How much rates vary
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 $245.47 Median $371.54 Typical High $1,659.59 | Facility | None | $245.47 | $371.54 | $1,659.59 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $81.28 Median $112.20 Typical High $165.96 | Facility | 26 · Professional part | $81.28 | $112.20 | $165.96 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $154.88 Median $263.03 Typical High $371.54 | Facility | TC · Technical part | $154.88 | $263.03 | $371.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $281.84 Median $371.54 Typical High $501.19 | Professional | None (both parts) | $281.84 | $371.54 | $501.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $112.20 Typical High $141.25 | Professional | 26 · Professional part | $97.72 | $112.20 | $141.25 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $257.04 Typical High $338.84 | Professional | TC · Technical part | $186.21 | $257.04 | $338.84 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $70.79 Median $144.54 Typical High $181.97 | Professional | None (both parts) | $70.79 | $144.54 | $181.97 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $194.98 Median $229.09 Typical High $331.13 | Professional | None (both parts) | $194.98 | $229.09 | $331.13 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $75.86 Typical High $100.00 | Professional | 26 · Professional part | $64.57 | $75.86 | $100.00 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $151.36 Typical High $208.93 | Professional | TC · Technical part | $128.82 | $151.36 | $208.93 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $102.33 Median $194.98 Typical High $295.12 | Professional | None (both parts) | $102.33 | $194.98 | $295.12 |
Cigna Setting Facility Modifier None Typical Low $309.03 Median $467.74 Typical High $1,513.56 | Facility | None | $309.03 | $467.74 | $1,513.56 |
Cigna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $204.17 Typical High $1,380.38 | Professional | None (both parts) | $158.49 | $204.17 | $1,380.38 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $53.70 Typical High $194.98 | Professional | 26 · Professional part | $51.29 | $53.70 | $194.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $134.90 Typical High $954.99 | Professional | TC · Technical part | $107.15 | $134.90 | $954.99 |
Emblem Health Setting Facility Modifier None Typical Low $97.72 Median $151.36 Typical High $478.63 | Facility | None | $97.72 | $151.36 | $478.63 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $213.80 Median $229.09 Typical High $338.84 | Professional | None (both parts) | $213.80 | $229.09 | $338.84 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $79.43 Typical High $147.91 | Professional | 26 · Professional part | $66.07 | $79.43 | $147.91 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $147.91 Typical High $218.78 | Professional | TC · Technical part | $138.04 | $147.91 | $218.78 |
Excellus BCBS Setting Facility Modifier None Typical Low $501.19 Median $501.19 Typical High $501.19 | Facility | None | $501.19 | $501.19 | $501.19 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $302.00 Median $302.00 Typical High $302.00 | Facility | TC · Technical part | $302.00 | $302.00 | $302.00 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $181.97 Median $239.88 Typical High $338.84 | Professional | None (both parts) | $181.97 | $239.88 | $338.84 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $66.07 Typical High $120.23 | Professional | 26 · Professional part | $35.48 | $66.07 | $120.23 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $151.36 Typical High $257.04 | Professional | TC · Technical part | $114.82 | $151.36 | $257.04 |
Highmark BCBS Setting Facility Modifier None Typical Low $309.03 Median $562.34 Typical High $891.25 | Facility | None | $309.03 | $562.34 | $891.25 |
Highmark BCBS Setting Facility Modifier TC · Technical part Typical Low $218.78 Median $407.38 Typical High $1,584.89 | Facility | TC · Technical part | $218.78 | $407.38 | $1,584.89 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $181.97 Median $263.03 Typical High $676.08 | Professional | None (both parts) | $181.97 | $263.03 | $676.08 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $91.20 Typical High $147.91 | Professional | 26 · Professional part | $66.07 | $91.20 | $147.91 |
MVP Health Care Setting Facility Modifier None Typical Low $107.15 Median $251.19 Typical High $645.65 | Facility | None | $107.15 | $251.19 | $645.65 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $446.68 Median $446.68 Typical High $549.54 | Professional | None (both parts) | $446.68 | $446.68 | $549.54 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $151.36 Typical High $208.93 | Professional | 26 · Professional part | $75.86 | $151.36 | $208.93 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $371.54 Typical High $512.86 | Professional | TC · Technical part | $141.25 | $371.54 | $512.86 |
United Setting Facility Modifier None Typical Low $478.63 Median $562.34 Typical High $691.83 | Facility | None | $478.63 | $562.34 | $691.83 |
United Setting Professional Modifier None (both parts) Typical Low $154.88 Median $208.93 Typical High $537.03 | Professional | None (both parts) | $154.88 | $208.93 | $537.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $67.61 Typical High $141.25 | Professional | 26 · Professional part | $53.70 | $67.61 | $141.25 |
United Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $134.90 Typical High $389.05 | Professional | TC · Technical part | $102.33 | $134.90 | $389.05 |
Univera Setting Facility Modifier None Typical Low $213.80 Median $501.19 Typical High $645.65 | Facility | None | $213.80 | $501.19 | $645.65 |
Univera Setting Facility Modifier TC · Technical part Typical Low $134.90 Median $302.00 Typical High $416.87 | Facility | TC · Technical part | $134.90 | $302.00 | $416.87 |
Univera Setting Professional Modifier None (both parts) Typical Low $181.97 Median $239.88 Typical High $338.84 | Professional | None (both parts) | $181.97 | $239.88 | $338.84 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $66.07 Typical High $120.23 | Professional | 26 · Professional part | $35.48 | $66.07 | $120.23 |
Univera Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $151.36 Typical High $275.42 | Professional | TC · Technical part | $114.82 | $151.36 | $275.42 |
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 $186.21 Median $186.21 Typical High $199.53 | Professional | 52 · Reduced service | $186.21 | $186.21 | $199.53 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $74.13 Typical High $81.28 | Professional | 53 · Discontinued | $74.13 | $74.13 | $81.28 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $295.12 Median $295.12 Typical High $302.00 | Professional | FX · Film X-ray | $295.12 | $295.12 | $302.00 |
Emblem Health Setting Professional Modifier GL · Free upgrade Typical Low $213.80 Median $213.80 Typical High $426.58 | Professional | GL · Free upgrade | $213.80 | $213.80 | $426.58 |
Excellus BCBS Setting Professional Modifier FY · Cassette-based X-ray Typical Low $147.91 Median $204.17 Typical High $316.23 | Professional | FY · Cassette-based X-ray | $147.91 | $204.17 | $316.23 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $117.49 Median $524.81 Typical High $724.44 | Professional | 53 · Discontinued | $117.49 | $524.81 | $724.44 |
Univera Setting Professional Modifier FY · Cassette-based X-ray Typical Low $173.78 Median $204.17 Typical High $338.84 | Professional | FY · Cassette-based X-ray | $173.78 | $204.17 | $338.84 |
Where New York sits
The same service costs 6.5 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
$229
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.