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 $15.49 Median $26.30 Typical High $74.13 | Facility | None | $15.49 | $26.30 | $74.13 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $6.92 Median $8.91 Typical High $15.49 | Facility | 26 · Professional part | $6.92 | $8.91 | $15.49 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $8.51 Median $16.98 Typical High $61.66 | Facility | TC · Technical part | $8.51 | $16.98 | $61.66 |
Aetna Setting Professional Modifier None (both parts) Typical Low $15.49 Median $15.49 Typical High $38.02 | Professional | None (both parts) | $15.49 | $15.49 | $38.02 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $6.92 Typical High $13.18 | Professional | 26 · Professional part | $6.92 | $6.92 | $13.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $8.51 Median $8.51 Typical High $26.30 | Professional | TC · Technical part | $8.51 | $8.51 | $26.30 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $18.20 Median $20.89 Typical High $25.70 | Professional | None (both parts) | $18.20 | $20.89 | $25.70 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $19.05 Median $23.44 Typical High $32.36 | Professional | None (both parts) | $19.05 | $23.44 | $32.36 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $6.46 Median $7.59 Typical High $23.44 | Professional | 26 · Professional part | $6.46 | $7.59 | $23.44 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $13.80 Median $16.22 Typical High $20.89 | Professional | TC · Technical part | $13.80 | $16.22 | $20.89 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $12.59 Median $23.44 Typical High $36.31 | Professional | None (both parts) | $12.59 | $23.44 | $36.31 |
Cigna Setting Facility Modifier None Typical Low $41.69 Median $52.48 Typical High $67.61 | Facility | None | $41.69 | $52.48 | $67.61 |
Cigna Setting Professional Modifier None (both parts) Typical Low $15.49 Median $19.50 Typical High $66.07 | Professional | None (both parts) | $15.49 | $19.50 | $66.07 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.31 Median $6.76 Typical High $22.91 | Professional | 26 · Professional part | $6.31 | $6.76 | $22.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $8.51 Median $13.18 Typical High $41.69 | Professional | TC · Technical part | $8.51 | $13.18 | $41.69 |
Emblem Health Setting Facility Modifier None Typical Low $13.49 Median $20.89 Typical High $60.26 | Facility | None | $13.49 | $20.89 | $60.26 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $23.99 Median $25.70 Typical High $43.65 | Professional | None (both parts) | $23.99 | $25.70 | $43.65 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $8.32 Typical High $17.78 | Professional | 26 · Professional part | $8.32 | $8.32 | $17.78 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $17.38 Typical High $30.20 | Professional | TC · Technical part | $17.38 | $17.38 | $30.20 |
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 $16.98 Median $23.99 Typical High $37.15 | Professional | None (both parts) | $16.98 | $23.99 | $37.15 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $8.13 Typical High $12.59 | Professional | 26 · Professional part | $7.76 | $8.13 | $12.59 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $9.33 Median $16.22 Typical High $24.55 | Professional | TC · Technical part | $9.33 | $16.22 | $24.55 |
Fidelis Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $8.32 Typical High $10.23 | Professional | 26 · Professional part | $7.41 | $8.32 | $10.23 |
Highmark BCBS Setting Facility Modifier None Typical Low $41.69 Median $123.03 Typical High $263.03 | Facility | None | $41.69 | $123.03 | $263.03 |
Highmark BCBS Setting Facility Modifier TC · Technical part Typical Low $17.78 Median $112.20 Typical High $199.53 | Facility | TC · Technical part | $17.78 | $112.20 | $199.53 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $15.49 Median $25.12 Typical High $35.48 | Professional | None (both parts) | $15.49 | $25.12 | $35.48 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $10.47 Typical High $22.91 | Professional | 26 · Professional part | $8.13 | $10.47 | $22.91 |
MVP Health Care Setting Facility Modifier None Typical Low $17.38 Median $91.20 Typical High $257.04 | Facility | None | $17.38 | $91.20 | $257.04 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $17.38 Median $17.38 Typical High $63.10 | Professional | None (both parts) | $17.38 | $17.38 | $63.10 |
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 $16.60 Median $21.38 Typical High $28.84 | Professional | TC · Technical part | $16.60 | $21.38 | $28.84 |
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 $19.05 Median $23.44 Typical High $42.66 | Professional | None (both parts) | $19.05 | $23.44 | $42.66 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.61 Median $7.94 Typical High $15.49 | Professional | 26 · Professional part | $6.61 | $7.94 | $15.49 |
United Setting Professional Modifier TC · Technical part Typical Low $12.30 Median $15.14 Typical High $28.18 | Professional | TC · Technical part | $12.30 | $15.14 | $28.18 |
Univera Setting Facility Modifier None Typical Low $10.00 Median $10.00 Typical High $28.84 | Facility | None | $10.00 | $10.00 | $28.84 |
Univera Setting Facility Modifier TC · Technical part Typical Low $6.03 Median $6.03 Typical High $19.05 | Facility | TC · Technical part | $6.03 | $6.03 | $19.05 |
Univera Setting Professional Modifier None (both parts) Typical Low $16.98 Median $23.99 Typical High $33.88 | Professional | None (both parts) | $16.98 | $23.99 | $33.88 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $8.13 Typical High $11.48 | Professional | 26 · Professional part | $7.76 | $8.13 | $11.48 |
Univera Setting Professional Modifier TC · Technical part Typical Low $9.33 Median $16.22 Typical High $22.39 | Professional | TC · Technical part | $9.33 | $16.22 | $22.39 |
5 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 |
|---|---|---|---|---|---|
Emblem Health Setting Professional Modifier GL · Free upgrade Typical Low $20.42 Median $20.42 Typical High $22.39 | Professional | GL · Free upgrade | $20.42 | $20.42 | $22.39 |
Excellus BCBS Setting Professional Modifier FX · Film X-ray Typical Low $17.78 Median $24.55 Typical High $32.36 | Professional | FX · Film X-ray | $17.78 | $24.55 | $32.36 |
Excellus BCBS Setting Professional Modifier FY · Cassette-based X-ray Typical Low $19.50 Median $27.54 Typical High $35.48 | Professional | FY · Cassette-based X-ray | $19.50 | $27.54 | $35.48 |
Univera Setting Professional Modifier FX · Film X-ray Typical Low $20.89 Median $23.44 Typical High $32.36 | Professional | FX · Film X-ray | $20.89 | $23.44 | $32.36 |
Univera Setting Professional Modifier FY · Cassette-based X-ray Typical Low $22.91 Median $23.44 Typical High $35.48 | Professional | FY · Cassette-based X-ray | $22.91 | $23.44 | $35.48 |
Where New York sits
The same service costs 10.2 times more in Vermont 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· 47th of 51
$22.91
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.