How much rates vary
Facilitymedian $35 · 10th to 90th $10 to $129Professionalmedian $28 · 10th to 90th $23 to $50
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 $23.44 Median $32.36 Typical High $93.33 | Facility | None | $23.44 | $32.36 | $93.33 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $6.31 Median $7.94 Typical High $18.20 | Facility | 26 · Professional part | $6.31 | $7.94 | $18.20 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $16.98 Median $24.55 Typical High $70.79 | Facility | TC · Technical part | $16.98 | $24.55 | $70.79 |
Aetna Setting Professional Modifier None (both parts) Typical Low $23.44 Median $23.44 Typical High $53.70 | Professional | None (both parts) | $23.44 | $23.44 | $53.70 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.46 Median $6.46 Typical High $13.18 | Professional | 26 · Professional part | $6.46 | $6.46 | $13.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $16.98 Typical High $39.81 | Professional | TC · Technical part | $16.98 | $16.98 | $39.81 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $19.50 Median $26.92 Typical High $33.88 | Professional | None (both parts) | $19.50 | $26.92 | $33.88 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $23.99 Median $28.18 Typical High $40.74 | Professional | None (both parts) | $23.99 | $28.18 | $40.74 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $5.50 Median $6.46 Typical High $10.47 | Professional | 26 · Professional part | $5.50 | $6.46 | $10.47 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $36.31 Median $40.74 Typical High $70.79 | Professional | 50 · Both sides | $36.31 | $40.74 | $70.79 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $21.88 Typical High $30.20 | Professional | TC · Technical part | $18.62 | $21.88 | $30.20 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $11.75 Median $33.88 Typical High $45.71 | Professional | None (both parts) | $11.75 | $33.88 | $45.71 |
Cigna Setting Facility Modifier None Typical Low $58.88 Median $81.28 Typical High $162.18 | Facility | None | $58.88 | $81.28 | $162.18 |
Cigna Setting Professional Modifier None (both parts) Typical Low $22.91 Median $33.11 Typical High $123.03 | Professional | None (both parts) | $22.91 | $33.11 | $123.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $5.50 Median $6.31 Typical High $21.38 | Professional | 26 · Professional part | $5.50 | $6.31 | $21.38 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $19.50 Typical High $117.49 | Professional | TC · Technical part | $16.60 | $19.50 | $117.49 |
Emblem Health Setting Facility Modifier None Typical Low $19.50 Median $30.20 Typical High $87.10 | Facility | None | $19.50 | $30.20 | $87.10 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $30.90 Median $38.90 Typical High $54.95 | Professional | None (both parts) | $30.90 | $38.90 | $54.95 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $9.33 Typical High $16.98 | Professional | 26 · Professional part | $8.13 | $9.33 | $16.98 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $29.51 Typical High $43.65 | Professional | TC · Technical part | $27.54 | $29.51 | $43.65 |
Excellus BCBS Setting Facility Modifier None Typical Low $10.00 Median $10.00 Typical High $10.00 | Facility | None | $10.00 | $10.00 | $10.00 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $6.03 Median $6.03 Typical High $6.03 | Facility | TC · Technical part | $6.03 | $6.03 | $6.03 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $19.05 Median $30.90 Typical High $45.71 | Professional | None (both parts) | $19.05 | $30.90 | $45.71 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $4.47 Median $7.76 Typical High $11.22 | Professional | 26 · Professional part | $4.47 | $7.76 | $11.22 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $14.79 Median $22.91 Typical High $34.67 | Professional | TC · Technical part | $14.79 | $22.91 | $34.67 |
Fidelis Setting Professional Modifier None (both parts) Typical Low $25.12 Median $25.12 Typical High $30.20 | Professional | None (both parts) | $25.12 | $25.12 | $30.20 |
Highmark BCBS Setting Facility Modifier None Typical Low $27.54 Median $64.57 Typical High $177.83 | Facility | None | $27.54 | $64.57 | $177.83 |
Highmark BCBS Setting Facility Modifier TC · Technical part Typical Low $25.12 Median $61.66 Typical High $190.55 | Facility | TC · Technical part | $25.12 | $61.66 | $190.55 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $32.36 Median $32.36 Typical High $47.86 | Professional | None (both parts) | $32.36 | $32.36 | $47.86 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $11.48 Typical High $22.91 | Professional | 26 · Professional part | $7.24 | $11.48 | $22.91 |
MVP Health Care Setting Facility Modifier None Typical Low $24.55 Median $107.15 Typical High $257.04 | Facility | None | $24.55 | $107.15 | $257.04 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $30.20 Median $30.20 Typical High $77.62 | Professional | None (both parts) | $30.20 | $30.20 | $77.62 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $10.96 Typical High $13.80 | Professional | 26 · Professional part | $8.91 | $10.96 | $13.80 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $30.20 Typical High $40.74 | Professional | TC · Technical part | $23.99 | $30.20 | $40.74 |
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 $23.99 Median $29.51 Typical High $53.70 | Professional | None (both parts) | $23.99 | $29.51 | $53.70 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.31 Median $7.41 Typical High $14.13 | Professional | 26 · Professional part | $6.31 | $7.41 | $14.13 |
United Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $21.88 Typical High $40.74 | Professional | TC · Technical part | $17.78 | $21.88 | $40.74 |
Univera Setting Facility Modifier None Typical Low $10.00 Median $10.00 Typical High $61.66 | Facility | None | $10.00 | $10.00 | $61.66 |
Univera Setting Facility Modifier TC · Technical part Typical Low $6.03 Median $6.03 Typical High $50.12 | Facility | TC · Technical part | $6.03 | $6.03 | $50.12 |
Univera Setting Professional Modifier None (both parts) Typical Low $19.05 Median $30.90 Typical High $41.69 | Professional | None (both parts) | $19.05 | $30.90 | $41.69 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $4.47 Median $7.76 Typical High $10.47 | Professional | 26 · Professional part | $4.47 | $7.76 | $10.47 |
Univera Setting Professional Modifier TC · Technical part Typical Low $14.79 Median $22.91 Typical High $31.62 | Professional | TC · Technical part | $14.79 | $22.91 | $31.62 |
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 $11.75 Median $11.75 Typical High $16.22 | Professional | 52 · Reduced service | $11.75 | $11.75 | $16.22 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.68 Median $4.68 Typical High $6.46 | Professional | 53 · Discontinued | $4.68 | $4.68 | $6.46 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $18.62 Median $18.62 Typical High $25.70 | Professional | FX · Film X-ray | $18.62 | $18.62 | $25.70 |
Emblem Health Setting Professional Modifier GL · Free upgrade Typical Low $25.12 Median $25.12 Typical High $26.30 | Professional | GL · Free upgrade | $25.12 | $25.12 | $26.30 |
Excellus BCBS Setting Professional Modifier FX · Film X-ray Typical Low $21.38 Median $29.51 Typical High $38.90 | Professional | FX · Film X-ray | $21.38 | $29.51 | $38.90 |
Excellus BCBS Setting Professional Modifier FY · Cassette-based X-ray Typical Low $23.99 Median $33.11 Typical High $43.65 | Professional | FY · Cassette-based X-ray | $23.99 | $33.11 | $43.65 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $20.89 Typical High $32.36 | Professional | 53 · Discontinued | $16.60 | $20.89 | $32.36 |
Univera Setting Professional Modifier FX · Film X-ray Typical Low $25.12 Median $29.51 Typical High $38.90 | Professional | FX · Film X-ray | $25.12 | $29.51 | $38.90 |
Univera Setting Professional Modifier FY · Cassette-based X-ray Typical Low $28.18 Median $29.51 Typical High $43.65 | Professional | FY · Cassette-based X-ray | $28.18 | $29.51 | $43.65 |
Where New York sits
The same service costs 3.8 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· 50th of 51
$28.18
AK $95.50FL $25.12
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.