How much rates vary
Facilitymedian $47 · 10th to 90th $20 to $174Professionalmedian $36 · 10th to 90th $30 to $66
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 $29.51 Median $42.66 Typical High $120.23 | Facility | None | $29.51 | $42.66 | $120.23 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $8.13 Median $12.59 Typical High $33.11 | Facility | 26 · Professional part | $8.13 | $12.59 | $33.11 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $21.38 Median $30.20 Typical High $112.20 | Facility | TC · Technical part | $21.38 | $30.20 | $112.20 |
Aetna Setting Professional Modifier None (both parts) Typical Low $29.51 Median $29.51 Typical High $70.79 | Professional | None (both parts) | $29.51 | $29.51 | $70.79 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $8.13 Typical High $19.50 | Professional | 26 · Professional part | $8.13 | $8.13 | $19.50 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $21.38 Typical High $46.77 | Professional | TC · Technical part | $21.38 | $21.38 | $46.77 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $35.48 Median $35.48 Typical High $46.77 | Professional | None (both parts) | $35.48 | $35.48 | $46.77 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $30.90 Median $36.31 Typical High $56.23 | Professional | None (both parts) | $30.90 | $36.31 | $56.23 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $10.00 Typical High $14.79 | Professional | 26 · Professional part | $8.32 | $10.00 | $14.79 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $26.92 Typical High $41.69 | Professional | TC · Technical part | $22.91 | $26.92 | $41.69 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $17.78 Median $40.74 Typical High $58.88 | Professional | None (both parts) | $17.78 | $40.74 | $58.88 |
Cigna Setting Facility Modifier None Typical Low $72.44 Median $97.72 Typical High $239.88 | Facility | None | $72.44 | $97.72 | $239.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $31.62 Median $45.71 Typical High $173.78 | Professional | None (both parts) | $31.62 | $45.71 | $173.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $8.91 Typical High $31.62 | Professional | 26 · Professional part | $8.51 | $8.91 | $31.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $25.70 Typical High $151.36 | Professional | TC · Technical part | $21.38 | $25.70 | $151.36 |
Emblem Health Setting Facility Modifier None Typical Low $25.12 Median $38.02 Typical High $109.65 | Facility | None | $25.12 | $38.02 | $109.65 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $41.69 Median $52.48 Typical High $74.13 | Professional | None (both parts) | $41.69 | $52.48 | $74.13 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $14.45 Typical High $26.30 | Professional | 26 · Professional part | $12.59 | $14.45 | $26.30 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $37.15 Typical High $54.95 | Professional | TC · Technical part | $36.31 | $37.15 | $54.95 |
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 $28.84 Median $41.69 Typical High $60.26 | Professional | None (both parts) | $28.84 | $41.69 | $60.26 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $6.31 Median $12.02 Typical High $17.78 | Professional | 26 · Professional part | $6.31 | $12.02 | $17.78 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $29.51 Typical High $42.66 | Professional | TC · Technical part | $22.39 | $29.51 | $42.66 |
Highmark BCBS Setting Facility Modifier None Typical Low $30.90 Median $109.65 Typical High $181.97 | Facility | None | $30.90 | $109.65 | $181.97 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $41.69 Median $42.66 Typical High $57.54 | Professional | None (both parts) | $41.69 | $42.66 | $57.54 |
MVP Health Care Setting Facility Modifier None Typical Low $30.20 Median $107.15 Typical High $257.04 | Facility | None | $30.20 | $107.15 | $257.04 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $39.81 Median $39.81 Typical High $100.00 | Professional | None (both parts) | $39.81 | $39.81 | $100.00 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $16.60 Typical High $20.42 | Professional | 26 · Professional part | $13.49 | $16.60 | $20.42 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $36.31 Typical High $50.12 | Professional | TC · Technical part | $28.84 | $36.31 | $50.12 |
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 $30.90 Median $38.02 Typical High $69.18 | Professional | None (both parts) | $30.90 | $38.02 | $69.18 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $11.48 Typical High $21.38 | Professional | 26 · Professional part | $8.91 | $11.48 | $21.38 |
United Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $26.30 Typical High $50.12 | Professional | TC · Technical part | $21.88 | $26.30 | $50.12 |
Univera Setting Facility Modifier None Typical Low $20.42 Median $20.42 Typical High $91.20 | Facility | None | $20.42 | $20.42 | $91.20 |
Univera Setting Facility Modifier TC · Technical part Typical Low $12.02 Median $12.02 Typical High $77.62 | Facility | TC · Technical part | $12.02 | $12.02 | $77.62 |
Univera Setting Professional Modifier None (both parts) Typical Low $28.84 Median $41.69 Typical High $58.88 | Professional | None (both parts) | $28.84 | $41.69 | $58.88 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $6.31 Median $12.02 Typical High $17.78 | Professional | 26 · Professional part | $6.31 | $12.02 | $17.78 |
Univera Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $29.51 Typical High $41.69 | Professional | TC · Technical part | $22.39 | $29.51 | $41.69 |
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 $14.79 Median $14.79 Typical High $21.38 | Professional | 52 · Reduced service | $14.79 | $14.79 | $21.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.89 Median $5.89 Typical High $8.51 | Professional | 53 · Discontinued | $5.89 | $5.89 | $8.51 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $23.44 Median $23.44 Typical High $33.88 | Professional | FX · Film X-ray | $23.44 | $23.44 | $33.88 |
Emblem Health Setting Professional Modifier GL · Free upgrade Typical Low $38.02 Median $38.02 Typical High $38.02 | Professional | GL · Free upgrade | $38.02 | $38.02 | $38.02 |
Excellus BCBS Setting Professional Modifier FX · Film X-ray Typical Low $28.18 Median $38.02 Typical High $51.29 | Professional | FX · Film X-ray | $28.18 | $38.02 | $51.29 |
Excellus BCBS Setting Professional Modifier FY · Cassette-based X-ray Typical Low $31.62 Median $42.66 Typical High $57.54 | Professional | FY · Cassette-based X-ray | $31.62 | $42.66 | $57.54 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $26.92 Typical High $40.74 | Professional | 53 · Discontinued | $21.38 | $26.92 | $40.74 |
Univera Setting Professional Modifier FX · Film X-ray Typical Low $28.18 Median $38.02 Typical High $51.29 | Professional | FX · Film X-ray | $28.18 | $38.02 | $51.29 |
Univera Setting Professional Modifier FY · Cassette-based X-ray Typical Low $31.62 Median $38.90 Typical High $57.54 | Professional | FY · Cassette-based X-ray | $31.62 | $38.90 | $57.54 |
Where New York sits
The same service costs 3.7 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
$36.31
AK $123UT $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.