How much rates vary
Facilitymedian $170 · 10th to 90th $25 to $407Professionalmedian $138 · 10th to 90th $105 to $240
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 $104.71 Median $162.18 Typical High $281.84 | Facility | None | $104.71 | $162.18 | $281.84 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $79.43 Median $109.65 Typical High $239.88 | Facility | TC · Technical part | $79.43 | $109.65 | $239.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $104.71 Typical High $199.53 | Professional | None (both parts) | $104.71 | $104.71 | $199.53 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $26.30 Typical High $58.88 | Professional | 26 · Professional part | $26.30 | $26.30 | $58.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $77.62 Typical High $131.83 | Professional | TC · Technical part | $77.62 | $77.62 | $131.83 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | 26 · Professional part | $91.20 | $91.20 | $91.20 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $117.49 Median $138.04 Typical High $208.93 | Professional | None (both parts) | $117.49 | $138.04 | $208.93 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $32.36 Typical High $53.70 | Professional | 26 · Professional part | $27.54 | $32.36 | $53.70 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $107.15 Typical High $154.88 | Professional | TC · Technical part | $91.20 | $107.15 | $154.88 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $70.79 Median $151.36 Typical High $223.87 | Professional | None (both parts) | $70.79 | $151.36 | $223.87 |
Cigna Setting Facility Modifier None Typical Low $245.47 Median $346.74 Typical High $933.25 | Facility | None | $245.47 | $346.74 | $933.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $125.89 Typical High $724.44 | Professional | None (both parts) | $112.20 | $125.89 | $724.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $34.67 Typical High $117.49 | Professional | 26 · Professional part | $25.70 | $34.67 | $117.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $100.00 Typical High $489.78 | Professional | TC · Technical part | $83.18 | $100.00 | $489.78 |
Emblem Health Setting Facility Modifier None Typical Low $81.28 Median $125.89 Typical High $354.81 | Facility | None | $81.28 | $125.89 | $354.81 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $144.54 Median $177.83 Typical High $251.19 | Professional | None (both parts) | $144.54 | $177.83 | $251.19 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $56.23 Typical High $102.33 | Professional | 26 · Professional part | $47.86 | $56.23 | $102.33 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $120.23 Typical High $177.83 | Professional | TC · Technical part | $114.82 | $120.23 | $177.83 |
Excellus BCBS Setting Facility Modifier None Typical Low $25.12 Median $25.12 Typical High $25.12 | Facility | None | $25.12 | $25.12 | $25.12 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $15.14 Median $15.14 Typical High $15.14 | Facility | TC · Technical part | $15.14 | $15.14 | $15.14 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $102.33 Median $141.25 Typical High $218.78 | Professional | None (both parts) | $102.33 | $141.25 | $218.78 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $46.77 Typical High $70.79 | Professional | 26 · Professional part | $19.05 | $46.77 | $70.79 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $95.50 Typical High $144.54 | Professional | TC · Technical part | $83.18 | $95.50 | $144.54 |
Highmark BCBS Setting Facility Modifier None Typical Low $186.21 Median $229.09 Typical High $295.12 | Facility | None | $186.21 | $229.09 | $295.12 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $70.79 Typical High $120.23 | Professional | 26 · Professional part | $47.86 | $70.79 | $120.23 |
MVP Health Care Setting Facility Modifier None Typical Low $104.71 Median $190.55 Typical High $257.04 | Facility | None | $104.71 | $190.55 | $257.04 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $100.00 Median $100.00 Typical High $380.19 | Professional | None (both parts) | $100.00 | $100.00 | $380.19 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $67.61 Typical High $85.11 | Professional | 26 · Professional part | $53.70 | $67.61 | $85.11 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $131.83 Typical High $194.98 | Professional | TC · Technical part | $104.71 | $131.83 | $194.98 |
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 $104.71 Median $138.04 Typical High $257.04 | Professional | None (both parts) | $104.71 | $138.04 | $257.04 |
United Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $44.67 Typical High $85.11 | Professional | 26 · Professional part | $34.67 | $44.67 | $85.11 |
United Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $95.50 Typical High $177.83 | Professional | TC · Technical part | $75.86 | $95.50 | $177.83 |
Univera Setting Facility Modifier None Typical Low $25.12 Median $25.12 Typical High $251.19 | Facility | None | $25.12 | $25.12 | $251.19 |
Univera Setting Facility Modifier TC · Technical part Typical Low $15.14 Median $15.14 Typical High $208.93 | Facility | TC · Technical part | $15.14 | $15.14 | $208.93 |
Univera Setting Professional Modifier None (both parts) Typical Low $102.33 Median $141.25 Typical High $194.98 | Professional | None (both parts) | $102.33 | $141.25 | $194.98 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $46.77 Typical High $64.57 | Professional | 26 · Professional part | $19.05 | $46.77 | $64.57 |
Univera Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $97.72 Typical High $131.83 | Professional | TC · Technical part | $83.18 | $97.72 | $131.83 |
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 $52.48 Median $52.48 Typical High $79.43 | Professional | 52 · Reduced service | $52.48 | $52.48 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $20.89 Typical High $32.36 | Professional | 53 · Discontinued | $20.89 | $20.89 | $32.36 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $83.18 Median $83.18 Typical High $128.82 | Professional | FX · Film X-ray | $83.18 | $83.18 | $128.82 |
Excellus BCBS Setting Professional Modifier FY · Cassette-based X-ray Typical Low $112.20 Median $158.49 Typical High $204.17 | Professional | FY · Cassette-based X-ray | $112.20 | $158.49 | $204.17 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $81.28 Median $102.33 Typical High $154.88 | Professional | 53 · Discontinued | $81.28 | $102.33 | $154.88 |
Univera Setting Professional Modifier FY · Cassette-based X-ray Typical Low $134.90 Median $144.54 Typical High $204.17 | Professional | FY · Cassette-based X-ray | $134.90 | $144.54 | $204.17 |
Where New York sits
The same service costs 4.3 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· 44th of 51
$138
AK $447UT $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.