How much rates vary
Facilitymedian $135 · 10th to 90th $25 to $468Professionalmedian $102 · 10th to 90th $87 to $195
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 $89.13 Median $151.36 Typical High $257.04 | Facility | None | $89.13 | $151.36 | $257.04 |
Aetna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $89.13 Typical High $151.36 | Professional | None (both parts) | $89.13 | $89.13 | $151.36 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $21.88 Typical High $29.51 | Professional | 26 · Professional part | $21.88 | $21.88 | $29.51 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $67.61 Typical High $123.03 | Professional | TC · Technical part | $67.61 | $67.61 | $123.03 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $87.10 Median $102.33 Typical High $181.97 | Professional | None (both parts) | $87.10 | $102.33 | $181.97 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $25.12 Typical High $37.15 | Professional | 26 · Professional part | $21.38 | $25.12 | $37.15 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $128.82 Median $154.88 Typical High $263.03 | Professional | 50 · Both sides | $128.82 | $154.88 | $263.03 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $77.62 Typical High $141.25 | Professional | TC · Technical part | $64.57 | $77.62 | $141.25 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $39.81 Median $165.96 Typical High $204.17 | Professional | None (both parts) | $39.81 | $165.96 | $204.17 |
Cigna Setting Facility Modifier None Typical Low $186.21 Median $389.05 Typical High $870.96 | Facility | None | $186.21 | $389.05 | $870.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $117.49 Typical High $562.34 | Professional | None (both parts) | $87.10 | $117.49 | $562.34 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $21.88 Typical High $77.62 | Professional | 26 · Professional part | $20.89 | $21.88 | $77.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $93.33 Typical High $416.87 | Professional | TC · Technical part | $66.07 | $93.33 | $416.87 |
Emblem Health Setting Facility Modifier None Typical Low $67.61 Median $104.71 Typical High $302.00 | Facility | None | $67.61 | $104.71 | $302.00 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $131.83 Median $141.25 Typical High $199.53 | Professional | None (both parts) | $131.83 | $141.25 | $199.53 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $37.15 Typical High $66.07 | Professional | 26 · Professional part | $30.20 | $37.15 | $66.07 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $102.33 Typical High $151.36 | Professional | TC · Technical part | $97.72 | $102.33 | $151.36 |
Excellus BCBS Setting Facility Modifier None Typical Low $25.12 Median $25.12 Typical High $25.12 | Facility | None | $25.12 | $25.12 | $25.12 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $15.14 Median $15.14 Typical High $15.14 | Facility | TC · Technical part | $15.14 | $15.14 | $15.14 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $89.13 Median $112.20 Typical High $154.88 | Professional | None (both parts) | $89.13 | $112.20 | $154.88 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $30.20 Typical High $43.65 | Professional | 26 · Professional part | $15.85 | $30.20 | $43.65 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $81.28 Typical High $109.65 | Professional | TC · Technical part | $70.79 | $81.28 | $109.65 |
Highmark BCBS Setting Facility Modifier TC · Technical part Typical Low $109.65 Median $109.65 Typical High $109.65 | Facility | TC · Technical part | $109.65 | $109.65 | $109.65 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $31.62 Typical High $57.54 | Professional | 26 · Professional part | $31.62 | $31.62 | $57.54 |
MVP Health Care Setting Facility Modifier None Typical Low $79.43 Median $151.36 Typical High $257.04 | Facility | None | $79.43 | $151.36 | $257.04 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $89.13 Median $89.13 Typical High $338.84 | Professional | None (both parts) | $89.13 | $89.13 | $338.84 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $38.02 Typical High $48.98 | Professional | 26 · Professional part | $30.90 | $38.02 | $48.98 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $138.04 Typical High $162.18 | Professional | TC · Technical part | $109.65 | $138.04 | $162.18 |
United Setting Facility Modifier None Typical Low $707.95 Median $812.83 Typical High $1,000.00 | Facility | None | $707.95 | $812.83 | $1,000.00 |
United Setting Professional Modifier None (both parts) Typical Low $97.72 Median $120.23 Typical High $223.87 | Professional | None (both parts) | $97.72 | $120.23 | $223.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $27.54 Typical High $48.98 | Professional | 26 · Professional part | $21.88 | $27.54 | $48.98 |
United Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $95.50 Typical High $177.83 | Professional | TC · Technical part | $70.79 | $95.50 | $177.83 |
Univera Setting Facility Modifier None Typical Low $25.12 Median $25.12 Typical High $316.23 | Facility | None | $25.12 | $25.12 | $316.23 |
Univera Setting Facility Modifier TC · Technical part Typical Low $15.14 Median $15.14 Typical High $257.04 | Facility | TC · Technical part | $15.14 | $15.14 | $257.04 |
Univera Setting Professional Modifier None (both parts) Typical Low $89.13 Median $117.49 Typical High $141.25 | Professional | None (both parts) | $89.13 | $117.49 | $141.25 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $30.20 Typical High $40.74 | Professional | 26 · Professional part | $15.85 | $30.20 | $40.74 |
Univera Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $85.11 Typical High $112.20 | Professional | TC · Technical part | $70.79 | $85.11 | $112.20 |
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 52 · Reduced service Typical Low $44.67 Median $44.67 Typical High $75.86 | Professional | 52 · Reduced service | $44.67 | $44.67 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $17.78 Typical High $30.20 | Professional | 53 · Discontinued | $17.78 | $17.78 | $30.20 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $72.44 Median $72.44 Typical High $120.23 | Professional | FX · Film X-ray | $72.44 | $72.44 | $120.23 |
Excellus BCBS Setting Professional Modifier FY · Cassette-based X-ray Typical Low $81.28 Median $112.20 Typical High $147.91 | Professional | FY · Cassette-based X-ray | $81.28 | $112.20 | $147.91 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $70.79 Median $87.10 Typical High $117.49 | Professional | 53 · Discontinued | $70.79 | $87.10 | $117.49 |
Univera Setting Professional Modifier FY · Cassette-based X-ray Typical Low $95.50 Median $112.20 Typical High $147.91 | Professional | FY · Cassette-based X-ray | $95.50 | $112.20 | $147.91 |
Where New York sits
The same service costs 3.5 times more in Alaska than in Texas. 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· 50th of 51
$102
AK $355TX $100
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.