How much rates vary
Facilitymedian $47 · 10th to 90th $8 to $182Professionalmedian $33 · 10th to 90th $25 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 $24.55 Median $38.02 Typical High $107.15 | Facility | None | $24.55 | $38.02 | $107.15 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $5.37 Median $6.92 Typical High $12.30 | Facility | 26 · Professional part | $5.37 | $6.92 | $12.30 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $19.05 Median $30.90 Typical High $89.13 | Facility | TC · Technical part | $19.05 | $30.90 | $89.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $24.55 Median $24.55 Typical High $66.07 | Professional | None (both parts) | $24.55 | $24.55 | $66.07 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $5.37 Median $5.37 Typical High $11.22 | Professional | 26 · Professional part | $5.37 | $5.37 | $11.22 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $19.05 Typical High $52.48 | Professional | TC · Technical part | $19.05 | $19.05 | $52.48 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $28.18 Median $32.36 Typical High $47.86 | Professional | None (both parts) | $28.18 | $32.36 | $47.86 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $28.18 Median $33.11 Typical High $46.77 | Professional | None (both parts) | $28.18 | $33.11 | $46.77 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $4.79 Median $5.62 Typical High $8.71 | Professional | 26 · Professional part | $4.79 | $5.62 | $8.71 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $42.66 Median $50.12 Typical High $67.61 | Professional | 50 · Both sides | $42.66 | $50.12 | $67.61 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $27.54 Typical High $37.15 | Professional | TC · Technical part | $23.44 | $27.54 | $37.15 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $9.77 Median $42.66 Typical High $52.48 | Professional | None (both parts) | $9.77 | $42.66 | $52.48 |
Cigna Setting Facility Modifier None Typical Low $75.86 Median $102.33 Typical High $181.97 | Facility | None | $75.86 | $102.33 | $181.97 |
Cigna Setting Professional Modifier None (both parts) Typical Low $26.30 Median $37.15 Typical High $141.25 | Professional | None (both parts) | $26.30 | $37.15 | $141.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $4.79 Median $5.25 Typical High $18.62 | Professional | 26 · Professional part | $4.79 | $5.25 | $18.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $24.55 Typical High $158.49 | Professional | TC · Technical part | $18.20 | $24.55 | $158.49 |
Emblem Health Setting Facility Modifier None Typical Low $26.30 Median $40.74 Typical High $114.82 | Facility | None | $26.30 | $40.74 | $114.82 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $37.15 Median $47.86 Typical High $67.61 | Professional | None (both parts) | $37.15 | $47.86 | $67.61 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $7.76 Typical High $20.89 | Professional | 26 · Professional part | $6.76 | $7.76 | $20.89 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $39.81 Typical High $57.54 | Professional | TC · Technical part | $37.15 | $39.81 | $57.54 |
Excellus BCBS Setting Facility Modifier None Typical Low $7.59 Median $7.59 Typical High $7.59 | Facility | None | $7.59 | $7.59 | $7.59 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $4.57 Median $4.57 Typical High $4.57 | Facility | TC · Technical part | $4.57 | $4.57 | $4.57 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $21.38 Median $37.15 Typical High $54.95 | Professional | None (both parts) | $21.38 | $37.15 | $54.95 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $3.72 Median $6.46 Typical High $9.77 | Professional | 26 · Professional part | $3.72 | $6.46 | $9.77 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $30.90 Typical High $44.67 | Professional | TC · Technical part | $17.78 | $30.90 | $44.67 |
Fidelis Setting Professional Modifier None (both parts) Typical Low $34.67 Median $45.71 Typical High $63.10 | Professional | None (both parts) | $34.67 | $45.71 | $63.10 |
Highmark BCBS Setting Facility Modifier None Typical Low $37.15 Median $102.33 Typical High $269.15 | Facility | None | $37.15 | $102.33 | $269.15 |
Highmark BCBS Setting Facility Modifier TC · Technical part Typical Low $30.90 Median $117.49 Typical High $346.74 | Facility | TC · Technical part | $30.90 | $117.49 | $346.74 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $36.31 Median $48.98 Typical High $61.66 | Professional | None (both parts) | $36.31 | $48.98 | $61.66 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $6.31 Median $7.94 Typical High $16.60 | Professional | 26 · Professional part | $6.31 | $7.94 | $16.60 |
MVP Health Care Setting Facility Modifier None Typical Low $31.62 Median $107.15 Typical High $257.04 | Facility | None | $31.62 | $107.15 | $257.04 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $19.95 Median $19.95 Typical High $89.13 | Professional | None (both parts) | $19.95 | $19.95 | $89.13 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $9.12 Typical High $11.75 | Professional | 26 · Professional part | $7.41 | $9.12 | $11.75 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $37.15 Typical High $52.48 | Professional | TC · Technical part | $29.51 | $37.15 | $52.48 |
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 $27.54 Median $33.11 Typical High $61.66 | Professional | None (both parts) | $27.54 | $33.11 | $61.66 |
United Setting Professional Modifier 26 · Professional part Typical Low $5.25 Median $6.31 Typical High $11.75 | Professional | 26 · Professional part | $5.25 | $6.31 | $11.75 |
United Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $28.18 Typical High $50.12 | Professional | TC · Technical part | $22.39 | $28.18 | $50.12 |
Univera Setting Facility Modifier None Typical Low $7.59 Median $7.59 Typical High $61.66 | Facility | None | $7.59 | $7.59 | $61.66 |
Univera Setting Facility Modifier TC · Technical part Typical Low $4.57 Median $4.57 Typical High $51.29 | Facility | TC · Technical part | $4.57 | $4.57 | $51.29 |
Univera Setting Professional Modifier None (both parts) Typical Low $21.38 Median $37.15 Typical High $48.98 | Professional | None (both parts) | $21.38 | $37.15 | $48.98 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $3.72 Median $6.46 Typical High $8.91 | Professional | 26 · Professional part | $3.72 | $6.46 | $8.91 |
Univera Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $30.90 Typical High $41.69 | Professional | TC · Technical part | $17.78 | $30.90 | $41.69 |
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 $12.30 Median $12.30 Typical High $19.05 | Professional | 52 · Reduced service | $12.30 | $12.30 | $19.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.90 Median $4.90 Typical High $7.59 | Professional | 53 · Discontinued | $4.90 | $4.90 | $7.59 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $19.50 Median $19.50 Typical High $30.20 | Professional | FX · Film X-ray | $19.50 | $19.50 | $30.20 |
Emblem Health Setting Professional Modifier GL · Free upgrade Typical Low $28.18 Median $29.51 Typical High $29.51 | Professional | GL · Free upgrade | $28.18 | $29.51 | $29.51 |
Excellus BCBS Setting Professional Modifier FX · Film X-ray Typical Low $25.12 Median $34.67 Typical High $45.71 | Professional | FX · Film X-ray | $25.12 | $34.67 | $45.71 |
Excellus BCBS Setting Professional Modifier FY · Cassette-based X-ray Typical Low $28.18 Median $39.81 Typical High $51.29 | Professional | FY · Cassette-based X-ray | $28.18 | $39.81 | $51.29 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $23.44 Typical High $37.15 | Professional | 53 · Discontinued | $18.62 | $23.44 | $37.15 |
Univera Setting Professional Modifier FX · Film X-ray Typical Low $29.51 Median $34.67 Typical High $45.71 | Professional | FX · Film X-ray | $29.51 | $34.67 | $45.71 |
Univera Setting Professional Modifier FY · Cassette-based X-ray Typical Low $33.11 Median $35.48 Typical High $51.29 | Professional | FY · Cassette-based X-ray | $33.11 | $35.48 | $51.29 |
Where New York sits
The same service costs 11.5 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
$33.11
VT $339FL $29.51
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.