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 $42.66 Median $61.66 Typical High $141.25 | Facility | None | $42.66 | $61.66 | $141.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $42.66 Median $42.66 Typical High $70.79 | Professional | None (both parts) | $42.66 | $42.66 | $70.79 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $19.95 Typical High $28.84 | Professional | 26 · Professional part | $19.95 | $19.95 | $28.84 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $22.91 Typical High $42.66 | Professional | TC · Technical part | $22.91 | $22.91 | $42.66 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $43.65 Median $48.98 Typical High $95.50 | Professional | None (both parts) | $43.65 | $48.98 | $95.50 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $23.44 Typical High $41.69 | Professional | 26 · Professional part | $19.95 | $23.44 | $41.69 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $25.70 Typical High $50.12 | Professional | TC · Technical part | $21.88 | $25.70 | $50.12 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $36.31 Median $48.98 Typical High $85.11 | Professional | None (both parts) | $36.31 | $48.98 | $85.11 |
Cigna Setting Facility Modifier None Typical Low $87.10 Median $117.49 Typical High $354.81 | Facility | None | $87.10 | $117.49 | $354.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $44.67 Median $46.77 Typical High $162.18 | Professional | None (both parts) | $44.67 | $46.77 | $162.18 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $19.50 Typical High $69.18 | Professional | 26 · Professional part | $17.78 | $19.50 | $69.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $27.54 Typical High $93.33 | Professional | TC · Technical part | $27.54 | $27.54 | $93.33 |
Emblem Health Setting Facility Modifier None Typical Low $27.54 Median $42.66 Typical High $123.03 | Facility | None | $27.54 | $42.66 | $123.03 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $56.23 Median $70.79 Typical High $100.00 | Professional | None (both parts) | $56.23 | $70.79 | $100.00 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $28.18 Typical High $51.29 | Professional | 26 · Professional part | $24.55 | $28.18 | $51.29 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $41.69 Typical High $61.66 | Professional | TC · Technical part | $39.81 | $41.69 | $61.66 |
Excellus BCBS Setting Facility Modifier None Typical Low $15.14 Median $15.14 Typical High $15.14 | Facility | None | $15.14 | $15.14 | $15.14 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $9.12 Median $9.12 Typical High $9.12 | Facility | TC · Technical part | $9.12 | $9.12 | $9.12 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $41.69 Median $56.23 Typical High $87.10 | Professional | None (both parts) | $41.69 | $56.23 | $87.10 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $23.44 Typical High $36.31 | Professional | 26 · Professional part | $14.79 | $23.44 | $36.31 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $33.11 Typical High $50.12 | Professional | TC · Technical part | $27.54 | $33.11 | $50.12 |
Fidelis Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | 26 · Professional part | $30.20 | $30.20 | $30.20 |
Highmark BCBS Setting Facility Modifier None Typical Low $575.44 Median $575.44 Typical High $616.60 | Facility | None | $575.44 | $575.44 | $616.60 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | None (both parts) | $63.10 | $63.10 | $63.10 |
MVP Health Care Setting Facility Modifier None Typical Low $35.48 Median $107.15 Typical High $257.04 | Facility | None | $35.48 | $107.15 | $257.04 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $60.26 Median $60.26 Typical High $144.54 | Professional | None (both parts) | $60.26 | $60.26 | $144.54 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $33.88 Typical High $42.66 | Professional | 26 · Professional part | $27.54 | $33.88 | $42.66 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $43.65 Typical High $57.54 | Professional | TC · Technical part | $33.88 | $43.65 | $57.54 |
United Setting Facility Modifier None Typical Low $1,096.48 Median $1,288.25 Typical High $1,584.89 | Facility | None | $1,096.48 | $1,288.25 | $1,584.89 |
United Setting Professional Modifier None (both parts) Typical Low $44.67 Median $54.95 Typical High $100.00 | Professional | None (both parts) | $44.67 | $54.95 | $100.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $22.91 Typical High $43.65 | Professional | 26 · Professional part | $19.05 | $22.91 | $43.65 |
United Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $31.62 Typical High $58.88 | Professional | TC · Technical part | $25.70 | $31.62 | $58.88 |
Univera Setting Facility Modifier None Typical Low $15.14 Median $15.14 Typical High $141.25 | Facility | None | $15.14 | $15.14 | $141.25 |
Univera Setting Facility Modifier TC · Technical part Typical Low $9.12 Median $9.12 Typical High $109.65 | Facility | TC · Technical part | $9.12 | $9.12 | $109.65 |
Univera Setting Professional Modifier None (both parts) Typical Low $41.69 Median $56.23 Typical High $77.62 | Professional | None (both parts) | $41.69 | $56.23 | $77.62 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $23.44 Typical High $32.36 | Professional | 26 · Professional part | $14.79 | $23.44 | $32.36 |
Univera Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $33.11 Typical High $45.71 | Professional | TC · Technical part | $27.54 | $33.11 | $45.71 |
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 $21.38 Median $21.38 Typical High $30.90 | Professional | 52 · Reduced service | $21.38 | $21.38 | $30.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.51 Median $8.51 Typical High $12.30 | Professional | 53 · Discontinued | $8.51 | $8.51 | $12.30 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $33.88 Median $33.88 Typical High $48.98 | Professional | FX · Film X-ray | $33.88 | $33.88 | $48.98 |
Emblem Health Setting Professional Modifier GL · Free upgrade Typical Low $52.48 Median $52.48 Typical High $58.88 | Professional | GL · Free upgrade | $52.48 | $52.48 | $58.88 |
Excellus BCBS Setting Professional Modifier FY · Cassette-based X-ray Typical Low $45.71 Median $63.10 Typical High $83.18 | Professional | FY · Cassette-based X-ray | $45.71 | $63.10 | $83.18 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $38.90 Typical High $58.88 | Professional | 53 · Discontinued | $30.90 | $38.90 | $58.88 |
Univera Setting Professional Modifier FY · Cassette-based X-ray Typical Low $53.70 Median $54.95 Typical High $83.18 | Professional | FY · Cassette-based X-ray | $53.70 | $54.95 | $83.18 |
Where New York sits
The same service costs 3.8 times more in Alaska 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· 48th of 51
$52.48
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.