How much rates vary
Facilitymedian $33 · 10th to 90th $10 to $117Professionalmedian $22 · 10th to 90th $16 to $45
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 $21.38 Median $30.20 Typical High $69.18 | Facility | None | $21.38 | $30.20 | $69.18 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $6.92 Median $8.91 Typical High $20.42 | Facility | 26 · Professional part | $6.92 | $8.91 | $20.42 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $14.45 Median $21.38 Typical High $61.66 | Facility | TC · Technical part | $14.45 | $21.38 | $61.66 |
Aetna Setting Professional Modifier None (both parts) Typical Low $21.38 Median $21.38 Typical High $50.12 | Professional | None (both parts) | $21.38 | $21.38 | $50.12 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $6.92 Typical High $13.80 | Professional | 26 · Professional part | $6.92 | $6.92 | $13.80 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $14.45 Median $14.45 Typical High $34.67 | Professional | TC · Technical part | $14.45 | $14.45 | $34.67 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $17.78 Median $23.99 Typical High $43.65 | Professional | None (both parts) | $17.78 | $23.99 | $43.65 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $14.79 Median $19.95 Typical High $34.67 | Professional | None (both parts) | $14.79 | $19.95 | $34.67 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $4.79 Median $5.62 Typical High $10.72 | Professional | 26 · Professional part | $4.79 | $5.62 | $10.72 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $12.59 Median $14.45 Typical High $32.36 | Professional | TC · Technical part | $12.59 | $14.45 | $32.36 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $12.59 Median $28.84 Typical High $41.69 | Professional | None (both parts) | $12.59 | $28.84 | $41.69 |
Cigna Setting Facility Modifier None Typical Low $51.29 Median $64.57 Typical High $85.11 | Facility | None | $51.29 | $64.57 | $85.11 |
Cigna Setting Professional Modifier None (both parts) Typical Low $21.38 Median $22.91 Typical High $77.62 | Professional | None (both parts) | $21.38 | $22.91 | $77.62 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.31 Median $6.76 Typical High $22.91 | Professional | 26 · Professional part | $6.31 | $6.76 | $22.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $14.45 Median $16.60 Typical High $56.23 | Professional | TC · Technical part | $14.45 | $16.60 | $56.23 |
Emblem Health Setting Facility Modifier None Typical Low $16.98 Median $25.70 Typical High $74.13 | Facility | None | $16.98 | $25.70 | $74.13 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $28.18 Median $35.48 Typical High $51.29 | Professional | None (both parts) | $28.18 | $35.48 | $51.29 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $10.23 Typical High $18.62 | Professional | 26 · Professional part | $8.71 | $10.23 | $18.62 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $25.12 Typical High $37.15 | Professional | TC · Technical part | $23.99 | $25.12 | $37.15 |
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 $23.44 Median $28.18 Typical High $42.66 | Professional | None (both parts) | $23.44 | $28.18 | $42.66 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $8.51 Typical High $12.59 | Professional | 26 · Professional part | $7.76 | $8.51 | $12.59 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $19.95 Typical High $30.20 | Professional | TC · Technical part | $15.85 | $19.95 | $30.20 |
Fidelis Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $8.71 Typical High $13.18 | Professional | 26 · Professional part | $7.59 | $8.71 | $13.18 |
Highmark BCBS Setting Facility Modifier None Typical Low $34.67 Median $114.82 Typical High $323.59 | Facility | None | $34.67 | $114.82 | $323.59 |
Highmark BCBS Setting Facility Modifier TC · Technical part Typical Low $21.38 Median $74.13 Typical High $223.87 | Facility | TC · Technical part | $21.38 | $74.13 | $223.87 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $27.54 Median $32.36 Typical High $47.86 | Professional | None (both parts) | $27.54 | $32.36 | $47.86 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $10.47 Typical High $21.38 | Professional | 26 · Professional part | $8.13 | $10.47 | $21.38 |
MVP Health Care Setting Facility Modifier None Typical Low $21.88 Median $107.15 Typical High $257.04 | Facility | None | $21.88 | $107.15 | $257.04 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $23.99 Median $23.99 Typical High $72.44 | Professional | None (both parts) | $23.99 | $23.99 | $72.44 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $12.02 Typical High $15.14 | Professional | 26 · Professional part | $9.55 | $12.02 | $15.14 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $26.30 Typical High $35.48 | Professional | TC · Technical part | $20.42 | $26.30 | $35.48 |
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 $22.39 Median $26.92 Typical High $50.12 | Professional | None (both parts) | $22.39 | $26.92 | $50.12 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $8.13 Typical High $15.49 | Professional | 26 · Professional part | $6.76 | $8.13 | $15.49 |
United Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $18.62 Typical High $34.67 | Professional | TC · Technical part | $15.85 | $18.62 | $34.67 |
Univera Setting Facility Modifier None Typical Low $10.00 Median $10.00 Typical High $36.31 | Facility | None | $10.00 | $10.00 | $36.31 |
Univera Setting Facility Modifier TC · Technical part Typical Low $6.03 Median $6.03 Typical High $23.99 | Facility | TC · Technical part | $6.03 | $6.03 | $23.99 |
Univera Setting Professional Modifier None (both parts) Typical Low $23.44 Median $28.18 Typical High $38.90 | Professional | None (both parts) | $23.44 | $28.18 | $38.90 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $8.51 Typical High $11.48 | Professional | 26 · Professional part | $7.76 | $8.51 | $11.48 |
Univera Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $19.95 Typical High $27.54 | Professional | TC · Technical part | $15.85 | $19.95 | $27.54 |
5 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 |
|---|---|---|---|---|---|
Emblem Health Setting Professional Modifier GL · Free upgrade Typical Low $21.38 Median $21.38 Typical High $23.99 | Professional | GL · Free upgrade | $21.38 | $21.38 | $23.99 |
Excellus BCBS Setting Professional Modifier FX · Film X-ray Typical Low $20.42 Median $28.18 Typical High $37.15 | Professional | FX · Film X-ray | $20.42 | $28.18 | $37.15 |
Excellus BCBS Setting Professional Modifier FY · Cassette-based X-ray Typical Low $22.39 Median $31.62 Typical High $40.74 | Professional | FY · Cassette-based X-ray | $22.39 | $31.62 | $40.74 |
Univera Setting Professional Modifier FX · Film X-ray Typical Low $23.99 Median $27.54 Typical High $37.15 | Professional | FX · Film X-ray | $23.99 | $27.54 | $37.15 |
Univera Setting Professional Modifier FY · Cassette-based X-ray Typical Low $26.30 Median $27.54 Typical High $40.74 | Professional | FY · Cassette-based X-ray | $26.30 | $27.54 | $40.74 |
Where New York sits
The same service costs 5.0 times more in Vermont than in New York. 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· 51st of 51
$21.88
VT $110NY $21.88
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.