How much rates vary
Facilitymedian $457 · 10th to 90th $195 to $1,514Professionalmedian $240 · 10th to 90th $195 to $457
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 $257.04 Median $371.54 Typical High $1,659.59 | Facility | None | $257.04 | $371.54 | $1,659.59 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $74.13 Median $112.20 Typical High $151.36 | Facility | 26 · Professional part | $74.13 | $112.20 | $151.36 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $177.83 Median $263.03 Typical High $426.58 | Facility | TC · Technical part | $177.83 | $263.03 | $426.58 |
Aetna Setting Professional Modifier None (both parts) Typical Low $288.40 Median $371.54 Typical High $549.54 | Professional | None (both parts) | $288.40 | $371.54 | $549.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $112.20 Typical High $141.25 | Professional | 26 · Professional part | $91.20 | $112.20 | $141.25 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $257.04 Typical High $338.84 | Professional | TC · Technical part | $213.80 | $257.04 | $338.84 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $147.91 Median $194.98 Typical High $199.53 | Professional | None (both parts) | $147.91 | $194.98 | $199.53 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $204.17 Median $239.88 Typical High $354.81 | Professional | None (both parts) | $204.17 | $239.88 | $354.81 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $70.79 Typical High $87.10 | Professional | 26 · Professional part | $60.26 | $70.79 | $87.10 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $309.03 Median $363.08 Typical High $478.63 | Professional | 50 · Both sides | $309.03 | $363.08 | $478.63 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $169.82 Typical High $234.42 | Professional | TC · Technical part | $144.54 | $169.82 | $234.42 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $93.33 Median $218.78 Typical High $316.23 | Professional | None (both parts) | $93.33 | $218.78 | $316.23 |
Cigna Setting Facility Modifier None Typical Low $389.05 Median $524.81 Typical High $1,698.24 | Facility | None | $389.05 | $524.81 | $1,698.24 |
Cigna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $213.80 Typical High $1,380.38 | Professional | None (both parts) | $169.82 | $213.80 | $1,380.38 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $50.12 Typical High $177.83 | Professional | 26 · Professional part | $46.77 | $50.12 | $177.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $147.91 Typical High $870.96 | Professional | TC · Technical part | $120.23 | $147.91 | $870.96 |
Emblem Health Setting Facility Modifier None Typical Low $112.20 Median $173.78 Typical High $562.34 | Facility | None | $112.20 | $173.78 | $562.34 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $229.09 Median $245.47 Typical High $363.08 | Professional | None (both parts) | $229.09 | $245.47 | $363.08 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $74.13 Typical High $134.90 | Professional | 26 · Professional part | $61.66 | $74.13 | $134.90 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $169.82 Typical High $251.19 | Professional | TC · Technical part | $162.18 | $169.82 | $251.19 |
Excellus BCBS Setting Facility Modifier None Typical Low $501.19 Median $501.19 Typical High $501.19 | Facility | None | $501.19 | $501.19 | $501.19 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $302.00 Median $302.00 Typical High $302.00 | Facility | TC · Technical part | $302.00 | $302.00 | $302.00 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $190.55 Median $251.19 Typical High $354.81 | Professional | None (both parts) | $190.55 | $251.19 | $354.81 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $61.66 Typical High $109.65 | Professional | 26 · Professional part | $30.20 | $61.66 | $109.65 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $173.78 Typical High $251.19 | Professional | TC · Technical part | $131.83 | $173.78 | $251.19 |
Fidelis Setting Professional Modifier None (both parts) Typical Low $190.55 Median $229.09 Typical High $302.00 | Professional | None (both parts) | $190.55 | $229.09 | $302.00 |
Highmark BCBS Setting Facility Modifier None Typical Low $194.98 Median $426.58 Typical High $2,884.03 | Facility | None | $194.98 | $426.58 | $2,884.03 |
Highmark BCBS Setting Facility Modifier TC · Technical part Typical Low $208.93 Median $467.74 Typical High $1,584.89 | Facility | TC · Technical part | $208.93 | $467.74 | $1,584.89 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $190.55 Median $275.42 Typical High $512.86 | Professional | None (both parts) | $190.55 | $275.42 | $512.86 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $83.18 Typical High $112.20 | Professional | 26 · Professional part | $60.26 | $83.18 | $112.20 |
MVP Health Care Setting Facility Modifier None Typical Low $107.15 Median $257.04 Typical High $645.65 | Facility | None | $107.15 | $257.04 | $645.65 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $446.68 Median $446.68 Typical High $562.34 | Professional | None (both parts) | $446.68 | $446.68 | $562.34 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $151.36 Typical High $208.93 | Professional | 26 · Professional part | $69.18 | $151.36 | $208.93 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $371.54 Typical High $512.86 | Professional | TC · Technical part | $158.49 | $371.54 | $512.86 |
United Setting Facility Modifier None Typical Low $478.63 Median $562.34 Typical High $691.83 | Facility | None | $478.63 | $562.34 | $691.83 |
United Setting Professional Modifier None (both parts) Typical Low $165.96 Median $218.78 Typical High $537.03 | Professional | None (both parts) | $165.96 | $218.78 | $537.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $61.66 Typical High $125.89 | Professional | 26 · Professional part | $48.98 | $61.66 | $125.89 |
United Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $154.88 Typical High $407.38 | Professional | TC · Technical part | $117.49 | $154.88 | $407.38 |
Univera Setting Facility Modifier None Typical Low $229.09 Median $501.19 Typical High $691.83 | Facility | None | $229.09 | $501.19 | $691.83 |
Univera Setting Facility Modifier TC · Technical part Typical Low $154.88 Median $302.00 Typical High $478.63 | Facility | TC · Technical part | $154.88 | $302.00 | $478.63 |
Univera Setting Professional Modifier None (both parts) Typical Low $190.55 Median $251.19 Typical High $354.81 | Professional | None (both parts) | $190.55 | $251.19 | $354.81 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $61.66 Typical High $109.65 | Professional | 26 · Professional part | $30.20 | $61.66 | $109.65 |
Univera Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $173.78 Typical High $275.42 | Professional | TC · Technical part | $131.83 | $173.78 | $275.42 |
7 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 $186.21 Median $186.21 Typical High $199.53 | Professional | 52 · Reduced service | $186.21 | $186.21 | $199.53 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $74.13 Typical High $81.28 | Professional | 53 · Discontinued | $74.13 | $74.13 | $81.28 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $295.12 Median $295.12 Typical High $302.00 | Professional | FX · Film X-ray | $295.12 | $295.12 | $302.00 |
Emblem Health Setting Professional Modifier GL · Free upgrade Typical Low $223.87 Median $223.87 Typical High $436.52 | Professional | GL · Free upgrade | $223.87 | $223.87 | $436.52 |
Excellus BCBS Setting Professional Modifier FY · Cassette-based X-ray Typical Low $154.88 Median $218.78 Typical High $331.13 | Professional | FY · Cassette-based X-ray | $154.88 | $218.78 | $331.13 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $125.89 Median $524.81 Typical High $724.44 | Professional | 53 · Discontinued | $125.89 | $524.81 | $724.44 |
Univera Setting Professional Modifier FY · Cassette-based X-ray Typical Low $181.97 Median $218.78 Typical High $331.13 | Professional | FY · Cassette-based X-ray | $181.97 | $218.78 | $331.13 |
Where New York sits
The same service costs 13.5 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· 47th of 51
$240
VT $2,089UT $155
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.