How much rates vary
Facilitymedian $36 · 10th to 90th $15 to $129Professionalmedian $28 · 10th to 90th $22 to $50
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 $22.91 Median $33.88 Typical High $97.72 | Facility | None | $22.91 | $33.88 | $97.72 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $7.59 Median $9.77 Typical High $26.30 | Facility | 26 · Professional part | $7.59 | $9.77 | $26.30 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $15.14 Median $24.55 Typical High $85.11 | Facility | TC · Technical part | $15.14 | $24.55 | $85.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $22.91 Median $22.91 Typical High $54.95 | Professional | None (both parts) | $22.91 | $22.91 | $54.95 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $7.76 Typical High $14.79 | Professional | 26 · Professional part | $7.76 | $7.76 | $14.79 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $15.14 Median $15.14 Typical High $36.31 | Professional | TC · Technical part | $15.14 | $15.14 | $36.31 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $26.92 Median $26.92 Typical High $26.92 | Professional | None (both parts) | $26.92 | $26.92 | $26.92 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $21.88 Median $26.92 Typical High $41.69 | Professional | None (both parts) | $21.88 | $26.92 | $41.69 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $9.55 Typical High $12.59 | Professional | 26 · Professional part | $8.13 | $9.55 | $12.59 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $15.49 Median $18.20 Typical High $32.36 | Professional | TC · Technical part | $15.49 | $18.20 | $32.36 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $13.80 Median $33.11 Typical High $46.77 | Professional | None (both parts) | $13.80 | $33.11 | $46.77 |
Cigna Setting Facility Modifier None Typical Low $58.88 Median $81.28 Typical High $194.98 | Facility | None | $58.88 | $81.28 | $194.98 |
Cigna Setting Professional Modifier None (both parts) Typical Low $24.55 Median $28.84 Typical High $158.49 | Professional | None (both parts) | $24.55 | $28.84 | $158.49 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.61 Median $7.59 Typical High $25.70 | Professional | 26 · Professional part | $6.61 | $7.59 | $25.70 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $19.50 Typical High $114.82 | Professional | TC · Technical part | $16.98 | $19.50 | $114.82 |
Emblem Health Setting Facility Modifier None Typical Low $19.05 Median $29.51 Typical High $85.11 | Facility | None | $19.05 | $29.51 | $85.11 |
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 $9.33 Median $10.96 Typical High $19.95 | Professional | 26 · Professional part | $9.33 | $10.96 | $19.95 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $28.84 Typical High $41.69 | Professional | TC · Technical part | $26.92 | $28.84 | $41.69 |
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 $21.88 Median $31.62 Typical High $47.86 | Professional | None (both parts) | $21.88 | $31.62 | $47.86 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $5.37 Median $9.12 Typical High $13.80 | Professional | 26 · Professional part | $5.37 | $9.12 | $13.80 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $22.39 Typical High $33.88 | Professional | TC · Technical part | $16.22 | $22.39 | $33.88 |
Highmark BCBS Setting Facility Modifier None Typical Low $24.55 Median $58.88 Typical High $223.87 | Facility | None | $24.55 | $58.88 | $223.87 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $33.88 Median $33.88 Typical High $83.18 | Professional | None (both parts) | $33.88 | $33.88 | $83.18 |
MVP Health Care Setting Facility Modifier None Typical Low $24.55 Median $107.15 Typical High $257.04 | Facility | None | $24.55 | $107.15 | $257.04 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $34.67 Median $34.67 Typical High $81.28 | Professional | None (both parts) | $34.67 | $34.67 | $81.28 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $13.18 Typical High $16.60 | Professional | 26 · Professional part | $10.72 | $13.18 | $16.60 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $29.51 Typical High $39.81 | Professional | TC · Technical part | $22.91 | $29.51 | $39.81 |
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 $30.90 Typical High $56.23 | Professional | None (both parts) | $25.12 | $30.90 | $56.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $8.91 Typical High $16.98 | Professional | 26 · Professional part | $7.41 | $8.91 | $16.98 |
United Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $21.38 Typical High $39.81 | Professional | TC · Technical part | $17.78 | $21.38 | $39.81 |
Univera Setting Facility Modifier None Typical Low $15.14 Median $15.14 Typical High $79.43 | Facility | None | $15.14 | $15.14 | $79.43 |
Univera Setting Facility Modifier TC · Technical part Typical Low $9.12 Median $9.12 Typical High $67.61 | Facility | TC · Technical part | $9.12 | $9.12 | $67.61 |
Univera Setting Professional Modifier None (both parts) Typical Low $21.88 Median $31.62 Typical High $43.65 | Professional | None (both parts) | $21.88 | $31.62 | $43.65 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $5.37 Median $9.12 Typical High $12.59 | Professional | 26 · Professional part | $5.37 | $9.12 | $12.59 |
Univera Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $22.39 Typical High $30.90 | Professional | TC · Technical part | $16.22 | $22.39 | $30.90 |
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 $11.48 Median $11.48 Typical High $16.98 | Professional | 52 · Reduced service | $11.48 | $11.48 | $16.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.57 Median $4.57 Typical High $6.92 | Professional | 53 · Discontinued | $4.57 | $4.57 | $6.92 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $18.20 Median $18.20 Typical High $27.54 | Professional | FX · Film X-ray | $18.20 | $18.20 | $27.54 |
Emblem Health Setting Professional Modifier GL · Free upgrade Typical Low $27.54 Median $27.54 Typical High $30.20 | Professional | GL · Free upgrade | $27.54 | $27.54 | $30.20 |
Excellus BCBS Setting Professional Modifier FY · Cassette-based X-ray Typical Low $25.12 Median $34.67 Typical High $45.71 | Professional | FY · Cassette-based X-ray | $25.12 | $34.67 | $45.71 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $21.38 Typical High $32.36 | Professional | 53 · Discontinued | $16.98 | $21.38 | $32.36 |
Univera Setting Professional Modifier FY · Cassette-based X-ray Typical Low $29.51 Median $30.90 Typical High $45.71 | Professional | FY · Cassette-based X-ray | $29.51 | $30.90 | $45.71 |
Where New York sits
The same service costs 3.5 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· 50th of 51
$27.54
AK $95.50FL $26.92
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.