How much rates vary
Facilitymedian $35 · 10th to 90th $10 to $141Professionalmedian $22 · 10th to 90th $17 to $45
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 $21.88 Median $31.62 Typical High $91.20 | Facility | None | $21.88 | $31.62 | $91.20 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $6.31 Median $8.91 Typical High $20.89 | Facility | 26 · Professional part | $6.31 | $8.91 | $20.89 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $15.49 Median $22.91 Typical High $66.07 | Facility | TC · Technical part | $15.49 | $22.91 | $66.07 |
Aetna Setting Professional Modifier None (both parts) Typical Low $21.88 Median $21.88 Typical High $50.12 | Professional | None (both parts) | $21.88 | $21.88 | $50.12 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.31 Median $6.31 Typical High $13.80 | Professional | 26 · Professional part | $6.31 | $6.31 | $13.80 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $15.49 Median $15.49 Typical High $34.67 | Professional | TC · Technical part | $15.49 | $15.49 | $34.67 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $23.44 Median $23.99 Typical High $26.30 | Professional | None (both parts) | $23.44 | $23.99 | $26.30 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $15.49 Median $20.42 Typical High $30.20 | Professional | None (both parts) | $15.49 | $20.42 | $30.20 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $4.79 Median $5.62 Typical High $10.72 | Professional | 26 · Professional part | $4.79 | $5.62 | $10.72 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $13.49 Median $15.49 Typical High $33.88 | Professional | TC · Technical part | $13.49 | $15.49 | $33.88 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $12.59 Median $31.62 Typical High $43.65 | Professional | None (both parts) | $12.59 | $31.62 | $43.65 |
Cigna Setting Facility Modifier None Typical Low $54.95 Median $75.86 Typical High $154.88 | Facility | None | $54.95 | $75.86 | $154.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $22.39 Median $26.30 Typical High $151.36 | Professional | None (both parts) | $22.39 | $26.30 | $151.36 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.17 Median $6.31 Typical High $23.99 | Professional | 26 · Professional part | $6.17 | $6.31 | $23.99 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $15.49 Median $18.20 Typical High $107.15 | Professional | TC · Technical part | $15.49 | $18.20 | $107.15 |
Emblem Health Setting Facility Modifier None Typical Low $17.78 Median $27.54 Typical High $79.43 | Facility | None | $17.78 | $27.54 | $79.43 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $29.51 Median $37.15 Typical High $53.70 | Professional | None (both parts) | $29.51 | $37.15 | $53.70 |
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 $25.70 Median $26.92 Typical High $39.81 | Professional | TC · Technical part | $25.70 | $26.92 | $39.81 |
Excellus BCBS Setting Facility Modifier None Typical Low $10.00 Median $10.00 Typical High $10.00 | Facility | None | $10.00 | $10.00 | $10.00 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $6.03 Median $6.03 Typical High $6.03 | Facility | TC · Technical part | $6.03 | $6.03 | $6.03 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $18.62 Median $29.51 Typical High $44.67 | Professional | None (both parts) | $18.62 | $29.51 | $44.67 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $4.68 Median $8.51 Typical High $12.59 | Professional | 26 · Professional part | $4.68 | $8.51 | $12.59 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $14.13 Median $21.38 Typical High $32.36 | Professional | TC · Technical part | $14.13 | $21.38 | $32.36 |
Highmark BCBS Setting Facility Modifier None Typical Low $33.88 Median $117.49 Typical High $354.81 | Facility | None | $33.88 | $117.49 | $354.81 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $30.90 Median $33.11 Typical High $51.29 | Professional | None (both parts) | $30.90 | $33.11 | $51.29 |
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 $30.20 Median $30.20 Typical High $75.86 | Professional | None (both parts) | $30.20 | $30.20 | $75.86 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $12.02 Typical High $15.14 | Professional | 26 · Professional part | $9.55 | $12.02 | $15.14 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $28.18 Typical High $37.15 | Professional | TC · Technical part | $21.88 | $28.18 | $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 $23.44 Median $28.18 Typical High $51.29 | Professional | None (both parts) | $23.44 | $28.18 | $51.29 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $8.13 Typical High $15.14 | Professional | 26 · Professional part | $6.76 | $8.13 | $15.14 |
United Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $19.95 Typical High $37.15 | Professional | TC · Technical part | $16.22 | $19.95 | $37.15 |
Univera Setting Facility Modifier None Typical Low $10.00 Median $10.00 Typical High $61.66 | Facility | None | $10.00 | $10.00 | $61.66 |
Univera Setting Facility Modifier TC · Technical part Typical Low $6.03 Median $6.03 Typical High $50.12 | Facility | TC · Technical part | $6.03 | $6.03 | $50.12 |
Univera Setting Professional Modifier None (both parts) Typical Low $18.62 Median $29.51 Typical High $44.67 | Professional | None (both parts) | $18.62 | $29.51 | $44.67 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $4.68 Median $8.51 Typical High $12.59 | Professional | 26 · Professional part | $4.68 | $8.51 | $12.59 |
Univera Setting Professional Modifier TC · Technical part Typical Low $14.13 Median $21.38 Typical High $32.36 | Professional | TC · Technical part | $14.13 | $21.38 | $32.36 |
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 $10.96 Median $10.96 Typical High $15.85 | Professional | 52 · Reduced service | $10.96 | $10.96 | $15.85 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.37 Median $4.37 Typical High $6.31 | Professional | 53 · Discontinued | $4.37 | $4.37 | $6.31 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $17.38 Median $17.38 Typical High $25.70 | Professional | FX · Film X-ray | $17.38 | $17.38 | $25.70 |
Emblem Health Setting Professional Modifier GL · Free upgrade Typical Low $25.12 Median $25.12 Typical High $25.70 | Professional | GL · Free upgrade | $25.12 | $25.12 | $25.70 |
Excellus BCBS Setting Professional Modifier FY · Cassette-based X-ray Typical Low $23.44 Median $32.36 Typical High $42.66 | Professional | FY · Cassette-based X-ray | $23.44 | $32.36 | $42.66 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $19.95 Typical High $30.20 | Professional | 53 · Discontinued | $15.85 | $19.95 | $30.20 |
Univera Setting Professional Modifier FY · Cassette-based X-ray Typical Low $23.44 Median $28.84 Typical High $42.66 | Professional | FY · Cassette-based X-ray | $23.44 | $28.84 | $42.66 |
Where New York sits
The same service costs 4.3 times more in Alaska than in New York. 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· 51st of 51
$21.88
AK $93.33NY $21.88
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.