How much rates vary
Facilitymedian $501 · 10th to 90th $331 to $1,585Professionalmedian $407 · 10th to 90th $324 to $759
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 $407.38 Typical High $1,698.24 | Facility | None | $371.54 | $407.38 | $1,698.24 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $112.20 Median $112.20 Typical High $239.88 | Facility | 26 · Professional part | $112.20 | $112.20 | $239.88 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $257.04 Median $269.15 Typical High $741.31 | Facility | TC · Technical part | $257.04 | $269.15 | $741.31 |
Aetna Setting Professional Modifier None (both parts) Typical Low $371.54 Median $371.54 Typical High $707.95 | Professional | None (both parts) | $371.54 | $371.54 | $707.95 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $112.20 Typical High $165.96 | Professional | 26 · Professional part | $112.20 | $112.20 | $165.96 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $257.04 Typical High $416.87 | Professional | TC · Technical part | $257.04 | $257.04 | $416.87 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $251.19 Median $323.59 Typical High $323.59 | Professional | None (both parts) | $251.19 | $323.59 | $323.59 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $346.74 Median $407.38 Typical High $602.56 | Professional | None (both parts) | $346.74 | $407.38 | $602.56 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $112.20 Typical High $151.36 | Professional | 26 · Professional part | $95.50 | $112.20 | $151.36 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $295.12 Typical High $426.58 | Professional | TC · Technical part | $251.19 | $295.12 | $426.58 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $151.36 Median $389.05 Typical High $537.03 | Professional | None (both parts) | $151.36 | $389.05 | $537.03 |
Cigna Setting Facility Modifier None Typical Low $575.44 Median $912.01 Typical High $3,162.28 | Facility | None | $575.44 | $912.01 | $3,162.28 |
Cigna Setting Professional Modifier None (both parts) Typical Low $288.40 Median $407.38 Typical High $2,818.38 | Professional | None (both parts) | $288.40 | $407.38 | $2,818.38 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $83.18 Typical High $288.40 | Professional | 26 · Professional part | $75.86 | $83.18 | $288.40 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $323.59 Typical High $1,862.09 | Professional | TC · Technical part | $208.93 | $323.59 | $1,862.09 |
Emblem Health Setting Facility Modifier None Typical Low $186.21 Median $288.40 Typical High $912.01 | Facility | None | $186.21 | $288.40 | $912.01 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $371.54 Median $398.11 Typical High $602.56 | Professional | None (both parts) | $371.54 | $398.11 | $602.56 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $120.23 Typical High $218.78 | Professional | 26 · Professional part | $100.00 | $120.23 | $218.78 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $281.84 Typical High $416.87 | Professional | TC · Technical part | $263.03 | $281.84 | $416.87 |
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 $316.23 Median $380.19 Typical High $562.34 | Professional | None (both parts) | $316.23 | $380.19 | $562.34 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $100.00 Typical High $173.78 | Professional | 26 · Professional part | $50.12 | $100.00 | $173.78 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $257.04 Typical High $407.38 | Professional | TC · Technical part | $218.78 | $257.04 | $407.38 |
Fidelis Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $123.03 Typical High $158.49 | Professional | 26 · Professional part | $95.50 | $123.03 | $158.49 |
Highmark BCBS Setting Facility Modifier None Typical Low $371.54 Median $707.95 Typical High $3,467.37 | Facility | None | $371.54 | $707.95 | $3,467.37 |
Highmark BCBS Setting Facility Modifier TC · Technical part Typical Low $346.74 Median $758.58 Typical High $1,202.26 | Facility | TC · Technical part | $346.74 | $758.58 | $1,202.26 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $316.23 Median $467.74 Typical High $870.96 | Professional | None (both parts) | $316.23 | $467.74 | $870.96 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $131.83 Typical High $229.09 | Professional | 26 · Professional part | $97.72 | $131.83 | $229.09 |
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 $758.58 Median $758.58 Typical High $954.99 | Professional | None (both parts) | $758.58 | $758.58 | $954.99 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $194.98 Typical High $213.80 | Professional | 26 · Professional part | $114.82 | $194.98 | $213.80 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $512.86 Typical High $676.08 | Professional | TC · Technical part | $275.42 | $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 $275.42 Median $371.54 Typical High $1,023.29 | Professional | None (both parts) | $275.42 | $371.54 | $1,023.29 |
United Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $100.00 Typical High $204.17 | Professional | 26 · Professional part | $79.43 | $100.00 | $204.17 |
United Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $263.03 Typical High $776.25 | Professional | TC · Technical part | $194.98 | $263.03 | $776.25 |
Univera Setting Facility Modifier None Typical Low $380.19 Median $501.19 Typical High $1,288.25 | Facility | None | $380.19 | $501.19 | $1,288.25 |
Univera Setting Facility Modifier TC · Technical part Typical Low $257.04 Median $302.00 Typical High $1,000.00 | Facility | TC · Technical part | $257.04 | $302.00 | $1,000.00 |
Univera Setting Professional Modifier None (both parts) Typical Low $316.23 Median $416.87 Typical High $549.54 | Professional | None (both parts) | $316.23 | $416.87 | $549.54 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $100.00 Typical High $169.82 | Professional | 26 · Professional part | $50.12 | $100.00 | $169.82 |
Univera Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $288.40 Typical High $416.87 | Professional | TC · Technical part | $218.78 | $288.40 | $416.87 |
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 $446.68 Median $446.68 Typical High $616.60 | Professional | GL · Free upgrade | $446.68 | $446.68 | $616.60 |
Excellus BCBS Setting Professional Modifier FY · Cassette-based X-ray Typical Low $257.04 Median $354.81 Typical High $549.54 | Professional | FY · Cassette-based X-ray | $257.04 | $354.81 | $549.54 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $234.42 Median $676.08 Typical High $891.25 | Professional | 53 · Discontinued | $234.42 | $676.08 | $891.25 |
Univera Setting Professional Modifier FY · Cassette-based X-ray Typical Low $257.04 Median $354.81 Typical High $537.03 | Professional | FY · Cassette-based X-ray | $257.04 | $354.81 | $537.03 |
Where New York sits
The same service costs 5.8 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· 46th of 51
$407
WY $1,349UT $234
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.