How much rates vary
Facilitymedian $417 · 10th to 90th $191 to $1,349Professionalmedian $229 · 10th to 90th $182 to $447
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 $239.88 Median $371.54 Typical High $1,659.59 | Facility | None | $239.88 | $371.54 | $1,659.59 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $81.28 Median $112.20 Typical High $162.18 | Facility | 26 · Professional part | $81.28 | $112.20 | $162.18 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $158.49 Median $263.03 Typical High $398.11 | Facility | TC · Technical part | $158.49 | $263.03 | $398.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $281.84 Median $371.54 Typical High $524.81 | Professional | None (both parts) | $281.84 | $371.54 | $524.81 |
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 $131.83 Median $144.54 Typical High $186.21 | Professional | None (both parts) | $131.83 | $144.54 | $186.21 |
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 $95.50 | Professional | 26 · Professional part | $64.57 | $75.86 | $95.50 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $151.36 Typical High $213.80 | Professional | TC · Technical part | $128.82 | $151.36 | $213.80 |
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 $346.74 Median $467.74 Typical High $1,513.56 | Facility | None | $346.74 | $467.74 | $1,513.56 |
Cigna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $199.53 Typical High $1,174.90 | Professional | None (both parts) | $158.49 | $199.53 | $1,174.90 |
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 $831.76 | Professional | TC · Technical part | $107.15 | $134.90 | $831.76 |
Emblem Health Setting Facility Modifier None Typical Low $97.72 Median $151.36 Typical High $489.78 | Facility | None | $97.72 | $151.36 | $489.78 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $213.80 Median $229.09 Typical High $346.74 | Professional | None (both parts) | $213.80 | $229.09 | $346.74 |
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 $213.80 Typical High $331.13 | Professional | None (both parts) | $181.97 | $213.80 | $331.13 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $66.07 Typical High $117.49 | Professional | 26 · Professional part | $33.11 | $66.07 | $117.49 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $134.90 Typical High $257.04 | Professional | TC · Technical part | $114.82 | $134.90 | $257.04 |
Fidelis Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $97.72 Typical High $104.71 | Professional | 26 · Professional part | $79.43 | $97.72 | $104.71 |
Highmark BCBS Setting Facility Modifier None Typical Low $208.93 Median $346.74 Typical High $2,630.27 | Facility | None | $208.93 | $346.74 | $2,630.27 |
Highmark BCBS Setting Facility Modifier TC · Technical part Typical Low $177.83 Median $363.08 Typical High $812.83 | Facility | TC · Technical part | $177.83 | $363.08 | $812.83 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $181.97 Median $263.03 Typical High $602.56 | Professional | None (both parts) | $181.97 | $263.03 | $602.56 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $91.20 Typical High $138.04 | Professional | 26 · Professional part | $66.07 | $91.20 | $138.04 |
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 $158.49 Median $208.93 Typical High $537.03 | Professional | None (both parts) | $158.49 | $208.93 | $537.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $67.61 Typical High $138.04 | Professional | 26 · Professional part | $53.70 | $67.61 | $138.04 |
United Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $134.90 Typical High $398.11 | Professional | TC · Technical part | $102.33 | $134.90 | $398.11 |
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 $331.13 | Professional | None (both parts) | $181.97 | $239.88 | $331.13 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $66.07 Typical High $114.82 | Professional | 26 · Professional part | $33.11 | $66.07 | $114.82 |
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 $120.23 Median $524.81 Typical High $724.44 | Professional | 53 · Discontinued | $120.23 | $524.81 | $724.44 |
Univera Setting Professional Modifier FY · Cassette-based X-ray Typical Low $147.91 Median $204.17 Typical High $331.13 | Professional | FY · Cassette-based X-ray | $147.91 | $204.17 | $331.13 |
Where New York sits
The same service costs 24.0 times more in Vermont 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
VT $2,951UT $123
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.