How much rates vary
Facilitymedian $35 · 10th to 90th $10 to $135Professionalmedian $28 · 10th to 90th $22 to $51
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 $21.38 Median $32.36 Typical High $93.33 | Facility | None | $21.38 | $32.36 | $93.33 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $6.31 Median $8.32 Typical High $19.05 | Facility | 26 · Professional part | $6.31 | $8.32 | $19.05 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $14.79 Median $23.99 Typical High $69.18 | Facility | TC · Technical part | $14.79 | $23.99 | $69.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $21.38 Median $21.38 Typical High $56.23 | Professional | None (both parts) | $21.38 | $21.38 | $56.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.46 Median $6.46 Typical High $12.88 | Professional | 26 · Professional part | $6.46 | $6.46 | $12.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $14.79 Median $14.79 Typical High $38.90 | Professional | TC · Technical part | $14.79 | $14.79 | $38.90 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $24.55 Median $28.18 Typical High $41.69 | Professional | None (both parts) | $24.55 | $28.18 | $41.69 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $23.99 Median $28.18 Typical High $41.69 | Professional | None (both parts) | $23.99 | $28.18 | $41.69 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $5.75 Median $6.76 Typical High $10.47 | Professional | 26 · Professional part | $5.75 | $6.76 | $10.47 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $36.31 Median $42.66 Typical High $60.26 | Professional | 50 · Both sides | $36.31 | $42.66 | $60.26 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $21.38 Typical High $31.62 | Professional | TC · Technical part | $18.20 | $21.38 | $31.62 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $11.75 Median $33.11 Typical High $44.67 | Professional | None (both parts) | $11.75 | $33.11 | $44.67 |
Cigna Setting Facility Modifier None Typical Low $60.26 Median $81.28 Typical High $169.82 | Facility | None | $60.26 | $81.28 | $169.82 |
Cigna Setting Professional Modifier None (both parts) Typical Low $22.91 Median $33.88 Typical High $123.03 | Professional | None (both parts) | $22.91 | $33.88 | $123.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $5.75 Median $6.31 Typical High $21.88 | Professional | 26 · Professional part | $5.75 | $6.31 | $21.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $19.50 Typical High $123.03 | Professional | TC · Technical part | $16.60 | $19.50 | $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 $31.62 Median $39.81 Typical High $57.54 | Professional | None (both parts) | $31.62 | $39.81 | $57.54 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $9.33 Typical High $16.98 | Professional | 26 · Professional part | $8.13 | $9.33 | $16.98 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $30.90 Typical High $44.67 | Professional | TC · Technical part | $29.51 | $30.90 | $44.67 |
Excellus BCBS Setting Facility Modifier None Typical Low $10.00 Median $10.00 Typical High $10.00 | Facility | None | $10.00 | $10.00 | $10.00 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $6.03 Median $6.03 Typical High $6.03 | Facility | TC · Technical part | $6.03 | $6.03 | $6.03 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $19.50 Median $31.62 Typical High $46.77 | Professional | None (both parts) | $19.50 | $31.62 | $46.77 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $4.47 Median $7.76 Typical High $11.75 | Professional | 26 · Professional part | $4.47 | $7.76 | $11.75 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $15.14 Median $23.99 Typical High $34.67 | Professional | TC · Technical part | $15.14 | $23.99 | $34.67 |
Highmark BCBS Setting Facility Modifier None Typical Low $28.84 Median $87.10 Typical High $234.42 | Facility | None | $28.84 | $87.10 | $234.42 |
Highmark BCBS Setting Facility Modifier TC · Technical part Typical Low $30.90 Median $107.15 Typical High $234.42 | Facility | TC · Technical part | $30.90 | $107.15 | $234.42 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $31.62 Median $31.62 Typical High $53.70 | Professional | None (both parts) | $31.62 | $31.62 | $53.70 |
MVP Health Care Setting Facility Modifier None Typical Low $24.55 Median $107.15 Typical High $257.04 | Facility | None | $24.55 | $107.15 | $257.04 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $30.20 Median $30.20 Typical High $77.62 | Professional | None (both parts) | $30.20 | $30.20 | $77.62 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $10.96 Typical High $13.80 | Professional | 26 · Professional part | $8.91 | $10.96 | $13.80 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $30.20 Typical High $40.74 | Professional | TC · Technical part | $23.44 | $30.20 | $40.74 |
United Setting Facility Modifier None Typical Low $173.78 Median $204.17 Typical High $251.19 | Facility | None | $173.78 | $204.17 | $251.19 |
United Setting Professional Modifier None (both parts) Typical Low $23.99 Median $28.84 Typical High $53.70 | Professional | None (both parts) | $23.99 | $28.84 | $53.70 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.31 Median $7.41 Typical High $14.13 | Professional | 26 · Professional part | $6.31 | $7.41 | $14.13 |
United Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $21.88 Typical High $39.81 | Professional | TC · Technical part | $17.78 | $21.88 | $39.81 |
Univera Setting Facility Modifier None Typical Low $10.00 Median $10.00 Typical High $66.07 | Facility | None | $10.00 | $10.00 | $66.07 |
Univera Setting Facility Modifier TC · Technical part Typical Low $6.03 Median $6.03 Typical High $53.70 | Facility | TC · Technical part | $6.03 | $6.03 | $53.70 |
Univera Setting Professional Modifier None (both parts) Typical Low $19.50 Median $31.62 Typical High $46.77 | Professional | None (both parts) | $19.50 | $31.62 | $46.77 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $4.47 Median $7.76 Typical High $11.75 | Professional | 26 · Professional part | $4.47 | $7.76 | $11.75 |
Univera Setting Professional Modifier TC · Technical part Typical Low $15.14 Median $23.99 Typical High $34.67 | Professional | TC · Technical part | $15.14 | $23.99 | $34.67 |
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 $10.72 Median $10.72 Typical High $16.22 | Professional | 52 · Reduced service | $10.72 | $10.72 | $16.22 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.27 Median $4.27 Typical High $6.46 | Professional | 53 · Discontinued | $4.27 | $4.27 | $6.46 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $16.98 Median $16.98 Typical High $25.70 | Professional | FX · Film X-ray | $16.98 | $16.98 | $25.70 |
Emblem Health Setting Professional Modifier GL · Free upgrade Typical Low $25.70 Median $25.70 Typical High $26.30 | Professional | GL · Free upgrade | $25.70 | $25.70 | $26.30 |
Excellus BCBS Setting Professional Modifier FY · Cassette-based X-ray Typical Low $24.55 Median $33.88 Typical High $44.67 | Professional | FY · Cassette-based X-ray | $24.55 | $33.88 | $44.67 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $20.42 Typical High $31.62 | Professional | 53 · Discontinued | $16.22 | $20.42 | $31.62 |
Univera Setting Professional Modifier FY · Cassette-based X-ray Typical Low $24.55 Median $30.20 Typical High $44.67 | Professional | FY · Cassette-based X-ray | $24.55 | $30.20 | $44.67 |
Where New York sits
The same service costs 6.0 times more in Vermont 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· 49th of 51
$28.18
VT $155FL $25.70
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.