How much rates vary
Facilitymedian $501 · 10th to 90th $302 to $1,445Professionalmedian $380 · 10th to 90th $302 to $759
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 $371.54 Median $398.11 Typical High $1,659.59 | Facility | None | $371.54 | $398.11 | $1,659.59 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $112.20 Median $112.20 Typical High $199.53 | Facility | 26 · Professional part | $112.20 | $112.20 | $199.53 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $251.19 Median $263.03 Typical High $660.69 | Facility | TC · Technical part | $251.19 | $263.03 | $660.69 |
Aetna Setting Professional Modifier None (both parts) Typical Low $371.54 Median $371.54 Typical High $707.95 | Professional | None (both parts) | $371.54 | $371.54 | $707.95 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $112.20 Typical High $173.78 | Professional | 26 · Professional part | $112.20 | $112.20 | $173.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $257.04 Typical High $389.05 | Professional | TC · Technical part | $257.04 | $257.04 | $389.05 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $218.78 Median $234.42 Typical High $467.74 | Professional | None (both parts) | $218.78 | $234.42 | $467.74 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $323.59 Median $380.19 Typical High $562.34 | Professional | None (both parts) | $323.59 | $380.19 | $562.34 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $117.49 Typical High $147.91 | Professional | 26 · Professional part | $100.00 | $117.49 | $147.91 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $263.03 Typical High $363.08 | Professional | TC · Technical part | $223.87 | $263.03 | $363.08 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $158.49 Median $338.84 Typical High $501.19 | Professional | None (both parts) | $158.49 | $338.84 | $501.19 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $812.83 Typical High $2,630.27 | Facility | None | $524.81 | $812.83 | $2,630.27 |
Cigna Setting Professional Modifier None (both parts) Typical Low $269.15 Median $338.84 Typical High $2,290.87 | Professional | None (both parts) | $269.15 | $338.84 | $2,290.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $83.18 Typical High $302.00 | Professional | 26 · Professional part | $77.62 | $83.18 | $302.00 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $223.87 Typical High $1,659.59 | Professional | TC · Technical part | $186.21 | $223.87 | $1,659.59 |
Emblem Health Setting Facility Modifier None Typical Low $169.82 Median $263.03 Typical High $831.76 | Facility | None | $169.82 | $263.03 | $831.76 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $354.81 Median $380.19 Typical High $562.34 | Professional | None (both parts) | $354.81 | $380.19 | $562.34 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $123.03 Typical High $229.09 | Professional | 26 · Professional part | $102.33 | $123.03 | $229.09 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $257.04 Typical High $371.54 | Professional | TC · Technical part | $239.88 | $257.04 | $371.54 |
Excellus BCBS Setting Facility Modifier None Typical Low $501.19 Median $501.19 Typical High $501.19 | Facility | None | $501.19 | $501.19 | $501.19 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $302.00 Median $302.00 Typical High $302.00 | Facility | TC · Technical part | $302.00 | $302.00 | $302.00 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $302.00 Median $398.11 Typical High $549.54 | Professional | None (both parts) | $302.00 | $398.11 | $549.54 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $102.33 Typical High $186.21 | Professional | 26 · Professional part | $52.48 | $102.33 | $186.21 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $263.03 Typical High $389.05 | Professional | TC · Technical part | $199.53 | $263.03 | $389.05 |
Fidelis Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $131.83 Typical High $162.18 | Professional | 26 · Professional part | $93.33 | $131.83 | $162.18 |
Highmark BCBS Setting Facility Modifier None Typical Low $302.00 Median $501.19 Typical High $1,905.46 | Facility | None | $302.00 | $501.19 | $1,905.46 |
Highmark BCBS Setting Facility Modifier TC · Technical part Typical Low $323.59 Median $660.69 Typical High $2,454.71 | Facility | TC · Technical part | $323.59 | $660.69 | $2,454.71 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $302.00 Median $436.52 Typical High $1,000.00 | Professional | None (both parts) | $302.00 | $436.52 | $1,000.00 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $138.04 Typical High $234.42 | Professional | 26 · Professional part | $102.33 | $138.04 | $234.42 |
MVP Health Care Setting Facility Modifier None Typical Low $107.15 Median $257.04 Typical High $645.65 | Facility | None | $107.15 | $257.04 | $645.65 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $724.44 Median $758.58 Typical High $891.25 | Professional | None (both parts) | $724.44 | $758.58 | $891.25 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $204.17 Typical High $218.78 | Professional | 26 · Professional part | $117.49 | $204.17 | $218.78 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $512.86 Typical High $676.08 | Professional | TC · Technical part | $251.19 | $512.86 | $676.08 |
United Setting Facility Modifier None Typical Low $707.95 Median $812.83 Typical High $1,000.00 | Facility | None | $707.95 | $812.83 | $1,000.00 |
United Setting Professional Modifier None (both parts) Typical Low $257.04 Median $346.74 Typical High $1,023.29 | Professional | None (both parts) | $257.04 | $346.74 | $1,023.29 |
United Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $104.71 Typical High $213.80 | Professional | 26 · Professional part | $83.18 | $104.71 | $213.80 |
United Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $234.42 Typical High $741.31 | Professional | TC · Technical part | $177.83 | $234.42 | $741.31 |
Univera Setting Facility Modifier None Typical Low $354.81 Median $501.19 Typical High $1,096.48 | Facility | None | $354.81 | $501.19 | $1,096.48 |
Univera Setting Facility Modifier TC · Technical part Typical Low $234.42 Median $302.00 Typical High $724.44 | Facility | TC · Technical part | $234.42 | $302.00 | $724.44 |
Univera Setting Professional Modifier None (both parts) Typical Low $302.00 Median $398.11 Typical High $549.54 | Professional | None (both parts) | $302.00 | $398.11 | $549.54 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $102.33 Typical High $186.21 | Professional | 26 · Professional part | $52.48 | $102.33 | $186.21 |
Univera Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $263.03 Typical High $416.87 | Professional | TC · Technical part | $199.53 | $263.03 | $416.87 |
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 $186.21 Median $186.21 Typical High $199.53 | Professional | 52 · Reduced service | $186.21 | $186.21 | $199.53 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $74.13 Typical High $81.28 | Professional | 53 · Discontinued | $74.13 | $74.13 | $81.28 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $295.12 Median $295.12 Typical High $302.00 | Professional | FX · Film X-ray | $295.12 | $295.12 | $302.00 |
Emblem Health Setting Professional Modifier GL · Free upgrade Typical Low $338.84 Median $338.84 Typical High $575.44 | Professional | GL · Free upgrade | $338.84 | $338.84 | $575.44 |
Excellus BCBS Setting Professional Modifier FY · Cassette-based X-ray Typical Low $245.47 Median $338.84 Typical High $524.81 | Professional | FY · Cassette-based X-ray | $245.47 | $338.84 | $524.81 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $218.78 Median $676.08 Typical High $891.25 | Professional | 53 · Discontinued | $218.78 | $676.08 | $891.25 |
Univera Setting Professional Modifier FY · Cassette-based X-ray Typical Low $288.40 Median $338.84 Typical High $524.81 | Professional | FY · Cassette-based X-ray | $288.40 | $338.84 | $524.81 |
Where New York sits
The same service costs 6.6 times more in Vermont 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· 44th of 51
$380
VT $1,349UT $204
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.