How much rates vary
Facilitymedian $45 · 10th to 90th $13 to $174Professionalmedian $32 · 10th to 90th $26 to $58
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 $23.99 Median $37.15 Typical High $104.71 | Facility | None | $23.99 | $37.15 | $104.71 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $6.61 Median $8.71 Typical High $15.49 | Facility | 26 · Professional part | $6.61 | $8.71 | $15.49 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $16.98 Median $28.18 Typical High $97.72 | Facility | TC · Technical part | $16.98 | $28.18 | $97.72 |
Aetna Setting Professional Modifier None (both parts) Typical Low $23.99 Median $23.99 Typical High $63.10 | Professional | None (both parts) | $23.99 | $23.99 | $63.10 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.61 Median $6.61 Typical High $14.45 | Professional | 26 · Professional part | $6.61 | $6.61 | $14.45 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $18.20 Typical High $48.98 | Professional | TC · Technical part | $16.98 | $18.20 | $48.98 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $26.92 Median $37.15 Typical High $45.71 | Professional | None (both parts) | $26.92 | $37.15 | $45.71 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $27.54 Median $32.36 Typical High $46.77 | Professional | None (both parts) | $27.54 | $32.36 | $46.77 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $5.89 Median $6.92 Typical High $10.72 | Professional | 26 · Professional part | $5.89 | $6.92 | $10.72 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $40.74 Median $47.86 Typical High $67.61 | Professional | 50 · Both sides | $40.74 | $47.86 | $67.61 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $25.12 Typical High $34.67 | Professional | TC · Technical part | $21.38 | $25.12 | $34.67 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $12.30 Median $38.90 Typical High $51.29 | Professional | None (both parts) | $12.30 | $38.90 | $51.29 |
Cigna Setting Facility Modifier None Typical Low $69.18 Median $93.33 Typical High $186.21 | Facility | None | $69.18 | $93.33 | $186.21 |
Cigna Setting Professional Modifier None (both parts) Typical Low $26.30 Median $37.15 Typical High $138.04 | Professional | None (both parts) | $26.30 | $37.15 | $138.04 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.03 Median $6.61 Typical High $22.91 | Professional | 26 · Professional part | $6.03 | $6.61 | $22.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $22.39 Typical High $141.25 | Professional | TC · Technical part | $18.20 | $22.39 | $141.25 |
Emblem Health Setting Facility Modifier None Typical Low $23.44 Median $36.31 Typical High $104.71 | Facility | None | $23.44 | $36.31 | $104.71 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $36.31 Median $45.71 Typical High $64.57 | Professional | None (both parts) | $36.31 | $45.71 | $64.57 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $10.23 Typical High $18.62 | Professional | 26 · Professional part | $8.71 | $10.23 | $18.62 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $35.48 Typical High $52.48 | Professional | TC · Technical part | $33.11 | $35.48 | $52.48 |
Excellus BCBS Setting Facility Modifier None Typical Low $12.59 Median $12.59 Typical High $12.59 | Facility | None | $12.59 | $12.59 | $12.59 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $7.59 Median $7.59 Typical High $7.59 | Facility | TC · Technical part | $7.59 | $7.59 | $7.59 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $21.88 Median $36.31 Typical High $53.70 | Professional | None (both parts) | $21.88 | $36.31 | $53.70 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $4.68 Median $8.51 Typical High $12.30 | Professional | 26 · Professional part | $4.68 | $8.51 | $12.30 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $27.54 Typical High $40.74 | Professional | TC · Technical part | $16.98 | $27.54 | $40.74 |
Fidelis Setting Professional Modifier None (both parts) Typical Low $23.99 Median $33.11 Typical High $58.88 | Professional | None (both parts) | $23.99 | $33.11 | $58.88 |
Highmark BCBS Setting Facility Modifier None Typical Low $28.18 Median $93.33 Typical High $316.23 | Facility | None | $28.18 | $93.33 | $316.23 |
Highmark BCBS Setting Facility Modifier TC · Technical part Typical Low $26.92 Median $107.15 Typical High $323.59 | Facility | TC · Technical part | $26.92 | $107.15 | $323.59 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $34.67 Median $38.02 Typical High $60.26 | Professional | None (both parts) | $34.67 | $38.02 | $60.26 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $10.00 Typical High $20.89 | Professional | 26 · Professional part | $7.94 | $10.00 | $20.89 |
MVP Health Care Setting Facility Modifier None Typical Low $28.84 Median $107.15 Typical High $257.04 | Facility | None | $28.84 | $107.15 | $257.04 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $30.20 Median $30.20 Typical High $85.11 | Professional | None (both parts) | $30.20 | $30.20 | $85.11 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $11.48 Typical High $14.45 | Professional | 26 · Professional part | $9.12 | $11.48 | $14.45 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $33.88 Typical High $47.86 | Professional | TC · Technical part | $26.92 | $33.88 | $47.86 |
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 $26.92 Median $32.36 Typical High $60.26 | Professional | None (both parts) | $26.92 | $32.36 | $60.26 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.46 Median $7.94 Typical High $14.79 | Professional | 26 · Professional part | $6.46 | $7.94 | $14.79 |
United Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $25.12 Typical High $46.77 | Professional | TC · Technical part | $20.42 | $25.12 | $46.77 |
Univera Setting Facility Modifier None Typical Low $12.59 Median $12.59 Typical High $70.79 | Facility | None | $12.59 | $12.59 | $70.79 |
Univera Setting Facility Modifier TC · Technical part Typical Low $7.59 Median $7.59 Typical High $60.26 | Facility | TC · Technical part | $7.59 | $7.59 | $60.26 |
Univera Setting Professional Modifier None (both parts) Typical Low $21.88 Median $36.31 Typical High $50.12 | Professional | None (both parts) | $21.88 | $36.31 | $50.12 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $4.68 Median $8.51 Typical High $12.30 | Professional | 26 · Professional part | $4.68 | $8.51 | $12.30 |
Univera Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $27.54 Typical High $40.74 | Professional | TC · Technical part | $16.98 | $27.54 | $40.74 |
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 $12.02 Median $12.02 Typical High $18.62 | Professional | 52 · Reduced service | $12.02 | $12.02 | $18.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.79 Median $4.79 Typical High $7.41 | Professional | 53 · Discontinued | $4.79 | $4.79 | $7.41 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $19.05 Median $19.05 Typical High $29.51 | Professional | FX · Film X-ray | $19.05 | $19.05 | $29.51 |
Emblem Health Setting Professional Modifier GL · Free upgrade Typical Low $28.84 Median $28.84 Typical High $29.51 | Professional | GL · Free upgrade | $28.84 | $28.84 | $29.51 |
Excellus BCBS Setting Professional Modifier FX · Film X-ray Typical Low $24.55 Median $34.67 Typical High $44.67 | Professional | FX · Film X-ray | $24.55 | $34.67 | $44.67 |
Excellus BCBS Setting Professional Modifier FY · Cassette-based X-ray Typical Low $27.54 Median $38.90 Typical High $50.12 | Professional | FY · Cassette-based X-ray | $27.54 | $38.90 | $50.12 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $22.91 Typical High $35.48 | Professional | 53 · Discontinued | $18.20 | $22.91 | $35.48 |
Univera Setting Professional Modifier FX · Film X-ray Typical Low $24.55 Median $33.11 Typical High $44.67 | Professional | FX · Film X-ray | $24.55 | $33.11 | $44.67 |
Univera Setting Professional Modifier FY · Cassette-based X-ray Typical Low $27.54 Median $34.67 Typical High $50.12 | Professional | FY · Cassette-based X-ray | $27.54 | $34.67 | $50.12 |
Where New York sits
The same service costs 13.5 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· 47th of 51
$32.36
VT $389FL $28.84
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.