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 $186.21 Median $1,096.48 Typical High $2,238.72 | Facility | None | $186.21 | $1,096.48 | $2,238.72 |
Aetna Setting Professional Modifier None (both parts) Typical Low $186.21 Median $186.21 Typical High $263.03 | Professional | None (both parts) | $186.21 | $186.21 | $263.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $41.69 Typical High $56.23 | Professional | 26 · Professional part | $41.69 | $41.69 | $56.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $144.54 Typical High $181.97 | Professional | TC · Technical part | $144.54 | $144.54 | $181.97 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | None (both parts) | $162.18 | $162.18 | $162.18 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $218.78 Median $257.04 Typical High $323.59 | Professional | None (both parts) | $218.78 | $257.04 | $323.59 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $57.54 Typical High $70.79 | Professional | 26 · Professional part | $48.98 | $57.54 | $70.79 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $199.53 Typical High $245.47 | Professional | TC · Technical part | $169.82 | $199.53 | $245.47 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $75.86 Median $245.47 Typical High $323.59 | Professional | None (both parts) | $75.86 | $245.47 | $323.59 |
Cigna Setting Facility Modifier None Typical Low $316.23 Median $524.81 Typical High $630.96 | Facility | None | $316.23 | $524.81 | $630.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $190.55 Typical High $954.99 | Professional | None (both parts) | $169.82 | $190.55 | $954.99 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $40.74 Typical High $144.54 | Professional | 26 · Professional part | $38.02 | $40.74 | $144.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $144.54 Typical High $707.95 | Professional | TC · Technical part | $131.83 | $144.54 | $707.95 |
Emblem Health Setting Facility Modifier None Typical Low $117.49 Median $181.97 Typical High $524.81 | Facility | None | $117.49 | $181.97 | $524.81 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $213.80 Median $234.42 Typical High $338.84 | Professional | None (both parts) | $213.80 | $234.42 | $338.84 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $58.88 Typical High $91.20 | Professional | 26 · Professional part | $53.70 | $58.88 | $91.20 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $177.83 Typical High $263.03 | Professional | TC · Technical part | $165.96 | $177.83 | $263.03 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $158.49 Median $223.87 Typical High $346.74 | Professional | None (both parts) | $158.49 | $223.87 | $346.74 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $57.54 Typical High $89.13 | Professional | 26 · Professional part | $41.69 | $57.54 | $89.13 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $165.96 Typical High $251.19 | Professional | TC · Technical part | $117.49 | $165.96 | $251.19 |
Highmark BCBS Setting Facility Modifier TC · Technical part Typical Low $478.63 Median $891.25 Typical High $912.01 | Facility | TC · Technical part | $478.63 | $891.25 | $912.01 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $67.61 Typical High $114.82 | Professional | 26 · Professional part | $67.61 | $67.61 | $114.82 |
MVP Health Care Setting Facility Modifier None Typical Low $107.15 Median $257.04 Typical High $309.03 | Facility | None | $107.15 | $257.04 | $309.03 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $208.93 Median $208.93 Typical High $575.44 | Professional | None (both parts) | $208.93 | $208.93 | $575.44 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $72.44 Typical High $91.20 | Professional | 26 · Professional part | $58.88 | $72.44 | $91.20 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $229.09 Typical High $302.00 | Professional | TC · Technical part | $177.83 | $229.09 | $302.00 |
United Setting Facility Modifier None Typical Low $478.63 Median $562.34 Typical High $691.83 | Facility | None | $478.63 | $562.34 | $691.83 |
United Setting Professional Modifier None (both parts) Typical Low $162.18 Median $218.78 Typical High $426.58 | Professional | None (both parts) | $162.18 | $218.78 | $426.58 |
United Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $50.12 Typical High $104.71 | Professional | 26 · Professional part | $39.81 | $50.12 | $104.71 |
United Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $162.18 Typical High $338.84 | Professional | TC · Technical part | $123.03 | $162.18 | $338.84 |
Univera Setting Facility Modifier None Typical Low $223.87 Median $229.09 Typical High $363.08 | Facility | None | $223.87 | $229.09 | $363.08 |
Univera Setting Professional Modifier None (both parts) Typical Low $158.49 Median $190.55 Typical High $346.74 | Professional | None (both parts) | $158.49 | $190.55 | $346.74 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $48.98 Typical High $89.13 | Professional | 26 · Professional part | $41.69 | $48.98 | $89.13 |
Univera Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $141.25 Typical High $251.19 | Professional | TC · Technical part | $117.49 | $141.25 | $251.19 |
4 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 |
|---|---|---|---|---|---|
Excellus BCBS Setting Professional Modifier FX · Film X-ray Typical Low $134.90 Median $190.55 Typical High $295.12 | Professional | FX · Film X-ray | $134.90 | $190.55 | $295.12 |
Excellus BCBS Setting Professional Modifier FY · Cassette-based X-ray Typical Low $151.36 Median $208.93 Typical High $323.59 | Professional | FY · Cassette-based X-ray | $151.36 | $208.93 | $323.59 |
Univera Setting Professional Modifier FX · Film X-ray Typical Low $134.90 Median $162.18 Typical High $295.12 | Professional | FX · Film X-ray | $134.90 | $162.18 | $295.12 |
Univera Setting Professional Modifier FY · Cassette-based X-ray Typical Low $151.36 Median $177.83 Typical High $323.59 | Professional | FY · Cassette-based X-ray | $151.36 | $177.83 | $323.59 |
Where New York sits
The same service costs 5.4 times more in Wyoming 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· 34th of 51
$240
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.