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 $70.79 Median $112.20 Typical High $257.04 | Facility | None | $70.79 | $112.20 | $257.04 |
Aetna Setting Professional Modifier None (both parts) Typical Low $70.79 Median $70.79 Typical High $134.90 | Professional | None (both parts) | $70.79 | $70.79 | $134.90 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $31.62 Typical High $41.69 | Professional | 26 · Professional part | $31.62 | $31.62 | $41.69 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $38.90 Typical High $91.20 | Professional | TC · Technical part | $38.90 | $38.90 | $91.20 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $67.61 Median $79.43 Typical High $158.49 | Professional | None (both parts) | $67.61 | $79.43 | $158.49 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $36.31 Typical High $52.48 | Professional | 26 · Professional part | $30.90 | $36.31 | $52.48 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $43.65 Typical High $89.13 | Professional | TC · Technical part | $37.15 | $43.65 | $89.13 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $56.23 Median $95.50 Typical High $151.36 | Professional | None (both parts) | $56.23 | $95.50 | $151.36 |
Cigna Setting Facility Modifier None Typical Low $169.82 Median $229.09 Typical High $1,202.26 | Facility | None | $169.82 | $229.09 | $1,202.26 |
Cigna Setting Professional Modifier None (both parts) Typical Low $81.28 Median $93.33 Typical High $309.03 | Professional | None (both parts) | $81.28 | $93.33 | $309.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $30.90 Typical High $107.15 | Professional | 26 · Professional part | $27.54 | $30.90 | $107.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $60.26 Typical High $208.93 | Professional | TC · Technical part | $53.70 | $60.26 | $208.93 |
Emblem Health Setting Facility Modifier None Typical Low $56.23 Median $87.10 Typical High $245.47 | Facility | None | $56.23 | $87.10 | $245.47 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $104.71 Median $131.83 Typical High $186.21 | Professional | None (both parts) | $104.71 | $131.83 | $186.21 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $46.77 Typical High $83.18 | Professional | 26 · Professional part | $38.90 | $46.77 | $83.18 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $85.11 Typical High $123.03 | Professional | TC · Technical part | $79.43 | $85.11 | $123.03 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $93.33 Median $104.71 Typical High $154.88 | Professional | None (both parts) | $93.33 | $104.71 | $154.88 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $38.90 Typical High $57.54 | Professional | 26 · Professional part | $22.39 | $38.90 | $57.54 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $70.79 Typical High $97.72 | Professional | TC · Technical part | $63.10 | $70.79 | $97.72 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $46.77 Typical High $46.77 | Professional | 26 · Professional part | $46.77 | $46.77 | $46.77 |
MVP Health Care Setting Facility Modifier None Typical Low $107.15 Median $131.83 Typical High $257.04 | Facility | None | $107.15 | $131.83 | $257.04 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $112.20 Median $112.20 Typical High $251.19 | Professional | None (both parts) | $112.20 | $112.20 | $251.19 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $53.70 Typical High $67.61 | Professional | 26 · Professional part | $43.65 | $53.70 | $67.61 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $81.28 Typical High $112.20 | Professional | TC · Technical part | $63.10 | $81.28 | $112.20 |
United Setting Facility Modifier None Typical Low $1,584.89 Median $1,819.70 Typical High $2,238.72 | Facility | None | $1,584.89 | $1,819.70 | $2,238.72 |
United Setting Professional Modifier None (both parts) Typical Low $77.62 Median $100.00 Typical High $194.98 | Professional | None (both parts) | $77.62 | $100.00 | $194.98 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $37.15 Typical High $69.18 | Professional | 26 · Professional part | $30.20 | $37.15 | $69.18 |
United Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $60.26 Typical High $131.83 | Professional | TC · Technical part | $48.98 | $60.26 | $131.83 |
Univera Setting Facility Modifier None Typical Low $120.23 Median $120.23 Typical High $588.84 | Facility | None | $120.23 | $120.23 | $588.84 |
Univera Setting Professional Modifier None (both parts) Typical Low $93.33 Median $104.71 Typical High $141.25 | Professional | None (both parts) | $93.33 | $104.71 | $141.25 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $38.90 Typical High $52.48 | Professional | 26 · Professional part | $22.39 | $38.90 | $52.48 |
Univera Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $70.79 Typical High $89.13 | Professional | TC · Technical part | $63.10 | $70.79 | $89.13 |
6 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 $35.48 Median $35.48 Typical High $56.23 | Professional | 52 · Reduced service | $35.48 | $35.48 | $56.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $14.13 Typical High $22.39 | Professional | 53 · Discontinued | $14.13 | $14.13 | $22.39 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $56.23 Median $56.23 Typical High $89.13 | Professional | FX · Film X-ray | $56.23 | $56.23 | $89.13 |
Excellus BCBS Setting Professional Modifier FY · Cassette-based X-ray Typical Low $81.28 Median $114.82 Typical High $147.91 | Professional | FY · Cassette-based X-ray | $81.28 | $114.82 | $147.91 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $53.70 Median $67.61 Typical High $104.71 | Professional | 53 · Discontinued | $53.70 | $67.61 | $104.71 |
Univera Setting Professional Modifier FY · Cassette-based X-ray Typical Low $95.50 Median $100.00 Typical High $147.91 | Professional | FY · Cassette-based X-ray | $95.50 | $100.00 | $147.91 |
Where New York sits
The same service costs 4.3 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
$85.11
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.