How much rates vary
Facilitymedian $58 · 10th to 90th $13 to $170Professionalmedian $43 · 10th to 90th $35 to $72
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 $32.36 Median $47.86 Typical High $134.90 | Facility | None | $32.36 | $47.86 | $134.90 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $8.51 Median $10.96 Typical High $19.95 | Facility | 26 · Professional part | $8.51 | $10.96 | $19.95 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $23.44 Median $36.31 Typical High $104.71 | Facility | TC · Technical part | $23.44 | $36.31 | $104.71 |
Aetna Setting Professional Modifier None (both parts) Typical Low $32.36 Median $32.36 Typical High $81.28 | Professional | None (both parts) | $32.36 | $32.36 | $81.28 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $8.51 Typical High $17.78 | Professional | 26 · Professional part | $8.51 | $8.51 | $17.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $23.44 Typical High $63.10 | Professional | TC · Technical part | $23.44 | $23.44 | $63.10 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $33.11 Median $39.81 Typical High $60.26 | Professional | None (both parts) | $33.11 | $39.81 | $60.26 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $37.15 Median $43.65 Typical High $60.26 | Professional | None (both parts) | $37.15 | $43.65 | $60.26 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $9.33 Typical High $13.80 | Professional | 26 · Professional part | $7.94 | $9.33 | $13.80 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $34.67 Typical High $46.77 | Professional | TC · Technical part | $29.51 | $34.67 | $46.77 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $15.85 Median $50.12 Typical High $64.57 | Professional | None (both parts) | $15.85 | $50.12 | $64.57 |
Cigna Setting Facility Modifier None Typical Low $89.13 Median $107.15 Typical High $141.25 | Facility | None | $89.13 | $107.15 | $141.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $32.36 Median $35.48 Typical High $123.03 | Professional | None (both parts) | $32.36 | $35.48 | $123.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $8.32 Typical High $29.51 | Professional | 26 · Professional part | $7.59 | $8.32 | $29.51 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $27.54 Typical High $95.50 | Professional | TC · Technical part | $23.99 | $27.54 | $95.50 |
Emblem Health Setting Facility Modifier None Typical Low $30.20 Median $46.77 Typical High $134.90 | Facility | None | $30.20 | $46.77 | $134.90 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $46.77 Median $58.88 Typical High $79.43 | Professional | None (both parts) | $46.77 | $58.88 | $79.43 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $12.59 Typical High $25.12 | Professional | 26 · Professional part | $10.72 | $12.59 | $25.12 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $45.71 Typical High $67.61 | Professional | TC · Technical part | $43.65 | $45.71 | $67.61 |
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 $35.48 Median $46.77 Typical High $67.61 | Professional | None (both parts) | $35.48 | $46.77 | $67.61 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $10.47 Typical High $15.49 | Professional | 26 · Professional part | $9.55 | $10.47 | $15.49 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $36.31 Typical High $52.48 | Professional | TC · Technical part | $25.70 | $36.31 | $52.48 |
Fidelis Setting Professional Modifier None (both parts) Typical Low $51.29 Median $56.23 Typical High $74.13 | Professional | None (both parts) | $51.29 | $56.23 | $74.13 |
Highmark BCBS Setting Facility Modifier None Typical Low $38.90 Median $102.33 Typical High $263.03 | Facility | None | $38.90 | $102.33 | $263.03 |
Highmark BCBS Setting Facility Modifier TC · Technical part Typical Low $36.31 Median $112.20 Typical High $346.74 | Facility | TC · Technical part | $36.31 | $112.20 | $346.74 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $43.65 Median $50.12 Typical High $70.79 | Professional | None (both parts) | $43.65 | $50.12 | $70.79 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $12.88 Typical High $22.91 | Professional | 26 · Professional part | $10.00 | $12.88 | $22.91 |
MVP Health Care Setting Facility Modifier None Typical Low $37.15 Median $107.15 Typical High $257.04 | Facility | None | $37.15 | $107.15 | $257.04 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $36.31 Median $36.31 Typical High $112.20 | Professional | None (both parts) | $36.31 | $36.31 | $112.20 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $14.45 Typical High $18.20 | Professional | 26 · Professional part | $11.75 | $14.45 | $18.20 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $44.67 Typical High $60.26 | Professional | TC · Technical part | $34.67 | $44.67 | $60.26 |
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 $34.67 Median $41.69 Typical High $77.62 | Professional | None (both parts) | $34.67 | $41.69 | $77.62 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $10.00 Typical High $19.05 | Professional | 26 · Professional part | $8.32 | $10.00 | $19.05 |
United Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $32.36 Typical High $58.88 | Professional | TC · Technical part | $26.30 | $32.36 | $58.88 |
Univera Setting Facility Modifier None Typical Low $12.59 Median $12.59 Typical High $64.57 | Facility | None | $12.59 | $12.59 | $64.57 |
Univera Setting Facility Modifier TC · Technical part Typical Low $7.59 Median $7.59 Typical High $45.71 | Facility | TC · Technical part | $7.59 | $7.59 | $45.71 |
Univera Setting Professional Modifier None (both parts) Typical Low $35.48 Median $46.77 Typical High $61.66 | Professional | None (both parts) | $35.48 | $46.77 | $61.66 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $10.47 Typical High $14.13 | Professional | 26 · Professional part | $9.55 | $10.47 | $14.13 |
Univera Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $36.31 Typical High $47.86 | Professional | TC · Technical part | $25.70 | $36.31 | $47.86 |
6 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 $25.70 Median $25.70 Typical High $38.02 | Professional | FX · Film X-ray | $25.70 | $25.70 | $38.02 |
Emblem Health Setting Professional Modifier GL · Free upgrade Typical Low $38.02 Median $38.90 Typical High $38.90 | Professional | GL · Free upgrade | $38.02 | $38.90 | $38.90 |
Excellus BCBS Setting Professional Modifier FX · Film X-ray Typical Low $31.62 Median $44.67 Typical High $57.54 | Professional | FX · Film X-ray | $31.62 | $44.67 | $57.54 |
Excellus BCBS Setting Professional Modifier FY · Cassette-based X-ray Typical Low $35.48 Median $48.98 Typical High $64.57 | Professional | FY · Cassette-based X-ray | $35.48 | $48.98 | $64.57 |
Univera Setting Professional Modifier FX · Film X-ray Typical Low $37.15 Median $42.66 Typical High $57.54 | Professional | FX · Film X-ray | $37.15 | $42.66 | $57.54 |
Univera Setting Professional Modifier FY · Cassette-based X-ray Typical Low $41.69 Median $43.65 Typical High $64.57 | Professional | FY · Cassette-based X-ray | $41.69 | $43.65 | $64.57 |
Where New York sits
The same service costs 11.7 times more in Vermont than in Utah. 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· 44th of 51
$43.65
VT $389UT $33.11
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.