | 26 · Professional part | $5.75 | $9.77 | $13.49 |
Univera Setting Professional Modifier TC · Technical part Typical Low $7.41 Median $8.71 Typical High $11.75 | Professional | TC · Technical part | $7.41 | $8.71 | $11.75 |
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 $7.94 Median $7.94 Typical High $9.55 | Professional | 52 · Reduced service | $7.94 | $7.94 | $9.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.24 Median $3.24 Typical High $3.80 | Professional | 53 · Discontinued | $3.24 | $3.24 | $3.80 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $12.88 Median $12.88 Typical High $14.45 | Professional | FX · Film X-ray | $12.88 | $12.88 | $14.45 |
Emblem Health Setting Professional Modifier GL · Free upgrade Typical Low $17.78 Median $17.78 Typical High $20.42 | Professional | GL · Free upgrade | $17.78 | $17.78 | $20.42 |
Excellus BCBS Setting Professional Modifier FY · Cassette-based X-ray Typical Low $14.45 Median $20.42 Typical High $26.30 | Professional | FY · Cassette-based X-ray | $14.45 | $20.42 | $26.30 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $10.00 Median $12.59 Typical High $18.62 | Professional | 53 · Discontinued | $10.00 | $12.59 | $18.62 |
Univera Setting Professional Modifier FY · Cassette-based X-ray Typical Low $16.22 Median $17.78 Typical High $26.30 | Professional | FY · Cassette-based X-ray | $16.22 | $17.78 | $26.30 |
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· 50th of 51
$18.20
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.