How much rates vary
Facilitymedian $36 · 10th to 90th $9 to $115Professionalmedian $30 · 10th to 90th $25 to $51
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 $22.91 Median $33.11 Typical High $93.33 | Facility | None | $22.91 | $33.11 | $93.33 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $7.08 Median $9.33 Typical High $25.12 | Facility | 26 · Professional part | $7.08 | $9.33 | $25.12 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $15.85 Median $23.44 Typical High $67.61 | Facility | TC · Technical part | $15.85 | $23.44 | $67.61 |
Aetna Setting Professional Modifier None (both parts) Typical Low $22.91 Median $22.91 Typical High $56.23 | Professional | None (both parts) | $22.91 | $22.91 | $56.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $7.24 Typical High $14.45 | Professional | 26 · Professional part | $7.24 | $7.24 | $14.45 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $15.85 Typical High $38.90 | Professional | TC · Technical part | $15.85 | $15.85 | $38.90 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $22.91 Median $25.12 Typical High $32.36 | Professional | None (both parts) | $22.91 | $25.12 | $32.36 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $25.70 Median $30.20 Typical High $44.67 | Professional | None (both parts) | $25.70 | $30.20 | $44.67 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $8.13 Typical High $12.02 | Professional | 26 · Professional part | $6.92 | $8.13 | $12.02 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $22.39 Typical High $30.90 | Professional | TC · Technical part | $19.05 | $22.39 | $30.90 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $13.18 Median $31.62 Typical High $44.67 | Professional | None (both parts) | $13.18 | $31.62 | $44.67 |
Cigna Setting Facility Modifier None Typical Low $58.88 Median $72.44 Typical High $93.33 | Facility | None | $58.88 | $72.44 | $93.33 |
Cigna Setting Professional Modifier None (both parts) Typical Low $22.91 Median $24.55 Typical High $93.33 | Professional | None (both parts) | $22.91 | $24.55 | $93.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.46 Median $7.08 Typical High $25.12 | Professional | 26 · Professional part | $6.46 | $7.08 | $25.12 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $18.20 Typical High $61.66 | Professional | TC · Technical part | $15.85 | $18.20 | $61.66 |
Emblem Health Setting Facility Modifier None Typical Low $19.95 Median $30.20 Typical High $87.10 | Facility | None | $19.95 | $30.20 | $87.10 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $32.36 Median $40.74 Typical High $57.54 | Professional | None (both parts) | $32.36 | $40.74 | $57.54 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $10.47 Typical High $19.05 | Professional | 26 · Professional part | $8.71 | $10.47 | $19.05 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $29.51 Typical High $43.65 | Professional | TC · Technical part | $28.18 | $29.51 | $43.65 |
Excellus BCBS Setting Facility Modifier None Typical Low $9.12 Median $9.12 Typical High $9.12 | Facility | None | $9.12 | $9.12 | $9.12 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $5.50 Median $5.50 Typical High $5.50 | Facility | TC · Technical part | $5.50 | $5.50 | $5.50 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $25.70 Median $32.36 Typical High $47.86 | Professional | None (both parts) | $25.70 | $32.36 | $47.86 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $8.71 Typical High $13.18 | Professional | 26 · Professional part | $7.94 | $8.71 | $13.18 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $23.44 Typical High $34.67 | Professional | TC · Technical part | $17.38 | $23.44 | $34.67 |
Highmark BCBS Setting Facility Modifier None Typical Low $23.99 Median $151.36 Typical High $263.03 | Facility | None | $23.99 | $151.36 | $263.03 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $32.36 Median $33.11 Typical High $44.67 | Professional | None (both parts) | $32.36 | $33.11 | $44.67 |
MVP Health Care Setting Facility Modifier None Typical Low $23.99 Median $107.15 Typical High $257.04 | Facility | None | $23.99 | $107.15 | $257.04 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $25.70 Median $25.70 Typical High $77.62 | Professional | None (both parts) | $25.70 | $25.70 | $77.62 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $12.30 Typical High $15.49 | Professional | 26 · Professional part | $10.00 | $12.30 | $15.49 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $28.84 Typical High $39.81 | Professional | TC · Technical part | $22.91 | $28.84 | $39.81 |
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 $24.55 Median $29.51 Typical High $53.70 | Professional | None (both parts) | $24.55 | $29.51 | $53.70 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $8.51 Typical High $15.85 | Professional | 26 · Professional part | $7.08 | $8.51 | $15.85 |
United Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $21.38 Typical High $38.90 | Professional | TC · Technical part | $17.38 | $21.38 | $38.90 |
Univera Setting Facility Modifier None Typical Low $9.12 Median $9.12 Typical High $45.71 | Facility | None | $9.12 | $9.12 | $45.71 |
Univera Setting Facility Modifier TC · Technical part Typical Low $5.50 Median $5.50 Typical High $30.90 | Facility | TC · Technical part | $5.50 | $5.50 | $30.90 |
Univera Setting Professional Modifier None (both parts) Typical Low $25.70 Median $32.36 Typical High $43.65 | Professional | None (both parts) | $25.70 | $32.36 | $43.65 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $8.71 Typical High $12.02 | Professional | 26 · Professional part | $7.94 | $8.71 | $12.02 |
Univera Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $23.44 Typical High $31.62 | Professional | TC · Technical part | $17.38 | $23.44 | $31.62 |
4 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 FX · Film X-ray Typical Low $18.20 Median $18.20 Typical High $26.30 | Professional | FX · Film X-ray | $18.20 | $18.20 | $26.30 |
Emblem Health Setting Professional Modifier GL · Free upgrade Typical Low $26.92 Median $26.92 Typical High $27.54 | Professional | GL · Free upgrade | $26.92 | $26.92 | $27.54 |
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 |
Univera Setting Professional Modifier FY · Cassette-based X-ray Typical Low $29.51 Median $30.90 Typical High $45.71 | Professional | FY · Cassette-based X-ray | $29.51 | $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· 47th of 51
$30.20
AK $97.72FL $26.30
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.