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 $87.10 Median $128.82 Typical High $363.08 | Facility | None | $87.10 | $128.82 | $363.08 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $26.30 Median $38.90 Typical High $104.71 | Facility | 26 · Professional part | $26.30 | $38.90 | $104.71 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $61.66 Median $89.13 Typical High $257.04 | Facility | TC · Technical part | $61.66 | $89.13 | $257.04 |
Aetna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $87.10 Typical High $181.97 | Professional | None (both parts) | $87.10 | $87.10 | $181.97 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $26.30 Typical High $51.29 | Professional | 26 · Professional part | $26.30 | $26.30 | $51.29 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $61.66 Typical High $114.82 | Professional | TC · Technical part | $61.66 | $61.66 | $114.82 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $85.11 Median $85.11 Typical High $100.00 | Professional | None (both parts) | $85.11 | $85.11 | $100.00 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $95.50 Median $112.20 Typical High $154.88 | Professional | None (both parts) | $95.50 | $112.20 | $154.88 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $31.62 Typical High $44.67 | Professional | 26 · Professional part | $26.92 | $31.62 | $44.67 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $79.43 Typical High $114.82 | Professional | TC · Technical part | $67.61 | $79.43 | $114.82 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $54.95 Median $120.23 Typical High $177.83 | Professional | None (both parts) | $54.95 | $120.23 | $177.83 |
Cigna Setting Facility Modifier None Typical Low $199.53 Median $263.03 Typical High $616.60 | Facility | None | $199.53 | $263.03 | $616.60 |
Cigna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $102.33 Typical High $588.84 | Professional | None (both parts) | $87.10 | $102.33 | $588.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $26.92 Typical High $95.50 | Professional | 26 · Professional part | $25.70 | $26.92 | $95.50 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $70.79 Typical High $407.38 | Professional | TC · Technical part | $60.26 | $70.79 | $407.38 |
Emblem Health Setting Facility Modifier None Typical Low $67.61 Median $104.71 Typical High $295.12 | Facility | None | $67.61 | $104.71 | $295.12 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $117.49 Median $144.54 Typical High $208.93 | Professional | None (both parts) | $117.49 | $144.54 | $208.93 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $44.67 Typical High $81.28 | Professional | 26 · Professional part | $38.02 | $44.67 | $81.28 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $102.33 Typical High $147.91 | Professional | TC · Technical part | $95.50 | $102.33 | $147.91 |
Excellus BCBS Setting Facility Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Facility | None | $30.20 | $30.20 | $30.20 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $18.20 Median $18.20 Typical High $18.20 | Facility | TC · Technical part | $18.20 | $18.20 | $18.20 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $75.86 Median $117.49 Typical High $173.78 | Professional | None (both parts) | $75.86 | $117.49 | $173.78 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $37.15 Typical High $56.23 | Professional | 26 · Professional part | $19.05 | $37.15 | $56.23 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $79.43 Typical High $117.49 | Professional | TC · Technical part | $57.54 | $79.43 | $117.49 |
Highmark BCBS Setting Facility Modifier None Typical Low $194.98 Median $229.09 Typical High $398.11 | Facility | None | $194.98 | $229.09 | $398.11 |
Highmark BCBS Setting Facility Modifier TC · Technical part Typical Low $151.36 Median $239.88 Typical High $776.25 | Facility | TC · Technical part | $151.36 | $239.88 | $776.25 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $112.20 Median $125.89 Typical High $173.78 | Professional | None (both parts) | $112.20 | $125.89 | $173.78 |
MVP Health Care Setting Facility Modifier None Typical Low $85.11 Median $154.88 Typical High $257.04 | Facility | None | $85.11 | $154.88 | $257.04 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $100.00 Median $100.00 Typical High $295.12 | Professional | None (both parts) | $100.00 | $100.00 | $295.12 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $52.48 Typical High $66.07 | Professional | 26 · Professional part | $42.66 | $52.48 | $66.07 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $102.33 Typical High $138.04 | Professional | TC · Technical part | $83.18 | $102.33 | $138.04 |
United Setting Facility Modifier None Typical Low $354.81 Median $407.38 Typical High $501.19 | Facility | None | $354.81 | $407.38 | $501.19 |
United Setting Professional Modifier None (both parts) Typical Low $87.10 Median $112.20 Typical High $199.53 | Professional | None (both parts) | $87.10 | $112.20 | $199.53 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $35.48 Typical High $66.07 | Professional | 26 · Professional part | $28.84 | $35.48 | $66.07 |
United Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $74.13 Typical High $138.04 | Professional | TC · Technical part | $60.26 | $74.13 | $138.04 |
Univera Setting Facility Modifier None Typical Low $30.20 Median $30.20 Typical High $218.78 | Facility | None | $30.20 | $30.20 | $218.78 |
Univera Setting Facility Modifier TC · Technical part Typical Low $18.20 Median $18.20 Typical High $173.78 | Facility | TC · Technical part | $18.20 | $18.20 | $173.78 |
Univera Setting Professional Modifier None (both parts) Typical Low $75.86 Median $117.49 Typical High $173.78 | Professional | None (both parts) | $75.86 | $117.49 | $173.78 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $37.15 Typical High $56.23 | Professional | 26 · Professional part | $19.05 | $37.15 | $56.23 |
Univera Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $79.43 Typical High $117.49 | Professional | TC · Technical part | $57.54 | $79.43 | $117.49 |
6 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 $43.65 Median $43.65 Typical High $64.57 | Professional | 52 · Reduced service | $43.65 | $43.65 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $17.38 Typical High $25.70 | Professional | 53 · Discontinued | $17.38 | $17.38 | $25.70 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $70.79 Median $70.79 Typical High $102.33 | Professional | FX · Film X-ray | $70.79 | $70.79 | $102.33 |
Excellus BCBS Setting Professional Modifier FY · Cassette-based X-ray Typical Low $91.20 Median $125.89 Typical High $165.96 | Professional | FY · Cassette-based X-ray | $91.20 | $125.89 | $165.96 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $63.10 Median $79.43 Typical High $120.23 | Professional | 53 · Discontinued | $63.10 | $79.43 | $120.23 |
Univera Setting Professional Modifier FY · Cassette-based X-ray Typical Low $91.20 Median $114.82 Typical High $165.96 | Professional | FY · Cassette-based X-ray | $91.20 | $114.82 | $165.96 |
Where New York sits
The same service costs 3.7 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· 44th of 51
$112
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.