How much rates vary
Facilitymedian $47 · 10th to 90th $20 to $224Professionalmedian $30 · 10th to 90th $23 to $69
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 $28.84 Median $40.74 Typical High $114.82 | Facility | None | $28.84 | $40.74 | $114.82 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $12.30 Median $15.14 Typical High $40.74 | Facility | 26 · Professional part | $12.30 | $15.14 | $40.74 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $16.98 Median $25.70 Typical High $74.13 | Facility | TC · Technical part | $16.98 | $25.70 | $74.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $28.84 Median $28.84 Typical High $67.61 | Professional | None (both parts) | $28.84 | $28.84 | $67.61 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $12.30 Typical High $20.42 | Professional | 26 · Professional part | $12.30 | $12.30 | $20.42 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $16.98 Typical High $51.29 | Professional | TC · Technical part | $16.98 | $16.98 | $51.29 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $22.91 Median $26.92 Typical High $63.10 | Professional | None (both parts) | $22.91 | $26.92 | $63.10 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $9.33 Typical High $26.30 | Professional | 26 · Professional part | $7.94 | $9.33 | $26.30 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $15.14 Median $17.78 Typical High $36.31 | Professional | TC · Technical part | $15.14 | $17.78 | $36.31 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $21.88 Median $35.48 Typical High $57.54 | Professional | None (both parts) | $21.88 | $35.48 | $57.54 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $87.10 Typical High $524.81 | Facility | None | $66.07 | $87.10 | $524.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $30.20 Median $32.36 Typical High $120.23 | Professional | None (both parts) | $30.20 | $32.36 | $120.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $11.22 Typical High $41.69 | Professional | 26 · Professional part | $10.23 | $11.22 | $41.69 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $20.89 Typical High $81.28 | Professional | TC · Technical part | $19.95 | $20.89 | $81.28 |
Emblem Health Setting Facility Modifier None Typical Low $21.38 Median $33.11 Typical High $95.50 | Facility | None | $21.38 | $33.11 | $95.50 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $39.81 Median $50.12 Typical High $70.79 | Professional | None (both parts) | $39.81 | $50.12 | $70.79 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $17.78 Typical High $31.62 | Professional | 26 · Professional part | $14.79 | $17.78 | $31.62 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $32.36 Typical High $46.77 | Professional | TC · Technical part | $30.20 | $32.36 | $46.77 |
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 $38.02 Median $41.69 Typical High $58.88 | Professional | None (both parts) | $38.02 | $41.69 | $58.88 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $14.79 Typical High $21.88 | Professional | 26 · Professional part | $8.51 | $14.79 | $21.88 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $28.84 Typical High $37.15 | Professional | TC · Technical part | $23.99 | $28.84 | $37.15 |
Highmark BCBS Setting Facility Modifier None Typical Low $467.74 Median $478.63 Typical High $616.60 | Facility | None | $467.74 | $478.63 | $616.60 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $30.20 Typical High $36.31 | Professional | 26 · Professional part | $10.72 | $30.20 | $36.31 |
MVP Health Care Setting Facility Modifier None Typical Low $26.30 Median $107.15 Typical High $257.04 | Facility | None | $26.30 | $107.15 | $257.04 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $50.12 Median $50.12 Typical High $97.72 | Professional | None (both parts) | $50.12 | $50.12 | $97.72 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $20.42 Typical High $25.70 | Professional | 26 · Professional part | $16.60 | $20.42 | $25.70 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $31.62 Typical High $43.65 | Professional | TC · Technical part | $25.12 | $31.62 | $43.65 |
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 $30.20 Median $38.02 Typical High $70.79 | Professional | None (both parts) | $30.20 | $38.02 | $70.79 |
United Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $13.80 Typical High $26.30 | Professional | 26 · Professional part | $11.48 | $13.80 | $26.30 |
United Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $23.44 Typical High $45.71 | Professional | TC · Technical part | $19.05 | $23.44 | $45.71 |
Univera Setting Facility Modifier None Typical Low $20.42 Median $20.42 Typical High $123.03 | Facility | None | $20.42 | $20.42 | $123.03 |
Univera Setting Facility Modifier TC · Technical part Typical Low $12.02 Median $12.02 Typical High $87.10 | Facility | TC · Technical part | $12.02 | $12.02 | $87.10 |
Univera Setting Professional Modifier None (both parts) Typical Low $38.02 Median $41.69 Typical High $53.70 | Professional | None (both parts) | $38.02 | $41.69 | $53.70 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $14.79 Typical High $19.95 | Professional | 26 · Professional part | $8.51 | $14.79 | $19.95 |
Univera Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $28.84 Typical High $33.88 | Professional | TC · Technical part | $23.99 | $28.84 | $33.88 |
8 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 $14.45 Median $14.45 Typical High $20.89 | Professional | 52 · Reduced service | $14.45 | $14.45 | $20.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.75 Median $5.75 Typical High $8.32 | Professional | 53 · Discontinued | $5.75 | $5.75 | $8.32 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $23.44 Median $23.44 Typical High $33.11 | Professional | FX · Film X-ray | $23.44 | $23.44 | $33.11 |
Excellus BCBS Setting Professional Modifier FX · Film X-ray Typical Low $28.18 Median $39.81 Typical High $51.29 | Professional | FX · Film X-ray | $28.18 | $39.81 | $51.29 |
Excellus BCBS Setting Professional Modifier FY · Cassette-based X-ray Typical Low $30.90 Median $43.65 Typical High $56.23 | Professional | FY · Cassette-based X-ray | $30.90 | $43.65 | $56.23 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $26.30 Typical High $40.74 | Professional | 53 · Discontinued | $20.89 | $26.30 | $40.74 |
Univera Setting Professional Modifier FX · Film X-ray Typical Low $33.88 Median $38.90 Typical High $51.29 | Professional | FX · Film X-ray | $33.88 | $38.90 | $51.29 |
Univera Setting Professional Modifier FY · Cassette-based X-ray Typical Low $36.31 Median $38.90 Typical High $56.23 | Professional | FY · Cassette-based X-ray | $36.31 | $38.90 | $56.23 |
Where New York sits
The same service costs 3.8 times more in Alaska than in New York. 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· 51st of 51
$30.20
AK $115NY $30.20
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.