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 $21.88 Median $33.11 Typical High $93.33 | Facility | None | $21.88 | $33.11 | $93.33 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $6.61 Median $8.32 Typical High $22.39 | Facility | 26 · Professional part | $6.61 | $8.32 | $22.39 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $15.49 Median $25.12 Typical High $72.44 | Facility | TC · Technical part | $15.49 | $25.12 | $72.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $21.88 Median $21.88 Typical High $53.70 | Professional | None (both parts) | $21.88 | $21.88 | $53.70 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.61 Median $6.61 Typical High $13.49 | Professional | 26 · Professional part | $6.61 | $6.61 | $13.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $15.49 Median $15.49 Typical High $38.90 | Professional | TC · Technical part | $15.49 | $15.49 | $38.90 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $22.39 Median $24.55 Typical High $34.67 | Professional | None (both parts) | $22.39 | $24.55 | $34.67 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $22.91 Median $28.18 Typical High $48.98 | Professional | None (both parts) | $22.91 | $28.18 | $48.98 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $5.75 Median $6.76 Typical High $10.72 | Professional | 26 · Professional part | $5.75 | $6.76 | $10.72 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $22.91 Typical High $32.36 | Professional | TC · Technical part | $18.62 | $22.91 | $32.36 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $11.75 Median $33.88 Typical High $45.71 | Professional | None (both parts) | $11.75 | $33.88 | $45.71 |
Cigna Setting Facility Modifier None Typical Low $61.66 Median $83.18 Typical High $177.83 | Facility | None | $61.66 | $83.18 | $177.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $23.44 Median $34.67 Typical High $109.65 | Professional | None (both parts) | $23.44 | $34.67 | $109.65 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $5.75 Median $6.61 Typical High $22.91 | Professional | 26 · Professional part | $5.75 | $6.61 | $22.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $19.95 Typical High $123.03 | Professional | TC · Technical part | $16.98 | $19.95 | $123.03 |
Emblem Health Setting Facility Modifier None Typical Low $20.42 Median $30.90 Typical High $89.13 | Facility | None | $20.42 | $30.90 | $89.13 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $32.36 Median $40.74 Typical High $57.54 | Professional | None (both parts) | $32.36 | $40.74 | $57.54 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $9.77 Typical High $17.78 | Professional | 26 · Professional part | $8.51 | $9.77 | $17.78 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $30.90 Typical High $44.67 | Professional | TC · Technical part | $28.84 | $30.90 | $44.67 |
Excellus BCBS Setting Facility Modifier None Typical Low $12.59 Median $12.59 Typical High $12.59 | Facility | None | $12.59 | $12.59 | $12.59 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $7.59 Median $7.59 Typical High $7.59 | Facility | TC · Technical part | $7.59 | $7.59 | $7.59 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $19.95 Median $32.36 Typical High $47.86 | Professional | None (both parts) | $19.95 | $32.36 | $47.86 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $4.68 Median $8.13 Typical High $12.30 | Professional | 26 · Professional part | $4.68 | $8.13 | $12.30 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $15.49 Median $23.99 Typical High $36.31 | Professional | TC · Technical part | $15.49 | $23.99 | $36.31 |
Highmark BCBS Setting Facility Modifier None Typical Low $35.48 Median $54.95 Typical High $109.65 | Facility | None | $35.48 | $54.95 | $109.65 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $33.11 Median $35.48 Typical High $81.28 | Professional | None (both parts) | $33.11 | $35.48 | $81.28 |
MVP Health Care Setting Facility Modifier None Typical Low $25.12 Median $107.15 Typical High $257.04 | Facility | None | $25.12 | $107.15 | $257.04 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $39.81 Median $39.81 Typical High $79.43 | Professional | None (both parts) | $39.81 | $39.81 | $79.43 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $11.48 Typical High $14.45 | Professional | 26 · Professional part | $9.12 | $11.48 | $14.45 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $30.20 Typical High $41.69 | Professional | TC · Technical part | $23.99 | $30.20 | $41.69 |
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 $24.55 Median $29.51 Typical High $54.95 | Professional | None (both parts) | $24.55 | $29.51 | $54.95 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.46 Median $7.76 Typical High $14.79 | Professional | 26 · Professional part | $6.46 | $7.76 | $14.79 |
United Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $21.88 Typical High $40.74 | Professional | TC · Technical part | $18.20 | $21.88 | $40.74 |
Univera Setting Facility Modifier None Typical Low $12.59 Median $12.59 Typical High $67.61 | Facility | None | $12.59 | $12.59 | $67.61 |
Univera Setting Facility Modifier TC · Technical part Typical Low $7.59 Median $7.59 Typical High $53.70 | Facility | TC · Technical part | $7.59 | $7.59 | $53.70 |
Univera Setting Professional Modifier None (both parts) Typical Low $19.95 Median $32.36 Typical High $43.65 | Professional | None (both parts) | $19.95 | $32.36 | $43.65 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $4.68 Median $8.13 Typical High $11.22 | Professional | 26 · Professional part | $4.68 | $8.13 | $11.22 |
Univera Setting Professional Modifier TC · Technical part Typical Low $15.49 Median $23.99 Typical High $32.36 | Professional | TC · Technical part | $15.49 | $23.99 | $32.36 |
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 $10.96 Median $10.96 Typical High $16.60 | Professional | 52 · Reduced service | $10.96 | $10.96 | $16.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.47 Median $4.47 Typical High $6.61 | Professional | 53 · Discontinued | $4.47 | $4.47 | $6.61 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $17.78 Median $17.78 Typical High $26.30 | Professional | FX · Film X-ray | $17.78 | $17.78 | $26.30 |
Emblem Health Setting Professional Modifier GL · Free upgrade Typical Low $26.30 Median $26.30 Typical High $27.54 | Professional | GL · Free upgrade | $26.30 | $26.30 | $27.54 |
Excellus BCBS Setting Professional Modifier FY · Cassette-based X-ray Typical Low $25.12 Median $34.67 Typical High $45.71 | Professional | FY · Cassette-based X-ray | $25.12 | $34.67 | $45.71 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $20.89 Typical High $32.36 | Professional | 53 · Discontinued | $16.60 | $20.89 | $32.36 |
Univera Setting Professional Modifier FY · Cassette-based X-ray Typical Low $29.51 Median $30.20 Typical High $45.71 | Professional | FY · Cassette-based X-ray | $29.51 | $30.20 | $45.71 |
Where New York sits
The same service costs 3.7 times more in Alaska than in Florida. 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· 50th of 51
$28.84
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.