How much rates vary
Facilitymedian $10 · 10th to 90th $4 to $40Professionalmedian $10 · 10th to 90th $6 to $17
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 $6.46 Median $11.75 Typical High $102.33 | Facility | None | $6.46 | $11.75 | $102.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $11.48 Median $11.75 Typical High $16.60 | Professional | None (both parts) | $11.48 | $11.75 | $16.60 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $7.41 Typical High $10.72 | Professional | 26 · Professional part | $7.41 | $7.41 | $10.72 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $3.63 Median $4.37 Typical High $5.89 | Professional | TC · Technical part | $3.63 | $4.37 | $5.89 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $7.94 Median $9.55 Typical High $12.02 | Professional | None (both parts) | $7.94 | $9.55 | $12.02 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $5.89 Median $9.33 Typical High $11.22 | Professional | None (both parts) | $5.89 | $9.33 | $11.22 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $5.62 Median $6.61 Typical High $11.48 | Professional | 26 · Professional part | $5.62 | $6.61 | $11.48 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $3.09 Median $3.63 Typical High $8.71 | Professional | TC · Technical part | $3.09 | $3.63 | $8.71 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $5.13 Median $11.22 Typical High $16.22 | Professional | None (both parts) | $5.13 | $11.22 | $16.22 |
Cigna Setting Facility Modifier None Typical Low $10.23 Median $14.13 Typical High $34.67 | Facility | None | $10.23 | $14.13 | $34.67 |
Cigna Setting Professional Modifier None (both parts) Typical Low $8.71 Median $14.45 Typical High $38.02 | Professional | None (both parts) | $8.71 | $14.45 | $38.02 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $5.62 Median $7.24 Typical High $21.88 | Professional | 26 · Professional part | $5.62 | $7.24 | $21.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $2.95 Median $4.37 Typical High $19.50 | Professional | TC · Technical part | $2.95 | $4.37 | $19.50 |
Emblem Health Setting Facility Modifier None Typical Low $3.24 Median $4.79 Typical High $14.79 | Facility | None | $3.24 | $4.79 | $14.79 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $12.02 Median $13.80 Typical High $20.89 | Professional | None (both parts) | $12.02 | $13.80 | $20.89 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $9.12 Typical High $12.59 | Professional | 26 · Professional part | $7.94 | $9.12 | $12.59 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $4.90 Median $4.90 Typical High $7.24 | Professional | TC · Technical part | $4.90 | $4.90 | $7.24 |
Excellus BCBS Setting Facility Modifier None Typical Low $4.07 Median $4.07 Typical High $4.07 | Facility | None | $4.07 | $4.07 | $4.07 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $2.40 Median $2.40 Typical High $2.40 | Facility | TC · Technical part | $2.40 | $2.40 | $2.40 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $9.33 Median $11.22 Typical High $16.22 | Professional | None (both parts) | $9.33 | $11.22 | $16.22 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $5.25 Median $7.41 Typical High $11.22 | Professional | 26 · Professional part | $5.25 | $7.41 | $11.22 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $3.31 Median $3.89 Typical High $5.13 | Professional | TC · Technical part | $3.31 | $3.89 | $5.13 |
Highmark BCBS Setting Facility Modifier None Typical Low $165.96 Median $165.96 Typical High $165.96 | Facility | None | $165.96 | $165.96 | $165.96 |
MVP Health Care Setting Facility Modifier None Typical Low $5.25 Median $19.05 Typical High $257.04 | Facility | None | $5.25 | $19.05 | $257.04 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $11.22 Median $11.22 Typical High $29.51 | Professional | None (both parts) | $11.22 | $11.22 | $29.51 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $10.72 Typical High $15.49 | Professional | 26 · Professional part | $8.51 | $10.72 | $15.49 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $3.89 Median $5.25 Typical High $7.24 | Professional | TC · Technical part | $3.89 | $5.25 | $7.24 |
United Setting Facility Modifier None Typical Low $57.54 Median $67.61 Typical High $83.18 | Facility | None | $57.54 | $67.61 | $83.18 |
United Setting Professional Modifier None (both parts) Typical Low $8.71 Median $10.72 Typical High $20.42 | Professional | None (both parts) | $8.71 | $10.72 | $20.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $5.62 Median $7.24 Typical High $13.49 | Professional | 26 · Professional part | $5.62 | $7.24 | $13.49 |
United Setting Professional Modifier TC · Technical part Typical Low $3.02 Median $3.63 Typical High $7.08 | Professional | TC · Technical part | $3.02 | $3.63 | $7.08 |
Univera Setting Facility Modifier None Typical Low $4.07 Median $4.07 Typical High $33.11 | Facility | None | $4.07 | $4.07 | $33.11 |
Univera Setting Facility Modifier TC · Technical part Typical Low $2.40 Median $2.40 Typical High $6.76 | Facility | TC · Technical part | $2.40 | $2.40 | $6.76 |
Univera Setting Professional Modifier None (both parts) Typical Low $9.33 Median $11.22 Typical High $15.14 | Professional | None (both parts) | $9.33 | $11.22 | $15.14 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $5.25 Median $7.41 Typical High $10.23 | Professional | 26 · Professional part | $5.25 | $7.41 | $10.23 |
Univera Setting Professional Modifier TC · Technical part Typical Low $3.31 Median $3.89 Typical High $5.01 | Professional | TC · Technical part | $3.31 | $3.89 | $5.01 |
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 $5.75 Median $5.89 Typical High $5.89 | Professional | 52 · Reduced service | $5.75 | $5.89 | $5.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.29 Median $2.34 Typical High $2.34 | Professional | 53 · Discontinued | $2.29 | $2.34 | $2.34 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $9.33 Median $9.33 Typical High $9.33 | Professional | FX · Film X-ray | $9.33 | $9.33 | $9.33 |
Emblem Health Setting Professional Modifier GL · Free upgrade Typical Low $10.96 Median $12.59 Typical High $12.59 | Professional | GL · Free upgrade | $10.96 | $12.59 | $12.59 |
Excellus BCBS Setting Professional Modifier FY · Cassette-based X-ray Typical Low $8.71 Median $12.30 Typical High $15.85 | Professional | FY · Cassette-based X-ray | $8.71 | $12.30 | $15.85 |
Univera Setting Professional Modifier FY · Cassette-based X-ray Typical Low $10.23 Median $10.96 Typical High $15.85 | Professional | FY · Cassette-based X-ray | $10.23 | $10.96 | $15.85 |
Where New York sits
The same service costs 3.9 times more in Alaska than in Florida. 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· 50th of 51
$10.23
AK $35.48FL $9.12
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.