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 $26.30 Median $37.15 Typical High $104.71 | Facility | None | $26.30 | $37.15 | $104.71 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $8.71 Median $11.48 Typical High $25.70 | Facility | 26 · Professional part | $8.71 | $11.48 | $25.70 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $17.38 Median $25.70 Typical High $74.13 | Facility | TC · Technical part | $17.38 | $25.70 | $74.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $26.30 Median $26.30 Typical High $60.26 | Professional | None (both parts) | $26.30 | $26.30 | $60.26 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $8.71 Typical High $16.98 | Professional | 26 · Professional part | $8.71 | $8.71 | $16.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $17.38 Typical High $38.90 | Professional | TC · Technical part | $17.38 | $17.38 | $38.90 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $23.99 Median $29.51 Typical High $34.67 | Professional | None (both parts) | $23.99 | $29.51 | $34.67 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $21.38 Median $25.12 Typical High $46.77 | Professional | None (both parts) | $21.38 | $25.12 | $46.77 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $6.03 Median $7.08 Typical High $13.49 | Professional | 26 · Professional part | $6.03 | $7.08 | $13.49 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $15.14 Median $17.78 Typical High $32.36 | Professional | TC · Technical part | $15.14 | $17.78 | $32.36 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $16.22 Median $35.48 Typical High $51.29 | Professional | None (both parts) | $16.22 | $35.48 | $51.29 |
Cigna Setting Facility Modifier None Typical Low $63.10 Median $77.62 Typical High $102.33 | Facility | None | $63.10 | $77.62 | $102.33 |
Cigna Setting Professional Modifier None (both parts) Typical Low $25.70 Median $27.54 Typical High $95.50 | Professional | None (both parts) | $25.70 | $27.54 | $95.50 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $8.51 Typical High $30.20 | Professional | 26 · Professional part | $7.76 | $8.51 | $30.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $19.95 Typical High $67.61 | Professional | TC · Technical part | $17.38 | $19.95 | $67.61 |
Emblem Health Setting Facility Modifier None Typical Low $20.42 Median $30.90 Typical High $89.13 | Facility | None | $20.42 | $30.90 | $89.13 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $34.67 Median $42.66 Typical High $61.66 | Professional | None (both parts) | $34.67 | $42.66 | $61.66 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $12.59 Typical High $22.91 | Professional | 26 · Professional part | $10.72 | $12.59 | $22.91 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $30.90 Typical High $44.67 | Professional | TC · Technical part | $28.84 | $30.90 | $44.67 |
Excellus BCBS Setting Facility Modifier None Typical Low $15.14 Median $15.14 Typical High $15.14 | Facility | None | $15.14 | $15.14 | $15.14 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $9.12 Median $9.12 Typical High $9.12 | Facility | TC · Technical part | $9.12 | $9.12 | $9.12 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $28.84 Median $34.67 Typical High $52.48 | Professional | None (both parts) | $28.84 | $34.67 | $52.48 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $10.47 Typical High $16.22 | Professional | 26 · Professional part | $9.77 | $10.47 | $16.22 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $23.99 Typical High $37.15 | Professional | TC · Technical part | $18.62 | $23.99 | $37.15 |
Highmark BCBS Setting Facility Modifier None Typical Low $42.66 Median $141.25 Typical High $263.03 | Facility | None | $42.66 | $141.25 | $263.03 |
Highmark BCBS Setting Facility Modifier TC · Technical part Typical Low $26.30 Median $114.82 Typical High $302.00 | Facility | TC · Technical part | $26.30 | $114.82 | $302.00 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $34.67 Median $35.48 Typical High $56.23 | Professional | None (both parts) | $34.67 | $35.48 | $56.23 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $12.02 Typical High $23.99 | Professional | 26 · Professional part | $10.47 | $12.02 | $23.99 |
MVP Health Care Setting Facility Modifier None Typical Low $25.70 Median $107.15 Typical High $257.04 | Facility | None | $25.70 | $107.15 | $257.04 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $29.51 Median $29.51 Typical High $87.10 | Professional | None (both parts) | $29.51 | $29.51 | $87.10 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $15.14 Typical High $19.05 | Professional | 26 · Professional part | $12.30 | $15.14 | $19.05 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $31.62 Typical High $42.66 | Professional | TC · Technical part | $25.12 | $31.62 | $42.66 |
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 $27.54 Median $33.11 Typical High $61.66 | Professional | None (both parts) | $27.54 | $33.11 | $61.66 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $10.23 Typical High $19.50 | Professional | 26 · Professional part | $8.32 | $10.23 | $19.50 |
United Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $22.39 Typical High $42.66 | Professional | TC · Technical part | $19.05 | $22.39 | $42.66 |
Univera Setting Facility Modifier None Typical Low $15.14 Median $15.14 Typical High $44.67 | Facility | None | $15.14 | $15.14 | $44.67 |
Univera Setting Facility Modifier TC · Technical part Typical Low $9.12 Median $9.12 Typical High $28.84 | Facility | TC · Technical part | $9.12 | $9.12 | $28.84 |
Univera Setting Professional Modifier None (both parts) Typical Low $28.84 Median $34.67 Typical High $47.86 | Professional | None (both parts) | $28.84 | $34.67 | $47.86 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $10.47 Typical High $14.79 | Professional | 26 · Professional part | $9.77 | $10.47 | $14.79 |
Univera Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $23.99 Typical High $33.11 | Professional | TC · Technical part | $18.62 | $23.99 | $33.11 |
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 $33.88 Median $33.88 Typical High $35.48 | Professional | GL · Free upgrade | $33.88 | $33.88 | $35.48 |
Excellus BCBS Setting Professional Modifier FX · Film X-ray Typical Low $25.12 Median $34.67 Typical High $45.71 | Professional | FX · Film X-ray | $25.12 | $34.67 | $45.71 |
Excellus BCBS Setting Professional Modifier FY · Cassette-based X-ray Typical Low $27.54 Median $38.90 Typical High $50.12 | Professional | FY · Cassette-based X-ray | $27.54 | $38.90 | $50.12 |
Univera Setting Professional Modifier FX · Film X-ray Typical Low $29.51 Median $33.11 Typical High $45.71 | Professional | FX · Film X-ray | $29.51 | $33.11 | $45.71 |
Univera Setting Professional Modifier FY · Cassette-based X-ray Typical Low $32.36 Median $33.11 Typical High $50.12 | Professional | FY · Cassette-based X-ray | $32.36 | $33.11 | $50.12 |
Where New York sits
The same service costs 4.3 times more in Minnesota 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
$26.92
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.