How much rates vary
Facilitymedian $50 · 10th to 90th $30 to $162Professionalmedian $39 · 10th to 90th $31 to $69
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 $30.20 Median $44.67 Typical High $81.28 | Facility | None | $30.20 | $44.67 | $81.28 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $8.13 Median $12.02 Typical High $21.88 | Facility | 26 · Professional part | $8.13 | $12.02 | $21.88 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $22.39 Median $33.11 Typical High $60.26 | Facility | TC · Technical part | $22.39 | $33.11 | $60.26 |
Aetna Setting Professional Modifier None (both parts) Typical Low $30.20 Median $30.20 Typical High $58.88 | Professional | None (both parts) | $30.20 | $30.20 | $58.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $8.13 Typical High $14.79 | Professional | 26 · Professional part | $8.13 | $8.13 | $14.79 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $22.39 Typical High $41.69 | Professional | TC · Technical part | $22.39 | $22.39 | $41.69 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $30.20 Median $36.31 Typical High $50.12 | Professional | None (both parts) | $30.20 | $36.31 | $50.12 |
Anthem 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 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $9.55 Typical High $14.13 | Professional | 26 · Professional part | $8.13 | $9.55 | $14.13 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $29.51 Typical High $44.67 | Professional | TC · Technical part | $24.55 | $29.51 | $44.67 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $16.98 Median $45.71 Typical High $63.10 | Professional | None (both parts) | $16.98 | $45.71 | $63.10 |
Cigna Setting Facility Modifier None Typical Low $79.43 Median $109.65 Typical High $281.84 | Facility | None | $79.43 | $109.65 | $281.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $33.11 Median $50.12 Typical High $154.88 | Professional | None (both parts) | $33.11 | $50.12 | $154.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $8.32 Typical High $31.62 | Professional | 26 · Professional part | $8.13 | $8.32 | $31.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $26.92 Typical High $158.49 | Professional | TC · Technical part | $23.44 | $26.92 | $158.49 |
Emblem Health Setting Facility Modifier None Typical Low $26.30 Median $40.74 Typical High $114.82 | Facility | None | $26.30 | $40.74 | $114.82 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $41.69 Median $52.48 Typical High $75.86 | Professional | None (both parts) | $41.69 | $52.48 | $75.86 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $13.18 Typical High $23.99 | Professional | 26 · Professional part | $11.48 | $13.18 | $23.99 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $39.81 Typical High $57.54 | Professional | TC · Technical part | $37.15 | $39.81 | $57.54 |
Excellus BCBS Setting Facility Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Facility | None | $30.20 | $30.20 | $30.20 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $18.20 Median $18.20 Typical High $18.20 | Facility | TC · Technical part | $18.20 | $18.20 | $18.20 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $30.20 Median $41.69 Typical High $64.57 | Professional | None (both parts) | $30.20 | $41.69 | $64.57 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $5.89 Median $11.22 Typical High $16.98 | Professional | 26 · Professional part | $5.89 | $11.22 | $16.98 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $30.90 Typical High $46.77 | Professional | TC · Technical part | $24.55 | $30.90 | $46.77 |
Highmark BCBS Setting Facility Modifier None Typical Low $79.43 Median $114.82 Typical High $208.93 | Facility | None | $79.43 | $114.82 | $208.93 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $41.69 Median $42.66 Typical High $46.77 | Professional | None (both parts) | $41.69 | $42.66 | $46.77 |
MVP Health Care Setting Facility Modifier None Typical Low $38.90 Median $107.15 Typical High $257.04 | Facility | None | $38.90 | $107.15 | $257.04 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $39.81 Median $39.81 Typical High $104.71 | Professional | None (both parts) | $39.81 | $39.81 | $104.71 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $15.85 Typical High $19.95 | Professional | 26 · Professional part | $12.88 | $15.85 | $19.95 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $39.81 Typical High $53.70 | Professional | TC · Technical part | $31.62 | $39.81 | $53.70 |
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 $33.11 Median $40.74 Typical High $74.13 | Professional | None (both parts) | $33.11 | $40.74 | $74.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $10.72 Typical High $20.42 | Professional | 26 · Professional part | $8.71 | $10.72 | $20.42 |
United Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $29.51 Typical High $53.70 | Professional | TC · Technical part | $23.99 | $29.51 | $53.70 |
Univera Setting Facility Modifier None Typical Low $30.20 Median $30.20 Typical High $112.20 | Facility | None | $30.20 | $30.20 | $112.20 |
Univera Setting Facility Modifier TC · Technical part Typical Low $18.20 Median $18.20 Typical High $95.50 | Facility | TC · Technical part | $18.20 | $18.20 | $95.50 |
Univera Setting Professional Modifier None (both parts) Typical Low $30.20 Median $41.69 Typical High $57.54 | Professional | None (both parts) | $30.20 | $41.69 | $57.54 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $5.89 Median $11.22 Typical High $15.49 | Professional | 26 · Professional part | $5.89 | $11.22 | $15.49 |
Univera Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $30.90 Typical High $42.66 | Professional | TC · Technical part | $24.55 | $30.90 | $42.66 |
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 $15.14 Median $15.14 Typical High $22.39 | Professional | 52 · Reduced service | $15.14 | $15.14 | $22.39 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.03 Median $6.03 Typical High $9.12 | Professional | 53 · Discontinued | $6.03 | $6.03 | $9.12 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $24.55 Median $24.55 Typical High $36.31 | Professional | FX · Film X-ray | $24.55 | $24.55 | $36.31 |
Emblem Health Setting Professional Modifier GL · Free upgrade Typical Low $38.90 Median $38.90 Typical High $42.66 | Professional | GL · Free upgrade | $38.90 | $38.90 | $42.66 |
Excellus BCBS Setting Professional Modifier FY · Cassette-based X-ray Typical Low $33.11 Median $46.77 Typical High $60.26 | Professional | FY · Cassette-based X-ray | $33.11 | $46.77 | $60.26 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $28.18 Typical High $42.66 | Professional | 53 · Discontinued | $22.39 | $28.18 | $42.66 |
Univera Setting Professional Modifier FY · Cassette-based X-ray Typical Low $38.90 Median $40.74 Typical High $60.26 | Professional | FY · Cassette-based X-ray | $38.90 | $40.74 | $60.26 |
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· 48th of 51
$38.90
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.