How much rates vary
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 $43.65 Median $60.26 Typical High $109.65 | Facility | None | $43.65 | $60.26 | $109.65 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $11.75 Median $13.49 Typical High $24.55 | Facility | 26 · Professional part | $11.75 | $13.49 | $24.55 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $31.62 Median $45.71 Typical High $107.15 | Facility | TC · Technical part | $31.62 | $45.71 | $107.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $39.81 Median $39.81 Typical High $97.72 | Professional | None (both parts) | $39.81 | $39.81 | $97.72 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $10.96 Typical High $21.38 | Professional | 26 · Professional part | $10.96 | $10.96 | $21.38 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $28.84 Typical High $66.07 | Professional | TC · Technical part | $28.84 | $28.84 | $66.07 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | None (both parts) | $51.29 | $51.29 | $51.29 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $46.77 Median $54.95 Typical High $77.62 | Professional | None (both parts) | $46.77 | $54.95 | $77.62 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $11.48 Typical High $17.78 | Professional | 26 · Professional part | $9.77 | $11.48 | $17.78 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $43.65 Typical High $60.26 | Professional | TC · Technical part | $37.15 | $43.65 | $60.26 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $19.05 Median $63.10 Typical High $81.28 | Professional | None (both parts) | $19.05 | $63.10 | $81.28 |
Cigna Setting Facility Modifier None Typical Low $112.20 Median $134.90 Typical High $177.83 | Facility | None | $112.20 | $134.90 | $177.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $40.74 Median $44.67 Typical High $154.88 | Professional | None (both parts) | $40.74 | $44.67 | $154.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $10.72 Typical High $36.31 | Professional | 26 · Professional part | $9.12 | $10.72 | $36.31 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $35.48 Typical High $117.49 | Professional | TC · Technical part | $29.51 | $35.48 | $117.49 |
Emblem Health Setting Facility Modifier None Typical Low $39.81 Median $60.26 Typical High $173.78 | Facility | None | $39.81 | $60.26 | $173.78 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $60.26 Median $75.86 Typical High $102.33 | Professional | None (both parts) | $60.26 | $75.86 | $102.33 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $15.85 Typical High $32.36 | Professional | 26 · Professional part | $13.49 | $15.85 | $32.36 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $60.26 Typical High $85.11 | Professional | TC · Technical part | $56.23 | $60.26 | $85.11 |
Excellus BCBS Setting Facility Modifier None Typical Low $15.85 Median $15.85 Typical High $15.85 | Facility | None | $15.85 | $15.85 | $15.85 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $9.33 Median $9.33 Typical High $9.33 | Facility | TC · Technical part | $9.33 | $9.33 | $9.33 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $44.67 Median $60.26 Typical High $87.10 | Professional | None (both parts) | $44.67 | $60.26 | $87.10 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $12.88 Typical High $19.50 | Professional | 26 · Professional part | $11.75 | $12.88 | $19.50 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $46.77 Typical High $67.61 | Professional | TC · Technical part | $31.62 | $46.77 | $67.61 |
Fidelis Setting Professional Modifier None (both parts) Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | None (both parts) | $42.66 | $42.66 | $42.66 |
Highmark BCBS Setting Facility Modifier None Typical Low $112.20 Median $112.20 Typical High $114.82 | Facility | None | $112.20 | $112.20 | $114.82 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $56.23 Median $57.54 Typical High $79.43 | Professional | None (both parts) | $56.23 | $57.54 | $79.43 |
MVP Health Care Setting Facility Modifier None Typical Low $46.77 Median $107.15 Typical High $257.04 | Facility | None | $46.77 | $107.15 | $257.04 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $44.67 Median $44.67 Typical High $138.04 | Professional | None (both parts) | $44.67 | $44.67 | $138.04 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $17.78 Typical High $22.39 | Professional | 26 · Professional part | $14.79 | $17.78 | $22.39 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $54.95 Typical High $77.62 | Professional | TC · Technical part | $43.65 | $54.95 | $77.62 |
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 $43.65 Median $53.70 Typical High $95.50 | Professional | None (both parts) | $43.65 | $53.70 | $95.50 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $12.30 Typical High $22.91 | Professional | 26 · Professional part | $10.00 | $12.30 | $22.91 |
United Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $42.66 Typical High $74.13 | Professional | TC · Technical part | $33.11 | $42.66 | $74.13 |
Univera Setting Facility Modifier None Typical Low $15.85 Median $15.85 Typical High $79.43 | Facility | None | $15.85 | $15.85 | $79.43 |
Univera Setting Facility Modifier TC · Technical part Typical Low $9.33 Median $9.33 Typical High $56.23 | Facility | TC · Technical part | $9.33 | $9.33 | $56.23 |
Univera Setting Professional Modifier None (both parts) Typical Low $44.67 Median $60.26 Typical High $79.43 | Professional | None (both parts) | $44.67 | $60.26 | $79.43 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $12.88 Typical High $17.78 | Professional | 26 · Professional part | $11.75 | $12.88 | $17.78 |
Univera Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $46.77 Typical High $60.26 | Professional | TC · Technical part | $31.62 | $46.77 | $60.26 |
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 $32.36 Median $32.36 Typical High $47.86 | Professional | FX · Film X-ray | $32.36 | $32.36 | $47.86 |
Emblem Health Setting Professional Modifier GL · Free upgrade Typical Low $47.86 Median $48.98 Typical High $48.98 | Professional | GL · Free upgrade | $47.86 | $48.98 | $48.98 |
Excellus BCBS Setting Professional Modifier FX · Film X-ray Typical Low $40.74 Median $56.23 Typical High $72.44 | Professional | FX · Film X-ray | $40.74 | $56.23 | $72.44 |
Excellus BCBS Setting Professional Modifier FY · Cassette-based X-ray Typical Low $44.67 Median $63.10 Typical High $81.28 | Professional | FY · Cassette-based X-ray | $44.67 | $63.10 | $81.28 |
Univera Setting Professional Modifier FX · Film X-ray Typical Low $47.86 Median $53.70 Typical High $72.44 | Professional | FX · Film X-ray | $47.86 | $53.70 | $72.44 |
Univera Setting Professional Modifier FY · Cassette-based X-ray Typical Low $52.48 Median $56.23 Typical High $81.28 | Professional | FY · Cassette-based X-ray | $52.48 | $56.23 | $81.28 |
Where New York sits
The same service costs 3.5 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· 45th of 51
$53.70
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.