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 $32.36 Median $43.65 Typical High $79.43 | Facility | None | $32.36 | $43.65 | $79.43 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $10.96 Median $13.18 Typical High $23.99 | Facility | 26 · Professional part | $10.96 | $13.18 | $23.99 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $21.88 Median $30.90 Typical High $54.95 | Facility | TC · Technical part | $21.88 | $30.90 | $54.95 |
Aetna Setting Professional Modifier None (both parts) Typical Low $30.90 Median $30.90 Typical High $63.10 | Professional | None (both parts) | $30.90 | $30.90 | $63.10 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $10.47 Typical High $19.95 | Professional | 26 · Professional part | $10.47 | $10.47 | $19.95 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $20.42 Typical High $41.69 | Professional | TC · Technical part | $20.42 | $20.42 | $41.69 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $29.51 Median $29.51 Typical High $34.67 | Professional | None (both parts) | $29.51 | $29.51 | $34.67 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $22.39 Median $28.18 Typical High $50.12 | Professional | None (both parts) | $22.39 | $28.18 | $50.12 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $8.13 Typical High $18.20 | Professional | 26 · Professional part | $6.92 | $8.13 | $18.20 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $20.42 Typical High $43.65 | Professional | TC · Technical part | $17.78 | $20.42 | $43.65 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $18.62 Median $41.69 Typical High $60.26 | Professional | None (both parts) | $18.62 | $41.69 | $60.26 |
Cigna Setting Facility Modifier None Typical Low $72.44 Median $91.20 Typical High $120.23 | Facility | None | $72.44 | $91.20 | $120.23 |
Cigna Setting Professional Modifier None (both parts) Typical Low $30.20 Median $32.36 Typical High $112.20 | Professional | None (both parts) | $30.20 | $32.36 | $112.20 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $10.23 Typical High $33.88 | Professional | 26 · Professional part | $8.91 | $10.23 | $33.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $23.44 Typical High $79.43 | Professional | TC · Technical part | $19.95 | $23.44 | $79.43 |
Emblem Health Setting Facility Modifier None Typical Low $23.99 Median $36.31 Typical High $104.71 | Facility | None | $23.99 | $36.31 | $104.71 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $39.81 Median $50.12 Typical High $72.44 | Professional | None (both parts) | $39.81 | $50.12 | $72.44 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $14.45 Typical High $26.30 | Professional | 26 · Professional part | $12.59 | $14.45 | $26.30 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $35.48 Typical High $52.48 | Professional | TC · Technical part | $34.67 | $35.48 | $52.48 |
Excellus BCBS Setting Facility Modifier None Typical Low $20.42 Median $20.42 Typical High $20.42 | Facility | None | $20.42 | $20.42 | $20.42 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $12.02 Median $12.02 Typical High $12.02 | Facility | TC · Technical part | $12.02 | $12.02 | $12.02 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $33.11 Median $39.81 Typical High $61.66 | Professional | None (both parts) | $33.11 | $39.81 | $61.66 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $12.02 Typical High $18.62 | Professional | 26 · Professional part | $11.22 | $12.02 | $18.62 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $28.18 Typical High $42.66 | Professional | TC · Technical part | $21.88 | $28.18 | $42.66 |
Fidelis Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $9.33 Typical High $9.33 | Professional | 26 · Professional part | $9.33 | $9.33 | $9.33 |
Highmark BCBS Setting Facility Modifier None Typical Low $74.13 Median $112.20 Typical High $338.84 | Facility | None | $74.13 | $112.20 | $338.84 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $39.81 Median $41.69 Typical High $58.88 | Professional | None (both parts) | $39.81 | $41.69 | $58.88 |
MVP Health Care Setting Facility Modifier None Typical Low $30.20 Median $107.15 Typical High $257.04 | Facility | None | $30.20 | $107.15 | $257.04 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $15.85 Median $15.85 Typical High $102.33 | Professional | None (both parts) | $15.85 | $15.85 | $102.33 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $17.38 Typical High $21.88 | Professional | 26 · Professional part | $14.13 | $17.38 | $21.88 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $37.15 Typical High $48.98 | Professional | TC · Technical part | $28.84 | $37.15 | $48.98 |
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 $31.62 Median $38.90 Typical High $69.18 | Professional | None (both parts) | $31.62 | $38.90 | $69.18 |
United Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $11.75 Typical High $22.39 | Professional | 26 · Professional part | $9.77 | $11.75 | $22.39 |
United Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $26.30 Typical High $48.98 | Professional | TC · Technical part | $21.88 | $26.30 | $48.98 |
Univera Setting Facility Modifier None Typical Low $20.42 Median $20.42 Typical High $52.48 | Facility | None | $20.42 | $20.42 | $52.48 |
Univera Setting Facility Modifier TC · Technical part Typical Low $12.02 Median $12.02 Typical High $33.11 | Facility | TC · Technical part | $12.02 | $12.02 | $33.11 |
Univera Setting Professional Modifier None (both parts) Typical Low $33.11 Median $39.81 Typical High $54.95 | Professional | None (both parts) | $33.11 | $39.81 | $54.95 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $12.02 Typical High $16.98 | Professional | 26 · Professional part | $11.22 | $12.02 | $16.98 |
Univera Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $28.18 Typical High $38.90 | Professional | TC · Technical part | $21.88 | $28.18 | $38.90 |
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 $35.48 Median $35.48 Typical High $38.02 | Professional | GL · Free upgrade | $35.48 | $35.48 | $38.02 |
Excellus BCBS Setting Professional Modifier FX · Film X-ray Typical Low $28.84 Median $40.74 Typical High $52.48 | Professional | FX · Film X-ray | $28.84 | $40.74 | $52.48 |
Excellus BCBS Setting Professional Modifier FY · Cassette-based X-ray Typical Low $32.36 Median $44.67 Typical High $57.54 | Professional | FY · Cassette-based X-ray | $32.36 | $44.67 | $57.54 |
Univera Setting Professional Modifier FX · Film X-ray Typical Low $33.88 Median $38.90 Typical High $52.48 | Professional | FX · Film X-ray | $33.88 | $38.90 | $52.48 |
Univera Setting Professional Modifier FY · Cassette-based X-ray Typical Low $38.02 Median $38.90 Typical High $57.54 | Professional | FY · Cassette-based X-ray | $38.02 | $38.90 | $57.54 |
Where New York sits
The same service costs 4.1 times more in Alaska 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
$30.90
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.