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 $154.88 Median $229.09 Typical High $12,302.69 | Facility | None | $154.88 | $229.09 | $12,302.69 |
Aetna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $147.91 Typical High $281.84 | Professional | None (both parts) | $147.91 | $147.91 | $281.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $50.12 Typical High $123.03 | Professional | 26 · Professional part | $50.12 | $50.12 | $123.03 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $97.72 Typical High $208.93 | Professional | TC · Technical part | $72.44 | $97.72 | $208.93 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | None (both parts) | $158.49 | $158.49 | $158.49 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $91.20 Median $154.88 Typical High $199.53 | Professional | None (both parts) | $91.20 | $154.88 | $199.53 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $91.20 Typical High $107.15 | Professional | 26 · Professional part | $75.86 | $91.20 | $107.15 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $72.44 Typical High $123.03 | Professional | TC · Technical part | $61.66 | $72.44 | $123.03 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $107.15 Median $131.83 Typical High $239.88 | Professional | None (both parts) | $107.15 | $131.83 | $239.88 |
Cigna Setting Facility Modifier None Typical Low $204.17 Median $263.03 Typical High $4,168.69 | Facility | None | $204.17 | $263.03 | $4,168.69 |
Cigna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $141.25 Typical High $588.84 | Professional | None (both parts) | $123.03 | $141.25 | $588.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $69.18 Typical High $223.87 | Professional | 26 · Professional part | $48.98 | $69.18 | $223.87 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $72.44 Typical High $380.19 | Professional | TC · Technical part | $54.95 | $72.44 | $380.19 |
Emblem Health Setting Facility Modifier None Typical Low $57.54 Median $89.13 Typical High $257.04 | Facility | None | $57.54 | $89.13 | $257.04 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $173.78 Median $194.98 Typical High $275.42 | Professional | None (both parts) | $173.78 | $194.98 | $275.42 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $107.15 Typical High $181.97 | Professional | 26 · Professional part | $87.10 | $107.15 | $181.97 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $87.10 Typical High $128.82 | Professional | TC · Technical part | $83.18 | $87.10 | $128.82 |
Excellus BCBS Setting Facility Modifier None Typical Low $56.23 Median $56.23 Typical High $56.23 | Facility | None | $56.23 | $56.23 | $56.23 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $33.88 Median $33.88 Typical High $33.88 | Facility | TC · Technical part | $33.88 | $33.88 | $33.88 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $151.36 Median $177.83 Typical High $234.42 | Professional | None (both parts) | $151.36 | $177.83 | $234.42 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $87.10 Typical High $131.83 | Professional | 26 · Professional part | $36.31 | $87.10 | $131.83 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $77.62 Typical High $147.91 | Professional | TC · Technical part | $66.07 | $77.62 | $147.91 |
Highmark BCBS Setting Facility Modifier None Typical Low $2,691.53 Median $2,691.53 Typical High $4,265.80 | Facility | None | $2,691.53 | $2,691.53 | $4,265.80 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | None (both parts) | $346.74 | $346.74 | $346.74 |
MVP Health Care Setting Facility Modifier None Typical Low $72.44 Median $134.90 Typical High $257.04 | Facility | None | $72.44 | $134.90 | $257.04 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $251.19 Median $676.08 Typical High $676.08 | Professional | None (both parts) | $251.19 | $676.08 | $676.08 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $123.03 Typical High $162.18 | Professional | 26 · Professional part | $100.00 | $123.03 | $162.18 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $102.33 Typical High $141.25 | Professional | TC · Technical part | $79.43 | $102.33 | $141.25 |
United Setting Facility Modifier None Typical Low $6,309.57 Median $7,413.10 Typical High $9,120.11 | Facility | None | $6,309.57 | $7,413.10 | $9,120.11 |
United Setting Professional Modifier None (both parts) Typical Low $131.83 Median $165.96 Typical High $489.78 | Professional | None (both parts) | $131.83 | $165.96 | $489.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $85.11 Typical High $158.49 | Professional | 26 · Professional part | $66.07 | $85.11 | $158.49 |
United Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $74.13 Typical High $199.53 | Professional | TC · Technical part | $60.26 | $74.13 | $199.53 |
Univera Setting Facility Modifier None Typical Low $56.23 Median $56.23 Typical High $549.54 | Facility | None | $56.23 | $56.23 | $549.54 |
Univera Setting Facility Modifier TC · Technical part Typical Low $33.88 Median $33.88 Typical High $354.81 | Facility | TC · Technical part | $33.88 | $33.88 | $354.81 |
Univera Setting Professional Modifier None (both parts) Typical Low $151.36 Median $177.83 Typical High $234.42 | Professional | None (both parts) | $151.36 | $177.83 | $234.42 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $87.10 Typical High $131.83 | Professional | 26 · Professional part | $36.31 | $87.10 | $131.83 |
Univera Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $87.10 Typical High $147.91 | Professional | TC · Technical part | $66.07 | $87.10 | $147.91 |
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 $74.13 Median $74.13 Typical High $102.33 | Professional | 52 · Reduced service | $74.13 | $74.13 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $29.51 Typical High $41.69 | Professional | 53 · Discontinued | $29.51 | $29.51 | $41.69 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $117.49 Median $117.49 Typical High $131.83 | Professional | FX · Film X-ray | $117.49 | $117.49 | $131.83 |
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 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $91.20 Median $114.82 Typical High $165.96 | Professional | 53 · Discontinued | $91.20 | $114.82 | $165.96 |
Univera 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 |
Where New York sits
The same service costs 5.1 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· 48th of 51
$158
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.