How much rates vary
Facilitymedian $151 · 10th to 90th $35 to $437Professionalmedian $100 · 10th to 90th $83 to $191
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 $85.11 Median $93.33 Typical High $316.23 | Facility | None | $85.11 | $93.33 | $316.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $85.11 Typical High $141.25 | Professional | None (both parts) | $85.11 | $85.11 | $141.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $18.62 Typical High $23.44 | Professional | 26 · Professional part | $18.62 | $18.62 | $23.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $66.07 Typical High $117.49 | Professional | TC · Technical part | $66.07 | $66.07 | $117.49 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | None (both parts) | $107.15 | $107.15 | $107.15 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $83.18 Median $97.72 Typical High $165.96 | Professional | None (both parts) | $83.18 | $97.72 | $165.96 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $22.39 Typical High $30.90 | Professional | 26 · Professional part | $19.05 | $22.39 | $30.90 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $75.86 Typical High $134.90 | Professional | TC · Technical part | $64.57 | $75.86 | $134.90 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $33.11 Median $158.49 Typical High $190.55 | Professional | None (both parts) | $33.11 | $158.49 | $190.55 |
Cigna Setting Facility Modifier None Typical Low $257.04 Median $338.84 Typical High $724.44 | Facility | None | $257.04 | $338.84 | $724.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $109.65 Typical High $630.96 | Professional | None (both parts) | $89.13 | $109.65 | $630.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $18.20 Typical High $60.26 | Professional | 26 · Professional part | $16.22 | $18.20 | $60.26 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $89.13 Typical High $524.81 | Professional | TC · Technical part | $67.61 | $89.13 | $524.81 |
Emblem Health Setting Facility Modifier None Typical Low $87.10 Median $134.90 Typical High $389.05 | Facility | None | $87.10 | $134.90 | $389.05 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $125.89 Median $158.49 Typical High $223.87 | Professional | None (both parts) | $125.89 | $158.49 | $223.87 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $26.30 Typical High $47.86 | Professional | 26 · Professional part | $22.91 | $26.30 | $47.86 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $131.83 Typical High $194.98 | Professional | TC · Technical part | $123.03 | $131.83 | $194.98 |
Excellus BCBS Setting Facility Modifier None Typical Low $35.48 Median $35.48 Typical High $35.48 | Facility | None | $35.48 | $35.48 | $35.48 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $21.38 Median $21.38 Typical High $21.38 | Facility | TC · Technical part | $21.38 | $21.38 | $21.38 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $75.86 Median $125.89 Typical High $190.55 | Professional | None (both parts) | $75.86 | $125.89 | $190.55 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $21.88 Typical High $33.11 | Professional | 26 · Professional part | $13.18 | $21.88 | $33.11 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $104.71 Typical High $154.88 | Professional | TC · Technical part | $63.10 | $104.71 | $154.88 |
Highmark BCBS Setting Facility Modifier TC · Technical part Typical Low $891.25 Median $891.25 Typical High $891.25 | Facility | TC · Technical part | $891.25 | $891.25 | $891.25 |
MVP Health Care Setting Facility Modifier None Typical Low $107.15 Median $199.53 Typical High $257.04 | Facility | None | $107.15 | $199.53 | $257.04 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $100.00 Median $100.00 Typical High $316.23 | Professional | None (both parts) | $100.00 | $100.00 | $316.23 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $31.62 Typical High $39.81 | Professional | 26 · Professional part | $25.70 | $31.62 | $39.81 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $134.90 Typical High $181.97 | Professional | TC · Technical part | $104.71 | $134.90 | $181.97 |
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 $93.33 Median $120.23 Typical High $218.78 | Professional | None (both parts) | $93.33 | $120.23 | $218.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $21.38 Typical High $40.74 | Professional | 26 · Professional part | $17.78 | $21.38 | $40.74 |
United Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $95.50 Typical High $177.83 | Professional | TC · Technical part | $79.43 | $95.50 | $177.83 |
Univera Setting Facility Modifier None Typical Low $35.48 Median $35.48 Typical High $239.88 | Facility | None | $35.48 | $35.48 | $239.88 |
Univera Setting Facility Modifier TC · Technical part Typical Low $21.38 Median $21.38 Typical High $199.53 | Facility | TC · Technical part | $21.38 | $21.38 | $199.53 |
Univera Setting Professional Modifier None (both parts) Typical Low $75.86 Median $125.89 Typical High $169.82 | Professional | None (both parts) | $75.86 | $125.89 | $169.82 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $21.88 Typical High $30.90 | Professional | 26 · Professional part | $13.18 | $21.88 | $30.90 |
Univera Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $104.71 Typical High $141.25 | Professional | TC · Technical part | $63.10 | $104.71 | $141.25 |
7 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 $42.66 Median $42.66 Typical High $69.18 | Professional | 52 · Reduced service | $42.66 | $42.66 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $16.98 Typical High $28.18 | Professional | 53 · Discontinued | $16.98 | $16.98 | $28.18 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $67.61 Median $67.61 Typical High $112.20 | Professional | FX · Film X-ray | $67.61 | $67.61 | $112.20 |
Emblem Health Setting Professional Modifier GL · Free upgrade Typical Low $100.00 Median $100.00 Typical High $104.71 | Professional | GL · Free upgrade | $100.00 | $100.00 | $104.71 |
Excellus BCBS Setting Professional Modifier FY · Cassette-based X-ray Typical Low $97.72 Median $138.04 Typical High $177.83 | Professional | FY · Cassette-based X-ray | $97.72 | $138.04 | $177.83 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $83.18 Typical High $131.83 | Professional | 53 · Discontinued | $66.07 | $83.18 | $131.83 |
Univera Setting Professional Modifier FY · Cassette-based X-ray Typical Low $114.82 Median $125.89 Typical High $177.83 | Professional | FY · Cassette-based X-ray | $114.82 | $125.89 | $177.83 |
Where New York sits
The same service costs 4.2 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· 49th of 51
$100
AK $398UT $95.50
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.