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 $107.15 Median $134.90 Typical High $141.25 | Facility | None | $107.15 | $134.90 | $141.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $134.90 Typical High $134.90 | Professional | None (both parts) | $107.15 | $134.90 | $134.90 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $34.67 Typical High $36.31 | Professional | 26 · Professional part | $29.51 | $34.67 | $36.31 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $100.00 Typical High $100.00 | Professional | TC · Technical part | $77.62 | $100.00 | $100.00 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $5.37 Median $19.05 Typical High $45.71 | Professional | 26 · Professional part | $5.37 | $19.05 | $45.71 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $134.90 Median $158.49 Typical High $173.78 | Professional | None (both parts) | $134.90 | $158.49 | $173.78 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $42.66 Typical High $46.77 | Professional | 26 · Professional part | $34.67 | $42.66 | $46.77 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $114.82 Typical High $128.82 | Professional | TC · Technical part | $97.72 | $114.82 | $128.82 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $51.29 Median $134.90 Typical High $186.21 | Professional | None (both parts) | $51.29 | $134.90 | $186.21 |
Cigna Setting Facility Modifier None Typical Low $162.18 Median $1,047.13 Typical High $1,174.90 | Facility | None | $162.18 | $1,047.13 | $1,174.90 |
Cigna Setting Professional Modifier None (both parts) Typical Low $81.28 Median $83.18 Typical High $331.13 | Professional | None (both parts) | $81.28 | $83.18 | $331.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $20.42 Typical High $85.11 | Professional | 26 · Professional part | $19.95 | $20.42 | $85.11 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $61.66 Typical High $245.47 | Professional | TC · Technical part | $60.26 | $61.66 | $245.47 |
Emblem Health Setting Facility Modifier None Typical Low $109.65 Median $181.97 Typical High $537.03 | Facility | None | $109.65 | $181.97 | $537.03 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $114.82 Median $199.53 Typical High $354.81 | Professional | None (both parts) | $114.82 | $199.53 | $354.81 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $32.36 Typical High $51.29 | Professional | 26 · Professional part | $25.12 | $32.36 | $51.29 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $165.96 Typical High $302.00 | Professional | TC · Technical part | $165.96 | $165.96 | $302.00 |
Excellus BCBS Setting Facility Modifier None Typical Low $36.31 Median $36.31 Typical High $36.31 | Facility | None | $36.31 | $36.31 | $36.31 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $21.88 Median $21.88 Typical High $21.88 | Facility | TC · Technical part | $21.88 | $21.88 | $21.88 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $120.23 Median $158.49 Typical High $218.78 | Professional | None (both parts) | $120.23 | $158.49 | $218.78 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $26.92 Typical High $38.90 | Professional | 26 · Professional part | $25.12 | $26.92 | $38.90 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $131.83 Typical High $199.53 | Professional | TC · Technical part | $93.33 | $131.83 | $199.53 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | 26 · Professional part | $42.66 | $42.66 | $42.66 |
MVP Health Care Setting Facility Modifier None Typical Low $46.77 Median $154.88 Typical High $257.04 | Facility | None | $46.77 | $154.88 | $257.04 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | None (both parts) | $44.67 | $44.67 | $44.67 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $58.88 Typical High $66.07 | Professional | 26 · Professional part | $46.77 | $58.88 | $66.07 |
United Setting Professional Modifier None (both parts) Typical Low $128.82 Median $165.96 Typical High $234.42 | Professional | None (both parts) | $128.82 | $165.96 | $234.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $38.90 Typical High $53.70 | Professional | 26 · Professional part | $20.42 | $38.90 | $53.70 |
United Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $128.82 Typical High $181.97 | Professional | TC · Technical part | $109.65 | $128.82 | $181.97 |
Univera Setting Facility Modifier None Typical Low $36.31 Median $114.82 Typical High $371.54 | Facility | None | $36.31 | $114.82 | $371.54 |
Univera Setting Facility Modifier 26 · Professional part Typical Low $25.12 Median $30.20 Typical High $144.54 | Facility | 26 · Professional part | $25.12 | $30.20 | $144.54 |
Univera Setting Facility Modifier TC · Technical part Typical Low $21.88 Median $89.13 Typical High $323.59 | Facility | TC · Technical part | $21.88 | $89.13 | $323.59 |
Univera Setting Professional Modifier None (both parts) Typical Low $120.23 Median $158.49 Typical High $218.78 | Professional | None (both parts) | $120.23 | $158.49 | $218.78 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $26.92 Typical High $35.48 | Professional | 26 · Professional part | $25.12 | $26.92 | $35.48 |
Univera Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $131.83 Typical High $181.97 | Professional | TC · Technical part | $89.13 | $131.83 | $181.97 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $53.70 Median $67.61 Typical High $67.61 | Professional | 52 · Reduced service | $53.70 | $67.61 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $26.92 Typical High $26.92 | Professional | 53 · Discontinued | $21.38 | $26.92 | $26.92 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $85.11 Median $107.15 Typical High $107.15 | Professional | FX · Film X-ray | $85.11 | $107.15 | $107.15 |
Excellus BCBS Setting Professional Modifier FY · Cassette-based X-ray Typical Low $125.89 Median $173.78 Typical High $223.87 | Professional | FY · Cassette-based X-ray | $125.89 | $173.78 | $223.87 |
Univera Setting Professional Modifier FY · Cassette-based X-ray Typical Low $114.82 Median $147.91 Typical High $204.17 | Professional | FY · Cassette-based X-ray | $114.82 | $147.91 | $204.17 |
Where New York sits
The same service costs 4.2 times more in Nebraska 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· 43rd of 51
$148
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.