How much rates vary
Facilitymedian $35 · 10th to 90th $10 to $138Professionalmedian $28 · 10th to 90th $20 to $49
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 $20.42 Median $31.62 Typical High $89.13 | Facility | None | $20.42 | $31.62 | $89.13 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $6.31 Median $8.32 Typical High $18.62 | Facility | 26 · Professional part | $6.31 | $8.32 | $18.62 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $13.80 Median $23.44 Typical High $67.61 | Facility | TC · Technical part | $13.80 | $23.44 | $67.61 |
Aetna Setting Professional Modifier None (both parts) Typical Low $20.42 Median $20.42 Typical High $52.48 | Professional | None (both parts) | $20.42 | $20.42 | $52.48 |
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 $13.80 Median $13.80 Typical High $38.02 | Professional | TC · Technical part | $13.80 | $13.80 | $38.02 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $21.38 Median $26.92 Typical High $32.36 | Professional | None (both parts) | $21.38 | $26.92 | $32.36 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $23.44 Median $27.54 Typical High $39.81 | Professional | None (both parts) | $23.44 | $27.54 | $39.81 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $5.75 Median $6.76 Typical High $12.02 | Professional | 26 · Professional part | $5.75 | $6.76 | $12.02 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $34.67 Median $40.74 Typical High $60.26 | Professional | 50 · Both sides | $34.67 | $40.74 | $60.26 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $20.42 Typical High $28.18 | Professional | TC · Technical part | $17.38 | $20.42 | $28.18 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $11.75 Median $31.62 Typical High $43.65 | Professional | None (both parts) | $11.75 | $31.62 | $43.65 |
Cigna Setting Facility Modifier None Typical Low $56.23 Median $77.62 Typical High $177.83 | Facility | None | $56.23 | $77.62 | $177.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $21.88 Median $32.36 Typical High $117.49 | Professional | None (both parts) | $21.88 | $32.36 | $117.49 |
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 $15.49 Median $18.62 Typical High $112.20 | Professional | TC · Technical part | $15.49 | $18.62 | $112.20 |
Emblem Health Setting Facility Modifier None Typical Low $18.62 Median $28.84 Typical High $83.18 | Facility | None | $18.62 | $28.84 | $83.18 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $30.20 Median $31.62 Typical High $53.70 | Professional | None (both parts) | $30.20 | $31.62 | $53.70 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $7.94 Typical High $16.98 | Professional | 26 · Professional part | $7.94 | $7.94 | $16.98 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $23.99 Typical High $41.69 | Professional | TC · Technical part | $23.99 | $23.99 | $41.69 |
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 $18.62 Median $30.20 Typical High $44.67 | Professional | None (both parts) | $18.62 | $30.20 | $44.67 |
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 $14.45 Median $21.88 Typical High $33.11 | Professional | TC · Technical part | $14.45 | $21.88 | $33.11 |
Fidelis Setting Professional Modifier None (both parts) Typical Low $21.88 Median $24.55 Typical High $36.31 | Professional | None (both parts) | $21.88 | $24.55 | $36.31 |
Highmark BCBS Setting Facility Modifier None Typical Low $26.30 Median $87.10 Typical High $234.42 | Facility | None | $26.30 | $87.10 | $234.42 |
Highmark BCBS Setting Facility Modifier TC · Technical part Typical Low $33.11 Median $125.89 Typical High $269.15 | Facility | TC · Technical part | $33.11 | $125.89 | $269.15 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $28.84 Median $30.90 Typical High $51.29 | Professional | None (both parts) | $28.84 | $30.90 | $51.29 |
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 $23.44 Median $107.15 Typical High $257.04 | Facility | None | $23.44 | $107.15 | $257.04 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $19.95 Median $19.95 Typical High $74.13 | Professional | None (both parts) | $19.95 | $19.95 | $74.13 |
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 $22.39 Median $28.84 Typical High $38.02 | Professional | TC · Technical part | $22.39 | $28.84 | $38.02 |
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 $23.44 Median $28.18 Typical High $51.29 | Professional | None (both parts) | $23.44 | $28.18 | $51.29 |
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 $16.98 Median $20.42 Typical High $38.02 | Professional | TC · Technical part | $16.98 | $20.42 | $38.02 |
Univera Setting Facility Modifier None Typical Low $10.00 Median $10.00 Typical High $63.10 | Facility | None | $10.00 | $10.00 | $63.10 |
Univera Setting Facility Modifier TC · Technical part Typical Low $6.03 Median $6.03 Typical High $50.12 | Facility | TC · Technical part | $6.03 | $6.03 | $50.12 |
Univera Setting Professional Modifier None (both parts) Typical Low $18.62 Median $30.20 Typical High $40.74 | Professional | None (both parts) | $18.62 | $30.20 | $40.74 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $4.47 Median $7.76 Typical High $10.47 | Professional | 26 · Professional part | $4.47 | $7.76 | $10.47 |
Univera Setting Professional Modifier TC · Technical part Typical Low $14.45 Median $21.88 Typical High $30.20 | Professional | TC · Technical part | $14.45 | $21.88 | $30.20 |
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 $10.00 Median $10.00 Typical High $15.85 | Professional | 52 · Reduced service | $10.00 | $10.00 | $15.85 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.07 Median $4.07 Typical High $6.31 | Professional | 53 · Discontinued | $4.07 | $4.07 | $6.31 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $16.22 Median $16.22 Typical High $25.12 | Professional | FX · Film X-ray | $16.22 | $16.22 | $25.12 |
Emblem Health Setting Professional Modifier GL · Free upgrade Typical Low $23.99 Median $23.99 Typical High $25.70 | Professional | GL · Free upgrade | $23.99 | $23.99 | $25.70 |
Excellus BCBS Setting Professional Modifier FY · Cassette-based X-ray Typical Low $23.44 Median $32.36 Typical High $42.66 | Professional | FY · Cassette-based X-ray | $23.44 | $32.36 | $42.66 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $19.50 Typical High $30.20 | Professional | 53 · Discontinued | $15.85 | $19.50 | $30.20 |
Univera Setting Professional Modifier FY · Cassette-based X-ray Typical Low $27.54 Median $28.18 Typical High $42.66 | Professional | FY · Cassette-based X-ray | $27.54 | $28.18 | $42.66 |
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
$27.54
AK $91.20FL $24.55
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.