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 $371.54 Median $398.11 Typical High $1,737.80 | Facility | None | $371.54 | $398.11 | $1,737.80 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $112.20 Median $112.20 Typical High $257.04 | Facility | 26 · Professional part | $112.20 | $112.20 | $257.04 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $257.04 Median $263.03 Typical High $660.69 | Facility | TC · Technical part | $257.04 | $263.03 | $660.69 |
Aetna Setting Professional Modifier None (both parts) Typical Low $371.54 Median $371.54 Typical High $602.56 | Professional | None (both parts) | $371.54 | $371.54 | $602.56 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $112.20 Typical High $173.78 | Professional | 26 · Professional part | $112.20 | $112.20 | $173.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $257.04 Typical High $389.05 | Professional | TC · Technical part | $257.04 | $257.04 | $389.05 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $229.09 Median $229.09 Typical High $263.03 | Professional | None (both parts) | $229.09 | $229.09 | $263.03 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $323.59 Median $380.19 Typical High $562.34 | Professional | None (both parts) | $323.59 | $380.19 | $562.34 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $117.49 Typical High $186.21 | Professional | 26 · Professional part | $100.00 | $117.49 | $186.21 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $269.15 Typical High $354.81 | Professional | TC · Technical part | $229.09 | $269.15 | $354.81 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $158.49 Median $346.74 Typical High $501.19 | Professional | None (both parts) | $158.49 | $346.74 | $501.19 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $831.76 Typical High $2,691.53 | Facility | None | $524.81 | $831.76 | $2,691.53 |
Cigna Setting Professional Modifier None (both parts) Typical Low $269.15 Median $338.84 Typical High $2,137.96 | Professional | None (both parts) | $269.15 | $338.84 | $2,137.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $85.11 Typical High $302.00 | Professional | 26 · Professional part | $77.62 | $85.11 | $302.00 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $223.87 Typical High $1,548.82 | Professional | TC · Technical part | $186.21 | $223.87 | $1,548.82 |
Emblem Health Setting Facility Modifier None Typical Low $169.82 Median $263.03 Typical High $851.14 | Facility | None | $169.82 | $263.03 | $851.14 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $354.81 Median $380.19 Typical High $575.44 | Professional | None (both parts) | $354.81 | $380.19 | $575.44 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $123.03 Typical High $229.09 | Professional | 26 · Professional part | $102.33 | $123.03 | $229.09 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $257.04 Typical High $380.19 | Professional | TC · Technical part | $239.88 | $257.04 | $380.19 |
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 $302.00 Median $398.11 Typical High $549.54 | Professional | None (both parts) | $302.00 | $398.11 | $549.54 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $102.33 Typical High $186.21 | Professional | 26 · Professional part | $57.54 | $102.33 | $186.21 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $263.03 Typical High $389.05 | Professional | TC · Technical part | $199.53 | $263.03 | $389.05 |
Fidelis Setting Professional Modifier 26 · Professional part Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | 26 · Professional part | $165.96 | $165.96 | $165.96 |
Highmark BCBS Setting Facility Modifier None Typical Low $478.63 Median $660.69 Typical High $2,089.30 | Facility | None | $478.63 | $660.69 | $2,089.30 |
Highmark BCBS Setting Facility Modifier TC · Technical part Typical Low $371.54 Median $707.95 Typical High $2,818.38 | Facility | TC · Technical part | $371.54 | $707.95 | $2,818.38 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $446.68 Median $446.68 Typical High $933.25 | Professional | None (both parts) | $446.68 | $446.68 | $933.25 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $154.88 Typical High $234.42 | Professional | 26 · Professional part | $102.33 | $154.88 | $234.42 |
MVP Health Care Setting Facility Modifier None Typical Low $107.15 Median $257.04 Typical High $645.65 | Facility | None | $107.15 | $257.04 | $645.65 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $707.95 Median $707.95 Typical High $912.01 | Professional | None (both parts) | $707.95 | $707.95 | $912.01 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $204.17 Typical High $218.78 | Professional | 26 · Professional part | $120.23 | $204.17 | $218.78 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $512.86 Typical High $676.08 | Professional | TC · Technical part | $251.19 | $512.86 | $676.08 |
United Setting Facility Modifier None Typical Low $707.95 Median $812.83 Typical High $1,000.00 | Facility | None | $707.95 | $812.83 | $1,000.00 |
United Setting Professional Modifier None (both parts) Typical Low $263.03 Median $354.81 Typical High $1,023.29 | Professional | None (both parts) | $263.03 | $354.81 | $1,023.29 |
United Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $104.71 Typical High $218.78 | Professional | 26 · Professional part | $83.18 | $104.71 | $218.78 |
United Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $239.88 Typical High $691.83 | Professional | TC · Technical part | $177.83 | $239.88 | $691.83 |
Univera Setting Facility Modifier None Typical Low $354.81 Median $501.19 Typical High $1,096.48 | Facility | None | $354.81 | $501.19 | $1,096.48 |
Univera Setting Facility Modifier TC · Technical part Typical Low $234.42 Median $302.00 Typical High $724.44 | Facility | TC · Technical part | $234.42 | $302.00 | $724.44 |
Univera Setting Professional Modifier None (both parts) Typical Low $302.00 Median $398.11 Typical High $549.54 | Professional | None (both parts) | $302.00 | $398.11 | $549.54 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $102.33 Typical High $186.21 | Professional | 26 · Professional part | $57.54 | $102.33 | $186.21 |
Univera Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $263.03 Typical High $426.58 | Professional | TC · Technical part | $199.53 | $263.03 | $426.58 |
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 $338.84 Median $338.84 Typical High $549.54 | Professional | GL · Free upgrade | $338.84 | $338.84 | $549.54 |
Excellus BCBS Setting Professional Modifier FY · Cassette-based X-ray Typical Low $245.47 Median $338.84 Typical High $524.81 | Professional | FY · Cassette-based X-ray | $245.47 | $338.84 | $524.81 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $223.87 Median $676.08 Typical High $891.25 | Professional | 53 · Discontinued | $223.87 | $676.08 | $891.25 |
Univera Setting Professional Modifier FY · Cassette-based X-ray Typical Low $288.40 Median $338.84 Typical High $524.81 | Professional | FY · Cassette-based X-ray | $288.40 | $338.84 | $524.81 |
Where New York sits
The same service costs 6.3 times more in Wyoming 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· 44th of 51
$380
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.