How much rates vary
Facilitymedian $47 · 10th to 90th $15 to $120Professionalmedian $38 · 10th to 90th $31 to $65
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 $30.90 Median $42.66 Typical High $120.23 | Facility | None | $30.90 | $42.66 | $120.23 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $10.72 Median $13.18 Typical High $35.48 | Facility | 26 · Professional part | $10.72 | $13.18 | $35.48 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $19.95 Median $29.51 Typical High $85.11 | Facility | TC · Technical part | $19.95 | $29.51 | $85.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $30.90 Median $30.90 Typical High $51.29 | Professional | None (both parts) | $30.90 | $30.90 | $51.29 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $10.72 Typical High $15.14 | Professional | 26 · Professional part | $10.72 | $10.72 | $15.14 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $19.95 Typical High $36.31 | Professional | TC · Technical part | $19.95 | $19.95 | $36.31 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $30.90 Median $30.90 Typical High $33.88 | Professional | None (both parts) | $30.90 | $30.90 | $33.88 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $30.90 Median $38.02 Typical High $53.70 | Professional | None (both parts) | $30.90 | $38.02 | $53.70 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $10.96 Typical High $19.05 | Professional | 26 · Professional part | $9.33 | $10.96 | $19.05 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $27.54 Typical High $36.31 | Professional | TC · Technical part | $23.44 | $27.54 | $36.31 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $19.05 Median $40.74 Typical High $60.26 | Professional | None (both parts) | $19.05 | $40.74 | $60.26 |
Cigna Setting Facility Modifier None Typical Low $70.79 Median $87.10 Typical High $114.82 | Facility | None | $70.79 | $87.10 | $114.82 |
Cigna Setting Professional Modifier None (both parts) Typical Low $30.20 Median $31.62 Typical High $109.65 | Professional | None (both parts) | $30.20 | $31.62 | $109.65 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $10.23 Typical High $34.67 | Professional | 26 · Professional part | $8.91 | $10.23 | $34.67 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $22.91 Typical High $77.62 | Professional | TC · Technical part | $19.95 | $22.91 | $77.62 |
Emblem Health Setting Facility Modifier None Typical Low $22.91 Median $34.67 Typical High $100.00 | Facility | None | $22.91 | $34.67 | $100.00 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $38.90 Median $48.98 Typical High $69.18 | Professional | None (both parts) | $38.90 | $48.98 | $69.18 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $14.79 Typical High $26.92 | Professional | 26 · Professional part | $12.88 | $14.79 | $26.92 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $33.88 Typical High $50.12 | Professional | TC · Technical part | $32.36 | $33.88 | $50.12 |
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 $33.11 Median $38.90 Typical High $60.26 | Professional | None (both parts) | $33.11 | $38.90 | $60.26 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $12.30 Typical High $19.05 | Professional | 26 · Professional part | $11.22 | $12.30 | $19.05 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $26.92 Typical High $40.74 | Professional | TC · Technical part | $21.38 | $26.92 | $40.74 |
Highmark BCBS Setting Facility Modifier None Typical Low $43.65 Median $70.79 Typical High $120.23 | Facility | None | $43.65 | $70.79 | $120.23 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $41.69 Median $42.66 Typical High $57.54 | Professional | None (both parts) | $41.69 | $42.66 | $57.54 |
MVP Health Care Setting Facility Modifier None Typical Low $29.51 Median $107.15 Typical High $257.04 | Facility | None | $29.51 | $107.15 | $257.04 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $34.67 Median $34.67 Typical High $100.00 | Professional | None (both parts) | $34.67 | $34.67 | $100.00 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $17.78 Typical High $22.39 | Professional | 26 · Professional part | $14.45 | $17.78 | $22.39 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $35.48 Typical High $47.86 | Professional | TC · Technical part | $28.18 | $35.48 | $47.86 |
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 $31.62 Median $38.02 Typical High $69.18 | Professional | None (both parts) | $31.62 | $38.02 | $69.18 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $12.02 Typical High $22.91 | Professional | 26 · Professional part | $10.00 | $12.02 | $22.91 |
United Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $25.70 Typical High $47.86 | Professional | TC · Technical part | $21.38 | $25.70 | $47.86 |
Univera Setting Facility Modifier None Typical Low $15.14 Median $15.14 Typical High $52.48 | Facility | None | $15.14 | $15.14 | $52.48 |
Univera Setting Facility Modifier TC · Technical part Typical Low $9.12 Median $9.12 Typical High $33.11 | Facility | TC · Technical part | $9.12 | $9.12 | $33.11 |
Univera Setting Professional Modifier None (both parts) Typical Low $33.11 Median $38.90 Typical High $56.23 | Professional | None (both parts) | $33.11 | $38.90 | $56.23 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $12.30 Typical High $19.05 | Professional | 26 · Professional part | $11.22 | $12.30 | $19.05 |
Univera Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $26.92 Typical High $38.02 | Professional | TC · Technical part | $21.38 | $26.92 | $38.02 |
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 $33.88 Median $33.88 Typical High $36.31 | Professional | GL · Free upgrade | $33.88 | $33.88 | $36.31 |
Excellus BCBS Setting Professional Modifier FX · Film X-ray Typical Low $28.84 Median $39.81 Typical High $52.48 | Professional | FX · Film X-ray | $28.84 | $39.81 | $52.48 |
Excellus BCBS Setting Professional Modifier FY · Cassette-based X-ray Typical Low $31.62 Median $43.65 Typical High $57.54 | Professional | FY · Cassette-based X-ray | $31.62 | $43.65 | $57.54 |
Univera Setting Professional Modifier FX · Film X-ray Typical Low $28.84 Median $38.02 Typical High $52.48 | Professional | FX · Film X-ray | $28.84 | $38.02 | $52.48 |
Univera Setting Professional Modifier FY · Cassette-based X-ray Typical Low $31.62 Median $38.02 Typical High $57.54 | Professional | FY · Cassette-based X-ray | $31.62 | $38.02 | $57.54 |
Where New York sits
The same service costs 4.1 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· 47th of 51
$38.02
AK $126FL $30.90
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.