How much rates vary
Facilitymedian $155 · 10th to 90th $50 to $398Professionalmedian $126 · 10th to 90th $102 to $204
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 $97.72 Median $144.54 Typical High $407.38 | Facility | None | $97.72 | $144.54 | $407.38 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $26.30 Median $43.65 Typical High $117.49 | Facility | 26 · Professional part | $26.30 | $43.65 | $117.49 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $75.86 Median $102.33 Typical High $295.12 | Facility | TC · Technical part | $75.86 | $102.33 | $295.12 |
Aetna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $97.72 Typical High $173.78 | Professional | None (both parts) | $97.72 | $97.72 | $173.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $26.30 Typical High $52.48 | Professional | 26 · Professional part | $26.30 | $26.30 | $52.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $72.44 Typical High $123.03 | Professional | TC · Technical part | $72.44 | $72.44 | $123.03 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | None (both parts) | $199.53 | $199.53 | $199.53 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $107.15 Median $125.89 Typical High $177.83 | Professional | None (both parts) | $107.15 | $125.89 | $177.83 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $35.48 Typical High $47.86 | Professional | 26 · Professional part | $30.20 | $35.48 | $47.86 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $91.20 Typical High $134.90 | Professional | TC · Technical part | $77.62 | $91.20 | $134.90 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $61.66 Median $141.25 Typical High $204.17 | Professional | None (both parts) | $61.66 | $141.25 | $204.17 |
Cigna Setting Facility Modifier None Typical Low $229.09 Median $302.00 Typical High $741.31 | Facility | None | $229.09 | $302.00 | $741.31 |
Cigna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $114.82 Typical High $645.65 | Professional | None (both parts) | $97.72 | $114.82 | $645.65 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $30.20 Typical High $107.15 | Professional | 26 · Professional part | $25.70 | $30.20 | $107.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $81.28 Typical High $446.68 | Professional | TC · Technical part | $70.79 | $81.28 | $446.68 |
Emblem Health Setting Facility Modifier None Typical Low $74.13 Median $114.82 Typical High $331.13 | Facility | None | $74.13 | $114.82 | $331.13 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $131.83 Median $162.18 Typical High $229.09 | Professional | None (both parts) | $131.83 | $162.18 | $229.09 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $48.98 Typical High $100.00 | Professional | 26 · Professional part | $42.66 | $48.98 | $100.00 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $112.20 Typical High $165.96 | Professional | TC · Technical part | $104.71 | $112.20 | $165.96 |
Excellus BCBS Setting Facility Modifier None Typical Low $50.12 Median $50.12 Typical High $50.12 | Facility | None | $50.12 | $50.12 | $50.12 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $30.20 Median $30.20 Typical High $30.20 | Facility | TC · Technical part | $30.20 | $30.20 | $30.20 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $100.00 Median $128.82 Typical High $194.98 | Professional | None (both parts) | $100.00 | $128.82 | $194.98 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $40.74 Typical High $61.66 | Professional | 26 · Professional part | $19.05 | $40.74 | $61.66 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $89.13 Typical High $134.90 | Professional | TC · Technical part | $79.43 | $89.13 | $134.90 |
Highmark BCBS Setting Facility Modifier None Typical Low $181.97 Median $239.88 Typical High $478.63 | Facility | None | $181.97 | $239.88 | $478.63 |
Highmark BCBS Setting Facility Modifier TC · Technical part Typical Low $120.23 Median $302.00 Typical High $478.63 | Facility | TC · Technical part | $120.23 | $302.00 | $478.63 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $141.25 Median $158.49 Typical High $234.42 | Professional | None (both parts) | $141.25 | $158.49 | $234.42 |
MVP Health Care Setting Facility Modifier None Typical Low $97.72 Median $173.78 Typical High $257.04 | Facility | None | $97.72 | $173.78 | $257.04 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $173.78 Median $173.78 Typical High $338.84 | Professional | None (both parts) | $173.78 | $173.78 | $338.84 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $57.54 Typical High $74.13 | Professional | 26 · Professional part | $46.77 | $57.54 | $74.13 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $120.23 Typical High $162.18 | Professional | TC · Technical part | $97.72 | $120.23 | $162.18 |
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 $97.72 Median $125.89 Typical High $229.09 | Professional | None (both parts) | $97.72 | $125.89 | $229.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $39.81 Typical High $74.13 | Professional | 26 · Professional part | $30.90 | $39.81 | $74.13 |
United Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $87.10 Typical High $162.18 | Professional | TC · Technical part | $70.79 | $87.10 | $162.18 |
Univera Setting Facility Modifier None Typical Low $50.12 Median $50.12 Typical High $245.47 | Facility | None | $50.12 | $50.12 | $245.47 |
Univera Setting Facility Modifier TC · Technical part Typical Low $30.20 Median $30.20 Typical High $199.53 | Facility | TC · Technical part | $30.20 | $30.20 | $199.53 |
Univera Setting Professional Modifier None (both parts) Typical Low $100.00 Median $128.82 Typical High $194.98 | Professional | None (both parts) | $100.00 | $128.82 | $194.98 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $40.74 Typical High $61.66 | Professional | 26 · Professional part | $19.05 | $40.74 | $61.66 |
Univera Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $89.13 Typical High $134.90 | Professional | TC · Technical part | $79.43 | $89.13 | $134.90 |
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 $48.98 Median $48.98 Typical High $72.44 | Professional | 52 · Reduced service | $48.98 | $48.98 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $19.95 Typical High $29.51 | Professional | 53 · Discontinued | $19.95 | $19.95 | $29.51 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $79.43 Median $79.43 Typical High $117.49 | Professional | FX · Film X-ray | $79.43 | $79.43 | $117.49 |
Excellus BCBS Setting Professional Modifier FY · Cassette-based X-ray Typical Low $102.33 Median $144.54 Typical High $186.21 | Professional | FY · Cassette-based X-ray | $102.33 | $144.54 | $186.21 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $72.44 Median $89.13 Typical High $138.04 | Professional | 53 · Discontinued | $72.44 | $89.13 | $138.04 |
Univera Setting Professional Modifier FY · Cassette-based X-ray Typical Low $102.33 Median $131.83 Typical High $186.21 | Professional | FY · Cassette-based X-ray | $102.33 | $131.83 | $186.21 |
Where New York sits
The same service costs 3.9 times more in Alaska 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· 45th of 51
$126
AK $407UT $105
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.