How much rates vary
Facilitymedian $60 · 10th to 90th $20 to $209Professionalmedian $47 · 10th to 90th $37 to $83
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 $34.67 Median $53.70 Typical High $151.36 | Facility | None | $34.67 | $53.70 | $151.36 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $12.02 Median $13.49 Typical High $30.20 | Facility | 26 · Professional part | $12.02 | $13.49 | $30.20 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $22.91 Median $40.74 Typical High $114.82 | Facility | TC · Technical part | $22.91 | $40.74 | $114.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $34.67 Median $34.67 Typical High $93.33 | Professional | None (both parts) | $34.67 | $34.67 | $93.33 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $12.02 Typical High $21.88 | Professional | 26 · Professional part | $12.02 | $12.02 | $21.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $22.91 Typical High $69.18 | Professional | TC · Technical part | $22.91 | $22.91 | $69.18 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $38.90 Median $45.71 Typical High $60.26 | Professional | None (both parts) | $38.90 | $45.71 | $60.26 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $39.81 Median $46.77 Typical High $74.13 | Professional | None (both parts) | $39.81 | $46.77 | $74.13 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $10.72 Typical High $22.91 | Professional | 26 · Professional part | $9.12 | $10.72 | $22.91 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $35.48 Typical High $50.12 | Professional | TC · Technical part | $30.20 | $35.48 | $50.12 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $19.05 Median $54.95 Typical High $74.13 | Professional | None (both parts) | $19.05 | $54.95 | $74.13 |
Cigna Setting Facility Modifier None Typical Low $97.72 Median $131.83 Typical High $295.12 | Facility | None | $97.72 | $131.83 | $295.12 |
Cigna Setting Professional Modifier None (both parts) Typical Low $38.90 Median $58.88 Typical High $199.53 | Professional | None (both parts) | $38.90 | $58.88 | $199.53 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $11.75 Typical High $36.31 | Professional | 26 · Professional part | $9.12 | $11.75 | $36.31 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $32.36 Typical High $204.17 | Professional | TC · Technical part | $26.30 | $32.36 | $204.17 |
Emblem Health Setting Facility Modifier None Typical Low $33.88 Median $51.29 Typical High $147.91 | Facility | None | $33.88 | $51.29 | $147.91 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $52.48 Median $56.23 Typical High $95.50 | Professional | None (both parts) | $52.48 | $56.23 | $95.50 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $12.88 Typical High $27.54 | Professional | 26 · Professional part | $12.88 | $12.88 | $27.54 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $42.66 Typical High $74.13 | Professional | TC · Technical part | $42.66 | $42.66 | $74.13 |
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 $36.31 Median $52.48 Typical High $77.62 | Professional | None (both parts) | $36.31 | $52.48 | $77.62 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $12.59 Typical High $19.05 | Professional | 26 · Professional part | $8.71 | $12.59 | $19.05 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $39.81 Typical High $58.88 | Professional | TC · Technical part | $27.54 | $39.81 | $58.88 |
Fidelis Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $19.95 Typical High $19.95 | Professional | 26 · Professional part | $19.95 | $19.95 | $19.95 |
Highmark BCBS Setting Facility Modifier None Typical Low $58.88 Median $141.25 Typical High $602.56 | Facility | None | $58.88 | $141.25 | $602.56 |
Highmark BCBS Setting Facility Modifier TC · Technical part Typical Low $39.81 Median $109.65 Typical High $281.84 | Facility | TC · Technical part | $39.81 | $109.65 | $281.84 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $50.12 Median $54.95 Typical High $89.13 | Professional | None (both parts) | $50.12 | $54.95 | $89.13 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $17.78 Typical High $30.20 | Professional | 26 · Professional part | $12.30 | $17.78 | $30.20 |
MVP Health Care Setting Facility Modifier None Typical Low $40.74 Median $107.15 Typical High $257.04 | Facility | None | $40.74 | $107.15 | $257.04 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $50.12 Median $50.12 Typical High $123.03 | Professional | None (both parts) | $50.12 | $50.12 | $123.03 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $17.78 Typical High $23.44 | Professional | 26 · Professional part | $14.45 | $17.78 | $23.44 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $47.86 Typical High $67.61 | Professional | TC · Technical part | $37.15 | $47.86 | $67.61 |
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 $38.90 Median $47.86 Typical High $85.11 | Professional | None (both parts) | $38.90 | $47.86 | $85.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $12.30 Typical High $22.91 | Professional | 26 · Professional part | $10.00 | $12.30 | $22.91 |
United Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $36.31 Typical High $64.57 | Professional | TC · Technical part | $28.84 | $36.31 | $64.57 |
Univera Setting Facility Modifier None Typical Low $20.42 Median $20.42 Typical High $114.82 | Facility | None | $20.42 | $20.42 | $114.82 |
Univera Setting Facility Modifier TC · Technical part Typical Low $12.02 Median $12.02 Typical High $93.33 | Facility | TC · Technical part | $12.02 | $12.02 | $93.33 |
Univera Setting Professional Modifier None (both parts) Typical Low $36.31 Median $52.48 Typical High $70.79 | Professional | None (both parts) | $36.31 | $52.48 | $70.79 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $12.59 Typical High $17.38 | Professional | 26 · Professional part | $8.71 | $12.59 | $17.38 |
Univera Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $39.81 Typical High $53.70 | Professional | TC · Technical part | $27.54 | $39.81 | $53.70 |
9 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 $17.38 Median $17.38 Typical High $26.92 | Professional | 52 · Reduced service | $17.38 | $17.38 | $26.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.92 Median $6.92 Typical High $10.72 | Professional | 53 · Discontinued | $6.92 | $6.92 | $10.72 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $27.54 Median $27.54 Typical High $42.66 | Professional | FX · Film X-ray | $27.54 | $27.54 | $42.66 |
Emblem Health Setting Professional Modifier GL · Free upgrade Typical Low $42.66 Median $42.66 Typical High $48.98 | Professional | GL · Free upgrade | $42.66 | $42.66 | $48.98 |
Excellus BCBS Setting Professional Modifier FX · Film X-ray Typical Low $36.31 Median $50.12 Typical High $66.07 | Professional | FX · Film X-ray | $36.31 | $50.12 | $66.07 |
Excellus BCBS Setting Professional Modifier FY · Cassette-based X-ray Typical Low $40.74 Median $56.23 Typical High $72.44 | Professional | FY · Cassette-based X-ray | $40.74 | $56.23 | $72.44 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $33.11 Typical High $51.29 | Professional | 53 · Discontinued | $26.30 | $33.11 | $51.29 |
Univera Setting Professional Modifier FX · Film X-ray Typical Low $42.66 Median $47.86 Typical High $66.07 | Professional | FX · Film X-ray | $42.66 | $47.86 | $66.07 |
Univera Setting Professional Modifier FY · Cassette-based X-ray Typical Low $47.86 Median $50.12 Typical High $72.44 | Professional | FY · Cassette-based X-ray | $47.86 | $50.12 | $72.44 |
Where New York sits
The same service costs 4.8 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· 48th of 51
$46.77
AK $158UT $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.