How much rates vary
Facilitymedian $50 · 10th to 90th $20 to $132Professionalmedian $42 · 10th to 90th $35 to $71
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 $32.36 Median $46.77 Typical High $131.83 | Facility | None | $32.36 | $46.77 | $131.83 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $12.30 Median $15.14 Typical High $40.74 | Facility | 26 · Professional part | $12.30 | $15.14 | $40.74 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $20.42 Median $31.62 Typical High $144.54 | Facility | TC · Technical part | $20.42 | $31.62 | $144.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $32.36 Median $32.36 Typical High $56.23 | Professional | None (both parts) | $32.36 | $32.36 | $56.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $12.30 Typical High $17.78 | Professional | 26 · Professional part | $12.30 | $12.30 | $17.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $20.42 Typical High $38.90 | Professional | TC · Technical part | $20.42 | $20.42 | $38.90 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | 26 · Professional part | $34.67 | $34.67 | $34.67 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $35.48 Median $41.69 Typical High $69.18 | Professional | None (both parts) | $35.48 | $41.69 | $69.18 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $12.59 Typical High $19.05 | Professional | 26 · Professional part | $10.72 | $12.59 | $19.05 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $30.90 Typical High $41.69 | Professional | TC · Technical part | $25.12 | $30.90 | $41.69 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $21.88 Median $41.69 Typical High $64.57 | Professional | None (both parts) | $21.88 | $41.69 | $64.57 |
Cigna Setting Facility Modifier None Typical Low $75.86 Median $95.50 Typical High $123.03 | Facility | None | $75.86 | $95.50 | $123.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $32.36 Median $34.67 Typical High $117.49 | Professional | None (both parts) | $32.36 | $34.67 | $117.49 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $11.75 Typical High $39.81 | Professional | 26 · Professional part | $10.23 | $11.75 | $39.81 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $23.99 Typical High $79.43 | Professional | TC · Technical part | $20.42 | $23.99 | $79.43 |
Emblem Health Setting Facility Modifier None Typical Low $24.55 Median $37.15 Typical High $107.15 | Facility | None | $24.55 | $37.15 | $107.15 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $42.66 Median $53.70 Typical High $77.62 | Professional | None (both parts) | $42.66 | $53.70 | $77.62 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $17.38 Typical High $30.90 | Professional | 26 · Professional part | $14.79 | $17.38 | $30.90 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $36.31 Typical High $53.70 | Professional | TC · Technical part | $35.48 | $36.31 | $53.70 |
Excellus BCBS Setting Facility Modifier None Typical Low $20.42 Median $20.42 Typical High $20.42 | Facility | None | $20.42 | $20.42 | $20.42 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $12.02 Median $12.02 Typical High $12.02 | Facility | TC · Technical part | $12.02 | $12.02 | $12.02 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $35.48 Median $42.66 Typical High $66.07 | Professional | None (both parts) | $35.48 | $42.66 | $66.07 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $14.45 Typical High $21.38 | Professional | 26 · Professional part | $12.88 | $14.45 | $21.38 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $28.84 Typical High $43.65 | Professional | TC · Technical part | $21.88 | $28.84 | $43.65 |
Highmark BCBS Setting Facility Modifier None Typical Low $74.13 Median $74.13 Typical High $109.65 | Facility | None | $74.13 | $74.13 | $109.65 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $44.67 Median $44.67 Typical High $63.10 | Professional | None (both parts) | $44.67 | $44.67 | $63.10 |
MVP Health Care Setting Facility Modifier None Typical Low $31.62 Median $107.15 Typical High $257.04 | Facility | None | $31.62 | $107.15 | $257.04 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $37.15 Median $37.15 Typical High $109.65 | Professional | None (both parts) | $37.15 | $37.15 | $109.65 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $20.89 Typical High $26.30 | Professional | 26 · Professional part | $16.98 | $20.89 | $26.30 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $37.15 Typical High $51.29 | Professional | TC · Technical part | $29.51 | $37.15 | $51.29 |
United Setting Facility Modifier None Typical Low $208.93 Median $245.47 Typical High $302.00 | Facility | None | $208.93 | $245.47 | $302.00 |
United Setting Professional Modifier None (both parts) Typical Low $33.88 Median $41.69 Typical High $75.86 | Professional | None (both parts) | $33.88 | $41.69 | $75.86 |
United Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $14.13 Typical High $26.92 | Professional | 26 · Professional part | $11.75 | $14.13 | $26.92 |
United Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $26.30 Typical High $50.12 | Professional | TC · Technical part | $22.39 | $26.30 | $50.12 |
Univera Setting Facility Modifier None Typical Low $20.42 Median $20.42 Typical High $56.23 | Facility | None | $20.42 | $20.42 | $56.23 |
Univera Setting Facility Modifier TC · Technical part Typical Low $12.02 Median $12.02 Typical High $34.67 | Facility | TC · Technical part | $12.02 | $12.02 | $34.67 |
Univera Setting Professional Modifier None (both parts) Typical Low $35.48 Median $42.66 Typical High $58.88 | Professional | None (both parts) | $35.48 | $42.66 | $58.88 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $14.45 Typical High $19.50 | Professional | 26 · Professional part | $12.88 | $14.45 | $19.50 |
Univera Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $28.84 Typical High $39.81 | Professional | TC · Technical part | $21.88 | $28.84 | $39.81 |
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 $37.15 Median $37.15 Typical High $38.90 | Professional | GL · Free upgrade | $37.15 | $37.15 | $38.90 |
Excellus BCBS Setting Professional Modifier FX · Film X-ray Typical Low $30.90 Median $43.65 Typical High $56.23 | Professional | FX · Film X-ray | $30.90 | $43.65 | $56.23 |
Excellus BCBS Setting Professional Modifier FY · Cassette-based X-ray Typical Low $34.67 Median $47.86 Typical High $63.10 | Professional | FY · Cassette-based X-ray | $34.67 | $47.86 | $63.10 |
Univera Setting Professional Modifier FX · Film X-ray Typical Low $36.31 Median $41.69 Typical High $56.23 | Professional | FX · Film X-ray | $36.31 | $41.69 | $56.23 |
Univera Setting Professional Modifier FY · Cassette-based X-ray Typical Low $40.74 Median $41.69 Typical High $63.10 | Professional | FY · Cassette-based X-ray | $40.74 | $41.69 | $63.10 |
Where New York sits
The same service costs 3.9 times more in Alaska 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· 45th of 51
$41.69
AK $129UT $33.11
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.