How much rates vary
Facilitymedian $38 · 10th to 90th $10 to $151Professionalmedian $30 · 10th to 90th $24 to $54
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 $22.39 Median $33.88 Typical High $97.72 | Facility | None | $22.39 | $33.88 | $97.72 |
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 $16.22 Median $25.70 Typical High $74.13 | Facility | TC · Technical part | $16.22 | $25.70 | $74.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $22.39 Median $22.39 Typical High $57.54 | Professional | None (both parts) | $22.39 | $22.39 | $57.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.46 Median $6.46 Typical High $14.13 | Professional | 26 · Professional part | $6.46 | $6.46 | $14.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $16.22 Typical High $43.65 | Professional | TC · Technical part | $16.22 | $16.22 | $43.65 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $25.12 Median $29.51 Typical High $41.69 | Professional | None (both parts) | $25.12 | $29.51 | $41.69 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $24.55 Median $29.51 Typical High $46.77 | Professional | None (both parts) | $24.55 | $29.51 | $46.77 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $5.75 Median $6.76 Typical High $21.88 | Professional | 26 · Professional part | $5.75 | $6.76 | $21.88 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $38.02 Median $44.67 Typical High $64.57 | Professional | 50 · Both sides | $38.02 | $44.67 | $64.57 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $22.91 Typical High $31.62 | Professional | TC · Technical part | $19.50 | $22.91 | $31.62 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $11.75 Median $35.48 Typical High $47.86 | Professional | None (both parts) | $11.75 | $35.48 | $47.86 |
Cigna Setting Facility Modifier None Typical Low $63.10 Median $87.10 Typical High $165.96 | Facility | None | $63.10 | $87.10 | $165.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $25.12 Median $34.67 Typical High $125.89 | Professional | None (both parts) | $25.12 | $34.67 | $125.89 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $5.75 Median $6.61 Typical High $22.39 | Professional | 26 · Professional part | $5.75 | $6.61 | $22.39 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $20.89 Typical High $125.89 | Professional | TC · Technical part | $16.98 | $20.89 | $125.89 |
Emblem Health Setting Facility Modifier None Typical Low $20.89 Median $32.36 Typical High $93.33 | Facility | None | $20.89 | $32.36 | $93.33 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $33.11 Median $41.69 Typical High $58.88 | Professional | None (both parts) | $33.11 | $41.69 | $58.88 |
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 $29.51 Median $31.62 Typical High $45.71 | Professional | TC · Technical part | $29.51 | $31.62 | $45.71 |
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 $20.89 Median $33.11 Typical High $47.86 | Professional | None (both parts) | $20.89 | $33.11 | $47.86 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $5.01 Median $8.13 Typical High $11.75 | Professional | 26 · Professional part | $5.01 | $8.13 | $11.75 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $24.55 Typical High $36.31 | Professional | TC · Technical part | $16.22 | $24.55 | $36.31 |
Fidelis Setting Professional Modifier None (both parts) Typical Low $23.99 Median $23.99 Typical High $39.81 | Professional | None (both parts) | $23.99 | $23.99 | $39.81 |
Highmark BCBS Setting Facility Modifier None Typical Low $30.90 Median $97.72 Typical High $263.03 | Facility | None | $30.90 | $97.72 | $263.03 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $30.90 Median $33.11 Typical High $45.71 | Professional | None (both parts) | $30.90 | $33.11 | $45.71 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $9.55 Typical High $19.05 | Professional | 26 · Professional part | $7.59 | $9.55 | $19.05 |
MVP Health Care Setting Facility Modifier None Typical Low $25.70 Median $107.15 Typical High $257.04 | Facility | None | $25.70 | $107.15 | $257.04 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $30.20 Median $30.20 Typical High $81.28 | Professional | None (both parts) | $30.20 | $30.20 | $81.28 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $10.96 Typical High $14.13 | Professional | 26 · Professional part | $8.91 | $10.96 | $14.13 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $31.62 Typical High $42.66 | Professional | TC · Technical part | $25.12 | $31.62 | $42.66 |
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 $25.12 Median $30.20 Typical High $56.23 | Professional | None (both parts) | $25.12 | $30.20 | $56.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.31 Median $7.59 Typical High $14.13 | Professional | 26 · Professional part | $6.31 | $7.59 | $14.13 |
United Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $22.39 Typical High $42.66 | Professional | TC · Technical part | $18.62 | $22.39 | $42.66 |
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 $56.23 | Facility | TC · Technical part | $6.03 | $6.03 | $56.23 |
Univera Setting Professional Modifier None (both parts) Typical Low $20.89 Median $33.11 Typical High $45.71 | Professional | None (both parts) | $20.89 | $33.11 | $45.71 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $5.01 Median $8.13 Typical High $11.75 | Professional | 26 · Professional part | $5.01 | $8.13 | $11.75 |
Univera Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $24.55 Typical High $36.31 | Professional | TC · Technical part | $16.22 | $24.55 | $36.31 |
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 $11.22 Median $11.22 Typical High $16.98 | Professional | 52 · Reduced service | $11.22 | $11.22 | $16.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.47 Median $4.47 Typical High $6.76 | Professional | 53 · Discontinued | $4.47 | $4.47 | $6.76 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $17.78 Median $17.78 Typical High $27.54 | Professional | FX · Film X-ray | $17.78 | $17.78 | $27.54 |
Emblem Health Setting Professional Modifier GL · Free upgrade Typical Low $27.54 Median $27.54 Typical High $28.18 | Professional | GL · Free upgrade | $27.54 | $27.54 | $28.18 |
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 $16.98 Median $21.38 Typical High $32.36 | Professional | 53 · Discontinued | $16.98 | $21.38 | $32.36 |
Univera Setting Professional Modifier FY · Cassette-based X-ray Typical Low $25.12 Median $30.90 Typical High $45.71 | Professional | FY · Cassette-based X-ray | $25.12 | $30.90 | $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· 48th of 51
$30.20
AK $100FL $26.92
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.