How much rates vary
Facilitymedian $155 · 10th to 90th $20 to $447Professionalmedian $214 · 10th to 90th $102 to $275
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 $58.88 Median $190.55 Typical High $316.23 | Facility | None | $58.88 | $190.55 | $316.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $275.42 Typical High $275.42 | Professional | None (both parts) | $141.25 | $275.42 | $275.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $13.18 Typical High $23.99 | Professional | 26 · Professional part | $13.18 | $13.18 | $23.99 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $275.42 Typical High $275.42 | Professional | TC · Technical part | $117.49 | $275.42 | $275.42 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $199.53 Median $234.42 Typical High $263.03 | Professional | None (both parts) | $199.53 | $234.42 | $263.03 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $15.85 Typical High $26.30 | Professional | 26 · Professional part | $13.49 | $15.85 | $26.30 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $218.78 Typical High $245.47 | Professional | TC · Technical part | $177.83 | $218.78 | $245.47 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $34.67 Median $158.49 Typical High $194.98 | Professional | None (both parts) | $34.67 | $158.49 | $194.98 |
Cigna Setting Facility Modifier None Typical Low $263.03 Median $380.19 Typical High $446.68 | Facility | None | $263.03 | $380.19 | $446.68 |
Cigna Setting Professional Modifier None (both parts) Typical Low $53.70 Median $104.71 Typical High $323.59 | Professional | None (both parts) | $53.70 | $104.71 | $323.59 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $16.60 Typical High $58.88 | Professional | 26 · Professional part | $13.49 | $16.60 | $58.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $89.13 Typical High $263.03 | Professional | TC · Technical part | $39.81 | $89.13 | $263.03 |
Emblem Health Setting Facility Modifier None Typical Low $89.13 Median $134.90 Typical High $389.05 | Facility | None | $89.13 | $134.90 | $389.05 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $128.82 Median $162.18 Typical High $229.09 | Professional | None (both parts) | $128.82 | $162.18 | $229.09 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $27.54 Typical High $48.98 | Professional | 26 · Professional part | $22.91 | $27.54 | $48.98 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $131.83 Typical High $194.98 | Professional | TC · Technical part | $125.89 | $131.83 | $194.98 |
Excellus BCBS Setting Facility Modifier None Typical Low $20.42 Median $20.42 Typical High $20.42 | Facility | None | $20.42 | $20.42 | $20.42 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $12.02 Median $12.02 Typical High $12.02 | Facility | TC · Technical part | $12.02 | $12.02 | $12.02 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $48.98 Median $128.82 Typical High $190.55 | Professional | None (both parts) | $48.98 | $128.82 | $190.55 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $22.91 Typical High $35.48 | Professional | 26 · Professional part | $10.00 | $22.91 | $35.48 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $104.71 Typical High $154.88 | Professional | TC · Technical part | $38.90 | $104.71 | $154.88 |
Highmark BCBS Setting Facility Modifier TC · Technical part Typical Low $501.19 Median $501.19 Typical High $1,096.48 | Facility | TC · Technical part | $501.19 | $501.19 | $1,096.48 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $21.38 Typical High $28.84 | Professional | 26 · Professional part | $20.89 | $21.38 | $28.84 |
MVP Health Care Setting Facility Modifier None Typical Low $107.15 Median $204.17 Typical High $257.04 | Facility | None | $107.15 | $204.17 | $257.04 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $50.12 Median $50.12 Typical High $323.59 | Professional | None (both parts) | $50.12 | $50.12 | $323.59 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $32.36 Typical High $40.74 | Professional | 26 · Professional part | $26.30 | $32.36 | $40.74 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $134.90 Typical High $181.97 | Professional | TC · Technical part | $109.65 | $134.90 | $181.97 |
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 $95.50 Median $117.49 Typical High $239.88 | Professional | None (both parts) | $95.50 | $117.49 | $239.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $21.88 Typical High $40.74 | Professional | 26 · Professional part | $16.98 | $21.88 | $40.74 |
United Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $97.72 Typical High $194.98 | Professional | TC · Technical part | $79.43 | $97.72 | $194.98 |
Univera Setting Facility Modifier None Typical Low $20.42 Median $20.42 Typical High $186.21 | Facility | None | $20.42 | $20.42 | $186.21 |
Univera Setting Facility Modifier TC · Technical part Typical Low $12.02 Median $12.02 Typical High $158.49 | Facility | TC · Technical part | $12.02 | $12.02 | $158.49 |
Univera Setting Professional Modifier None (both parts) Typical Low $48.98 Median $128.82 Typical High $173.78 | Professional | None (both parts) | $48.98 | $128.82 | $173.78 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $22.91 Typical High $31.62 | Professional | 26 · Professional part | $10.00 | $22.91 | $31.62 |
Univera Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $104.71 Typical High $141.25 | Professional | TC · Technical part | $38.90 | $104.71 | $141.25 |
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 $70.79 Median $138.04 Typical High $138.04 | Professional | 52 · Reduced service | $70.79 | $138.04 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $54.95 Typical High $54.95 | Professional | 53 · Discontinued | $28.18 | $54.95 | $54.95 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $112.20 Median $223.87 Typical High $223.87 | Professional | FX · Film X-ray | $112.20 | $223.87 | $223.87 |
Excellus BCBS Setting Professional Modifier FY · Cassette-based X-ray Typical Low $100.00 Median $138.04 Typical High $177.83 | Professional | FY · Cassette-based X-ray | $100.00 | $138.04 | $177.83 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $67.61 Median $85.11 Typical High $134.90 | Professional | 53 · Discontinued | $67.61 | $85.11 | $134.90 |
Univera Setting Professional Modifier FY · Cassette-based X-ray Typical Low $117.49 Median $125.89 Typical High $177.83 | Professional | FY · Cassette-based X-ray | $117.49 | $125.89 | $177.83 |
Where New York sits
The same service costs 4.1 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· 11th of 51
$214
AK $398UT $97.72
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.