How much rates vary
Facilitymedian $38 · 10th to 90th $15 to $148Professionalmedian $30 · 10th to 90th $24 to $51
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 $23.99 Median $33.88 Typical High $95.50 | Facility | None | $23.99 | $33.88 | $95.50 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $8.13 Median $10.72 Typical High $19.50 | Facility | 26 · Professional part | $8.13 | $10.72 | $19.50 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $15.85 Median $23.44 Typical High $120.23 | Facility | TC · Technical part | $15.85 | $23.44 | $120.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $23.99 Median $23.99 Typical High $54.95 | Professional | None (both parts) | $23.99 | $23.99 | $54.95 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $8.13 Typical High $16.60 | Professional | 26 · Professional part | $8.13 | $8.13 | $16.60 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $15.85 Typical High $38.02 | Professional | TC · Technical part | $15.85 | $15.85 | $38.02 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $22.39 Median $31.62 Typical High $35.48 | Professional | None (both parts) | $22.39 | $31.62 | $35.48 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $9.33 Typical High $12.88 | Professional | 26 · Professional part | $8.13 | $9.33 | $12.88 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $24.55 Median $30.20 Typical High $40.74 | Professional | None (both parts) | $24.55 | $30.20 | $40.74 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $8.91 Typical High $12.88 | Professional | 26 · Professional part | $7.59 | $8.91 | $12.88 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $21.88 Typical High $31.62 | Professional | TC · Technical part | $18.62 | $21.88 | $31.62 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $15.14 Median $31.62 Typical High $46.77 | Professional | None (both parts) | $15.14 | $31.62 | $46.77 |
Cigna Setting Facility Modifier None Typical Low $56.23 Median $69.18 Typical High $91.20 | Facility | None | $56.23 | $69.18 | $91.20 |
Cigna Setting Professional Modifier None (both parts) Typical Low $23.44 Median $25.12 Typical High $87.10 | Professional | None (both parts) | $23.44 | $25.12 | $87.10 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $8.13 Typical High $26.92 | Professional | 26 · Professional part | $7.41 | $8.13 | $26.92 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $15.49 Median $17.78 Typical High $60.26 | Professional | TC · Technical part | $15.49 | $17.78 | $60.26 |
Emblem Health Setting Facility Modifier None Typical Low $18.62 Median $28.18 Typical High $81.28 | Facility | None | $18.62 | $28.18 | $81.28 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $31.62 Median $39.81 Typical High $56.23 | Professional | None (both parts) | $31.62 | $39.81 | $56.23 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $11.75 Typical High $23.44 | Professional | 26 · Professional part | $10.23 | $11.75 | $23.44 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $27.54 Typical High $40.74 | Professional | TC · Technical part | $26.30 | $27.54 | $40.74 |
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 $26.30 Median $31.62 Typical High $47.86 | Professional | None (both parts) | $26.30 | $31.62 | $47.86 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $9.77 Typical High $15.14 | Professional | 26 · Professional part | $9.12 | $9.77 | $15.14 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $21.88 Typical High $33.11 | Professional | TC · Technical part | $16.98 | $21.88 | $33.11 |
Fidelis Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $10.00 Typical High $11.75 | Professional | 26 · Professional part | $7.76 | $10.00 | $11.75 |
Highmark BCBS Setting Facility Modifier None Typical Low $36.31 Median $114.82 Typical High $331.13 | Facility | None | $36.31 | $114.82 | $331.13 |
Highmark BCBS Setting Facility Modifier TC · Technical part Typical Low $22.91 Median $95.50 Typical High $223.87 | Facility | TC · Technical part | $22.91 | $95.50 | $223.87 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $30.90 Median $32.36 Typical High $52.48 | Professional | None (both parts) | $30.90 | $32.36 | $52.48 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $12.30 Typical High $25.70 | Professional | 26 · Professional part | $9.77 | $12.30 | $25.70 |
MVP Health Care Setting Facility Modifier None Typical Low $23.44 Median $107.15 Typical High $257.04 | Facility | None | $23.44 | $107.15 | $257.04 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $26.92 Median $26.92 Typical High $79.43 | Professional | None (both parts) | $26.92 | $26.92 | $79.43 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $14.13 Typical High $17.78 | Professional | 26 · Professional part | $11.48 | $14.13 | $17.78 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $28.84 Typical High $38.02 | Professional | TC · Technical part | $22.39 | $28.84 | $38.02 |
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 $25.12 Median $30.20 Typical High $54.95 | Professional | None (both parts) | $25.12 | $30.20 | $54.95 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $9.55 Typical High $18.20 | Professional | 26 · Professional part | $7.94 | $9.55 | $18.20 |
United Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $20.42 Typical High $38.02 | Professional | TC · Technical part | $16.98 | $20.42 | $38.02 |
Univera Setting Facility Modifier None Typical Low $15.14 Median $15.14 Typical High $40.74 | Facility | None | $15.14 | $15.14 | $40.74 |
Univera Setting Facility Modifier TC · Technical part Typical Low $9.12 Median $9.12 Typical High $25.70 | Facility | TC · Technical part | $9.12 | $9.12 | $25.70 |
Univera Setting Professional Modifier None (both parts) Typical Low $26.30 Median $31.62 Typical High $44.67 | Professional | None (both parts) | $26.30 | $31.62 | $44.67 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $9.77 Typical High $15.14 | Professional | 26 · Professional part | $9.12 | $9.77 | $15.14 |
Univera Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $21.88 Typical High $30.90 | Professional | TC · Technical part | $16.98 | $21.88 | $30.90 |
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 $26.30 Median $26.30 Typical High $29.51 | Professional | GL · Free upgrade | $26.30 | $26.30 | $29.51 |
Excellus BCBS Setting Professional Modifier FX · Film X-ray Typical Low $22.91 Median $31.62 Typical High $41.69 | Professional | FX · Film X-ray | $22.91 | $31.62 | $41.69 |
Excellus BCBS Setting Professional Modifier FY · Cassette-based X-ray Typical Low $25.12 Median $35.48 Typical High $45.71 | Professional | FY · Cassette-based X-ray | $25.12 | $35.48 | $45.71 |
Univera Setting Professional Modifier FX · Film X-ray Typical Low $22.91 Median $30.20 Typical High $41.69 | Professional | FX · Film X-ray | $22.91 | $30.20 | $41.69 |
Univera Setting Professional Modifier FY · Cassette-based X-ray Typical Low $25.12 Median $30.20 Typical High $45.71 | Professional | FY · Cassette-based X-ray | $25.12 | $30.20 | $45.71 |
Where New York sits
The same service costs 17.0 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
$30.20
VT $447FL $26.30
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.