How much rates vary
Facilitymedian $87 · 10th to 90th $25 to $447Professionalmedian $355 · 10th to 90th $68 to $468
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 $77.62 Median $77.62 Typical High $181.97 | Facility | None | $77.62 | $77.62 | $181.97 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $52.48 Median $53.70 Typical High $323.59 | Facility | TC · Technical part | $52.48 | $53.70 | $323.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $77.62 Median $275.42 Typical High $275.42 | Professional | None (both parts) | $77.62 | $275.42 | $275.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $13.18 Typical High $35.48 | Professional | 26 · Professional part | $13.18 | $13.18 | $35.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $275.42 Typical High $275.42 | Professional | TC · Technical part | $52.48 | $275.42 | $275.42 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $20.42 Typical High $24.55 | Professional | 26 · Professional part | $14.13 | $20.42 | $24.55 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $338.84 Median $398.11 Typical High $467.74 | Professional | None (both parts) | $338.84 | $398.11 | $467.74 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $15.85 Typical High $26.92 | Professional | 26 · Professional part | $13.49 | $15.85 | $26.92 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $380.19 Typical High $446.68 | Professional | TC · Technical part | $323.59 | $380.19 | $446.68 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $35.48 Median $72.44 Typical High $107.15 | Professional | None (both parts) | $35.48 | $72.44 | $107.15 |
Cigna Setting Facility Modifier None Typical Low $128.82 Median $181.97 Typical High $870.96 | Facility | None | $128.82 | $181.97 | $870.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $57.54 Median $100.00 Typical High $398.11 | Professional | None (both parts) | $57.54 | $100.00 | $398.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $16.98 Typical High $60.26 | Professional | 26 · Professional part | $13.80 | $16.98 | $60.26 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $85.11 Typical High $269.15 | Professional | TC · Technical part | $39.81 | $85.11 | $269.15 |
Emblem Health Setting Facility Modifier None Typical Low $44.67 Median $69.18 Typical High $199.53 | Facility | None | $44.67 | $69.18 | $199.53 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $83.18 Median $97.72 Typical High $138.04 | Professional | None (both parts) | $83.18 | $97.72 | $138.04 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $28.84 Typical High $51.29 | Professional | 26 · Professional part | $21.38 | $28.84 | $51.29 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $67.61 Typical High $100.00 | Professional | TC · Technical part | $64.57 | $67.61 | $100.00 |
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 $72.44 Median $85.11 Typical High $112.20 | Professional | None (both parts) | $72.44 | $85.11 | $112.20 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $23.99 Typical High $35.48 | Professional | 26 · Professional part | $10.00 | $23.99 | $35.48 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $61.66 Typical High $75.86 | Professional | TC · Technical part | $48.98 | $61.66 | $75.86 |
Fidelis Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $41.69 Typical High $41.69 | Professional | 26 · Professional part | $21.38 | $41.69 | $41.69 |
Highmark BCBS Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $1,096.48 | Facility | None | $398.11 | $398.11 | $1,096.48 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $28.84 Typical High $52.48 | Professional | 26 · Professional part | $22.91 | $28.84 | $52.48 |
MVP Health Care Setting Facility Modifier None Typical Low $53.70 Median $107.15 Typical High $257.04 | Facility | None | $53.70 | $107.15 | $257.04 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $50.12 Median $50.12 Typical High $181.97 | Professional | None (both parts) | $50.12 | $50.12 | $181.97 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $33.11 Typical High $40.74 | Professional | 26 · Professional part | $26.92 | $33.11 | $40.74 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $63.10 Typical High $87.10 | Professional | TC · Technical part | $50.12 | $63.10 | $87.10 |
United Setting Facility Modifier None Typical Low $707.95 Median $812.83 Typical High $1,000.00 | Facility | None | $707.95 | $812.83 | $1,000.00 |
United Setting Professional Modifier None (both parts) Typical Low $57.54 Median $70.79 Typical High $158.49 | Professional | None (both parts) | $57.54 | $70.79 | $158.49 |
United Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $21.88 Typical High $41.69 | Professional | 26 · Professional part | $17.78 | $21.88 | $41.69 |
United Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $47.86 Typical High $107.15 | Professional | TC · Technical part | $38.02 | $47.86 | $107.15 |
Univera Setting Facility Modifier None Typical Low $25.12 Median $25.12 Typical High $323.59 | Facility | None | $25.12 | $25.12 | $323.59 |
Univera Setting Facility Modifier TC · Technical part Typical Low $15.14 Median $15.14 Typical High $309.03 | Facility | TC · Technical part | $15.14 | $15.14 | $309.03 |
Univera Setting Professional Modifier None (both parts) Typical Low $72.44 Median $85.11 Typical High $109.65 | Professional | None (both parts) | $72.44 | $85.11 | $109.65 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $23.99 Typical High $32.36 | Professional | 26 · Professional part | $10.00 | $23.99 | $32.36 |
Univera Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $61.66 Typical High $75.86 | Professional | TC · Technical part | $48.98 | $61.66 | $75.86 |
9 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 $38.90 Median $138.04 Typical High $138.04 | Professional | 52 · Reduced service | $38.90 | $138.04 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.49 Median $54.95 Typical High $54.95 | Professional | 53 · Discontinued | $15.49 | $54.95 | $54.95 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $61.66 Median $223.87 Typical High $223.87 | Professional | FX · Film X-ray | $61.66 | $223.87 | $223.87 |
Emblem Health Setting Professional Modifier GL · Free upgrade Typical Low $20.89 Median $123.03 Typical High $123.03 | Professional | GL · Free upgrade | $20.89 | $123.03 | $123.03 |
Excellus BCBS Setting Professional Modifier FX · Film X-ray Typical Low $53.70 Median $74.13 Typical High $97.72 | Professional | FX · Film X-ray | $53.70 | $74.13 | $97.72 |
Excellus BCBS Setting Professional Modifier FY · Cassette-based X-ray Typical Low $58.88 Median $81.28 Typical High $107.15 | Professional | FY · Cassette-based X-ray | $58.88 | $81.28 | $107.15 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $48.98 Typical High $77.62 | Professional | 53 · Discontinued | $38.90 | $48.98 | $77.62 |
Univera Setting Professional Modifier FX · Film X-ray Typical Low $63.10 Median $74.13 Typical High $97.72 | Professional | FX · Film X-ray | $63.10 | $74.13 | $97.72 |
Univera Setting Professional Modifier FY · Cassette-based X-ray Typical Low $69.18 Median $81.28 Typical High $107.15 | Professional | FY · Cassette-based X-ray | $69.18 | $81.28 | $107.15 |
Where New York sits
The same service costs 5.4 times more in New York than in Texas. 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· 1st of 51
$355
NY $355TX $66.07
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.