How much rates vary
Facilitymedian $66 · 10th to 90th $24 to $155Professionalmedian $13 · 10th to 90th $10 to $65
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 $12.88 Median $40.74 Typical High $114.82 | Facility | None | $12.88 | $40.74 | $114.82 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $6.17 Median $15.49 Typical High $42.66 | Facility | 26 · Professional part | $6.17 | $15.49 | $42.66 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $6.76 Median $25.70 Typical High $74.13 | Facility | TC · Technical part | $6.76 | $25.70 | $74.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $12.88 Median $12.88 Typical High $57.54 | Professional | None (both parts) | $12.88 | $12.88 | $57.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.17 Median $6.17 Typical High $21.38 | Professional | 26 · Professional part | $6.17 | $6.17 | $21.38 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $6.92 Median $6.92 Typical High $36.31 | Professional | TC · Technical part | $6.92 | $6.92 | $36.31 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | None (both parts) | $35.48 | $35.48 | $35.48 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $10.00 Median $12.02 Typical High $30.20 | Professional | None (both parts) | $10.00 | $12.02 | $30.20 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $5.01 Median $5.89 Typical High $13.18 | Professional | 26 · Professional part | $5.01 | $5.89 | $13.18 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $5.50 Median $6.46 Typical High $18.20 | Professional | TC · Technical part | $5.50 | $6.46 | $18.20 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $21.88 Median $37.15 Typical High $58.88 | Professional | None (both parts) | $21.88 | $37.15 | $58.88 |
Cigna Setting Facility Modifier None Typical Low $67.61 Median $89.13 Typical High $138.04 | Facility | None | $67.61 | $89.13 | $138.04 |
Cigna Setting Professional Modifier None (both parts) Typical Low $14.79 Median $30.20 Typical High $208.93 | Professional | None (both parts) | $14.79 | $30.20 | $208.93 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.03 Median $10.96 Typical High $35.48 | Professional | 26 · Professional part | $6.03 | $10.96 | $35.48 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $8.91 Median $19.50 Typical High $138.04 | Professional | TC · Technical part | $8.91 | $19.50 | $138.04 |
Emblem Health Setting Facility Modifier None Typical Low $22.91 Median $34.67 Typical High $100.00 | Facility | None | $22.91 | $34.67 | $100.00 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $40.74 Median $51.29 Typical High $74.13 | Professional | None (both parts) | $40.74 | $51.29 | $74.13 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $17.38 Typical High $23.99 | Professional | 26 · Professional part | $14.79 | $17.38 | $23.99 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $33.88 Typical High $50.12 | Professional | TC · Technical part | $32.36 | $33.88 | $50.12 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $12.88 Median $40.74 Typical High $61.66 | Professional | None (both parts) | $12.88 | $40.74 | $61.66 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $4.47 Median $14.45 Typical High $21.88 | Professional | 26 · Professional part | $4.47 | $14.45 | $21.88 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $8.51 Median $26.92 Typical High $39.81 | Professional | TC · Technical part | $8.51 | $26.92 | $39.81 |
Fidelis Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $11.22 Typical High $14.79 | Professional | 26 · Professional part | $11.22 | $11.22 | $14.79 |
Highmark BCBS Setting Facility Modifier TC · Technical part Typical Low $33.88 Median $602.56 Typical High $2,238.72 | Facility | TC · Technical part | $33.88 | $602.56 | $2,238.72 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $38.90 Median $38.90 Typical High $38.90 | Professional | None (both parts) | $38.90 | $38.90 | $38.90 |
MVP Health Care Setting Facility Modifier None Typical Low $27.54 Median $107.15 Typical High $257.04 | Facility | None | $27.54 | $107.15 | $257.04 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $52.48 Median $151.36 Typical High $151.36 | Professional | None (both parts) | $52.48 | $151.36 | $151.36 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $19.95 Typical High $26.30 | Professional | 26 · Professional part | $16.22 | $19.95 | $26.30 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $34.67 Typical High $46.77 | Professional | TC · Technical part | $26.92 | $34.67 | $46.77 |
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 $28.84 Median $38.02 Typical High $69.18 | Professional | None (both parts) | $28.84 | $38.02 | $69.18 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $13.80 Typical High $26.30 | Professional | 26 · Professional part | $10.23 | $13.80 | $26.30 |
United Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $25.12 Typical High $44.67 | Professional | TC · Technical part | $20.42 | $25.12 | $44.67 |
Univera Setting Facility Modifier None Typical Low $47.86 Median $47.86 Typical High $74.13 | Facility | None | $47.86 | $47.86 | $74.13 |
Univera Setting Professional Modifier None (both parts) Typical Low $12.88 Median $40.74 Typical High $57.54 | Professional | None (both parts) | $12.88 | $40.74 | $57.54 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $4.47 Median $14.45 Typical High $21.38 | Professional | 26 · Professional part | $4.47 | $14.45 | $21.38 |
Univera Setting Professional Modifier TC · Technical part Typical Low $8.51 Median $26.92 Typical High $37.15 | Professional | TC · Technical part | $8.51 | $26.92 | $37.15 |
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 $6.46 Median $6.46 Typical High $20.42 | Professional | 52 · Reduced service | $6.46 | $6.46 | $20.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.57 Median $2.57 Typical High $8.13 | Professional | 53 · Discontinued | $2.57 | $2.57 | $8.13 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $10.47 Median $10.47 Typical High $33.11 | Professional | FX · Film X-ray | $10.47 | $10.47 | $33.11 |
Emblem Health Setting Professional Modifier GL · Free upgrade Typical Low $16.60 Median $16.60 Typical High $18.62 | Professional | GL · Free upgrade | $16.60 | $16.60 | $18.62 |
Excellus BCBS Setting Professional Modifier FY · Cassette-based X-ray Typical Low $32.36 Median $43.65 Typical High $58.88 | Professional | FY · Cassette-based X-ray | $32.36 | $43.65 | $58.88 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $27.54 Typical High $40.74 | Professional | 53 · Discontinued | $21.38 | $27.54 | $40.74 |
Univera Setting Professional Modifier FY · Cassette-based X-ray Typical Low $32.36 Median $38.90 Typical High $58.88 | Professional | FY · Cassette-based X-ray | $32.36 | $38.90 | $58.88 |
Where New York sits
The same service costs 9.3 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
$13.18
AK $123NY $13.18
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.