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 $17.78 Median $21.88 Typical High $61.66 | Facility | None | $17.78 | $21.88 | $61.66 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $5.89 Median $7.59 Typical High $20.89 | Facility | 26 · Professional part | $5.89 | $7.59 | $20.89 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $11.75 Median $14.13 Typical High $40.74 | Facility | TC · Technical part | $11.75 | $14.13 | $40.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $17.78 Median $17.78 Typical High $36.31 | Professional | None (both parts) | $17.78 | $17.78 | $36.31 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $5.89 Median $5.89 Typical High $11.75 | Professional | 26 · Professional part | $5.89 | $5.89 | $11.75 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $11.75 Median $11.75 Typical High $23.99 | Professional | TC · Technical part | $11.75 | $11.75 | $23.99 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $17.78 Median $17.78 Typical High $23.44 | Professional | None (both parts) | $17.78 | $17.78 | $23.44 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $12.02 Median $17.78 Typical High $21.88 | Professional | None (both parts) | $12.02 | $17.78 | $21.88 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $5.25 Median $6.17 Typical High $12.88 | Professional | 26 · Professional part | $5.25 | $6.17 | $12.88 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $23.99 Median $28.18 Typical High $48.98 | Professional | 50 · Both sides | $23.99 | $28.18 | $48.98 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $10.72 Median $12.59 Typical High $23.99 | Professional | TC · Technical part | $10.72 | $12.59 | $23.99 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $10.72 Median $19.50 Typical High $30.20 | Professional | None (both parts) | $10.72 | $19.50 | $30.20 |
Cigna Setting Facility Modifier None Typical Low $34.67 Median $47.86 Typical High $151.36 | Facility | None | $34.67 | $47.86 | $151.36 |
Cigna Setting Professional Modifier None (both parts) Typical Low $16.60 Median $26.30 Typical High $95.50 | Professional | None (both parts) | $16.60 | $26.30 | $95.50 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $5.25 Median $5.75 Typical High $19.95 | Professional | 26 · Professional part | $5.25 | $5.75 | $19.95 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $10.96 Median $13.18 Typical High $69.18 | Professional | TC · Technical part | $10.96 | $13.18 | $69.18 |
Emblem Health Setting Facility Modifier None Typical Low $11.48 Median $17.78 Typical High $51.29 | Facility | None | $11.48 | $17.78 | $51.29 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $20.89 Median $25.70 Typical High $37.15 | Professional | None (both parts) | $20.89 | $25.70 | $37.15 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $8.71 Typical High $15.49 | Professional | 26 · Professional part | $7.41 | $8.71 | $15.49 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $17.38 Typical High $25.12 | Professional | TC · Technical part | $16.60 | $17.38 | $25.12 |
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 $15.85 Median $20.89 Typical High $30.90 | Professional | None (both parts) | $15.85 | $20.89 | $30.90 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $4.07 Median $7.08 Typical High $10.72 | Professional | 26 · Professional part | $4.07 | $7.08 | $10.72 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $12.02 Median $13.49 Typical High $20.42 | Professional | TC · Technical part | $12.02 | $13.49 | $20.42 |
Highmark BCBS Setting Facility Modifier None Typical Low $16.98 Median $117.49 Typical High $245.47 | Facility | None | $16.98 | $117.49 | $245.47 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $29.51 Median $29.51 Typical High $29.51 | Professional | None (both parts) | $29.51 | $29.51 | $29.51 |
MVP Health Care Setting Facility Modifier None Typical Low $14.45 Median $74.13 Typical High $257.04 | Facility | None | $14.45 | $74.13 | $257.04 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $30.20 Median $30.20 Typical High $52.48 | Professional | None (both parts) | $30.20 | $30.20 | $52.48 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $10.00 Typical High $12.88 | Professional | 26 · Professional part | $8.13 | $10.00 | $12.88 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $13.80 Median $17.78 Typical High $25.70 | Professional | TC · Technical part | $13.80 | $17.78 | $25.70 |
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 $16.60 Median $19.95 Typical High $37.15 | Professional | None (both parts) | $16.60 | $19.95 | $37.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $5.75 Median $6.92 Typical High $12.88 | Professional | 26 · Professional part | $5.75 | $6.92 | $12.88 |
United Setting Professional Modifier TC · Technical part Typical Low $10.72 Median $12.88 Typical High $24.55 | Professional | TC · Technical part | $10.72 | $12.88 | $24.55 |
Univera Setting Facility Modifier None Typical Low $10.00 Median $10.00 Typical High $60.26 | Facility | None | $10.00 | $10.00 | $60.26 |
Univera Setting Facility Modifier TC · Technical part Typical Low $6.03 Median $6.03 Typical High $47.86 | Facility | TC · Technical part | $6.03 | $6.03 | $47.86 |
Univera Setting Professional Modifier None (both parts) Typical Low $15.85 Median $20.89 Typical High $28.18 | Professional | None (both parts) | $15.85 | $20.89 | $28.18 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $4.07 Median $7.08 Typical High $9.77 | Professional | 26 · Professional part | $4.07 | $7.08 | $9.77 |
Univera Setting Professional Modifier TC · Technical part Typical Low $12.02 Median $13.49 Typical High $18.20 | Professional | TC · Technical part | $12.02 | $13.49 | $18.20 |
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 $8.91 Median $8.91 Typical High $10.96 | Professional | 52 · Reduced service | $8.91 | $8.91 | $10.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.55 Median $3.55 Typical High $4.37 | Professional | 53 · Discontinued | $3.55 | $3.55 | $4.37 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $14.13 Median $14.13 Typical High $17.38 | Professional | FX · Film X-ray | $14.13 | $14.13 | $17.38 |
Emblem Health Setting Professional Modifier GL · Free upgrade Typical Low $20.89 Median $20.89 Typical High $22.39 | Professional | GL · Free upgrade | $20.89 | $20.89 | $22.39 |
Excellus BCBS Setting Professional Modifier FX · Film X-ray Typical Low $14.79 Median $20.89 Typical High $26.92 | Professional | FX · Film X-ray | $14.79 | $20.89 | $26.92 |
Excellus BCBS Setting Professional Modifier FY · Cassette-based X-ray Typical Low $16.22 Median $22.91 Typical High $29.51 | Professional | FY · Cassette-based X-ray | $16.22 | $22.91 | $29.51 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $11.22 Median $14.13 Typical High $21.88 | Professional | 53 · Discontinued | $11.22 | $14.13 | $21.88 |
Univera Setting Professional Modifier FX · Film X-ray Typical Low $17.38 Median $19.50 Typical High $26.92 | Professional | FX · Film X-ray | $17.38 | $19.50 | $26.92 |
Univera Setting Professional Modifier FY · Cassette-based X-ray Typical Low $19.05 Median $19.95 Typical High $29.51 | Professional | FY · Cassette-based X-ray | $19.05 | $19.95 | $29.51 |
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
$19.05
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.