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 $91.20 Median $114.82 Typical High $199.53 | Facility | None | $91.20 | $114.82 | $199.53 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $21.38 Median $28.18 Typical High $48.98 | Facility | 26 · Professional part | $21.38 | $28.18 | $48.98 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $69.18 Median $87.10 Typical High $245.47 | Facility | TC · Technical part | $69.18 | $87.10 | $245.47 |
Aetna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $93.33 Typical High $181.97 | Professional | None (both parts) | $91.20 | $93.33 | $181.97 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $21.38 Typical High $41.69 | Professional | 26 · Professional part | $21.38 | $21.38 | $41.69 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $69.18 Typical High $138.04 | Professional | TC · Technical part | $69.18 | $69.18 | $138.04 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $70.79 Median $102.33 Typical High $162.18 | Professional | None (both parts) | $70.79 | $102.33 | $162.18 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $107.15 Median $125.89 Typical High $165.96 | Professional | None (both parts) | $107.15 | $125.89 | $165.96 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $29.51 Typical High $34.67 | Professional | 26 · Professional part | $24.55 | $29.51 | $34.67 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $97.72 Typical High $109.65 | Professional | TC · Technical part | $81.28 | $97.72 | $109.65 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $39.81 Median $125.89 Typical High $162.18 | Professional | None (both parts) | $39.81 | $125.89 | $162.18 |
Cigna Setting Facility Modifier None Typical Low $173.78 Median $269.15 Typical High $707.95 | Facility | None | $173.78 | $269.15 | $707.95 |
Cigna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $128.82 Typical High $363.08 | Professional | None (both parts) | $87.10 | $128.82 | $363.08 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $20.89 Typical High $70.79 | Professional | 26 · Professional part | $19.50 | $20.89 | $70.79 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $100.00 Typical High $275.42 | Professional | TC · Technical part | $66.07 | $100.00 | $275.42 |
Emblem Health Setting Facility Modifier None Typical Low $66.07 Median $102.33 Typical High $288.40 | Facility | None | $66.07 | $102.33 | $288.40 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $112.20 Median $128.82 Typical High $194.98 | Professional | None (both parts) | $112.20 | $128.82 | $194.98 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $30.90 Typical High $107.15 | Professional | 26 · Professional part | $26.92 | $30.90 | $107.15 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $100.00 Typical High $144.54 | Professional | TC · Technical part | $97.72 | $100.00 | $144.54 |
Excellus BCBS Setting Facility Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Facility | None | $30.20 | $30.20 | $30.20 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $18.20 Median $18.20 Typical High $18.20 | Facility | TC · Technical part | $18.20 | $18.20 | $18.20 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $81.28 Median $104.71 Typical High $154.88 | Professional | None (both parts) | $81.28 | $104.71 | $154.88 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $25.70 Typical High $38.90 | Professional | 26 · Professional part | $15.14 | $25.70 | $38.90 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $77.62 Typical High $117.49 | Professional | TC · Technical part | $64.57 | $77.62 | $117.49 |
Fidelis Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $38.90 Typical High $43.65 | Professional | 26 · Professional part | $23.44 | $38.90 | $43.65 |
Highmark BCBS Setting Facility Modifier None Typical Low $112.20 Median $181.97 Typical High $707.95 | Facility | None | $112.20 | $181.97 | $707.95 |
Highmark BCBS Setting Facility Modifier TC · Technical part Typical Low $107.15 Median $181.97 Typical High $363.08 | Facility | TC · Technical part | $107.15 | $181.97 | $363.08 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $102.33 Median $128.82 Typical High $223.87 | Professional | None (both parts) | $102.33 | $128.82 | $223.87 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $31.62 Typical High $56.23 | Professional | 26 · Professional part | $25.12 | $31.62 | $56.23 |
MVP Health Care Setting Facility Modifier None Typical Low $83.18 Median $154.88 Typical High $257.04 | Facility | None | $83.18 | $154.88 | $257.04 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $120.23 Median $120.23 Typical High $281.84 | Professional | None (both parts) | $120.23 | $120.23 | $281.84 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $37.15 Typical High $53.70 | Professional | 26 · Professional part | $29.51 | $37.15 | $53.70 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $114.82 Typical High $165.96 | Professional | TC · Technical part | $89.13 | $114.82 | $165.96 |
United Setting Facility Modifier None Typical Low $208.93 Median $245.47 Typical High $302.00 | Facility | None | $208.93 | $245.47 | $302.00 |
United Setting Professional Modifier None (both parts) Typical Low $77.62 Median $102.33 Typical High $190.55 | Professional | None (both parts) | $77.62 | $102.33 | $190.55 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $24.55 Typical High $45.71 | Professional | 26 · Professional part | $19.05 | $24.55 | $45.71 |
United Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $77.62 Typical High $144.54 | Professional | TC · Technical part | $61.66 | $77.62 | $144.54 |
Univera Setting Facility Modifier None Typical Low $30.20 Median $30.20 Typical High $208.93 | Facility | None | $30.20 | $30.20 | $208.93 |
Univera Setting Facility Modifier TC · Technical part Typical Low $18.20 Median $18.20 Typical High $173.78 | Facility | TC · Technical part | $18.20 | $18.20 | $173.78 |
Univera Setting Professional Modifier None (both parts) Typical Low $81.28 Median $104.71 Typical High $154.88 | Professional | None (both parts) | $81.28 | $104.71 | $154.88 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $25.70 Typical High $38.90 | Professional | 26 · Professional part | $15.14 | $25.70 | $38.90 |
Univera Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $77.62 Typical High $117.49 | Professional | TC · Technical part | $64.57 | $77.62 | $117.49 |
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 $45.71 Median $45.71 Typical High $57.54 | Professional | 52 · Reduced service | $45.71 | $45.71 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $18.20 Typical High $22.91 | Professional | 53 · Discontinued | $18.20 | $18.20 | $22.91 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $72.44 Median $72.44 Typical High $91.20 | Professional | FX · Film X-ray | $72.44 | $72.44 | $91.20 |
Emblem Health Setting Professional Modifier GL · Free upgrade Typical Low $97.72 Median $107.15 Typical High $107.15 | Professional | GL · Free upgrade | $97.72 | $107.15 | $107.15 |
Excellus BCBS Setting Professional Modifier FY · Cassette-based X-ray Typical Low $81.28 Median $114.82 Typical High $147.91 | Professional | FY · Cassette-based X-ray | $81.28 | $114.82 | $147.91 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $58.88 Median $75.86 Typical High $112.20 | Professional | 53 · Discontinued | $58.88 | $75.86 | $112.20 |
Univera Setting Professional Modifier FY · Cassette-based X-ray Typical Low $81.28 Median $102.33 Typical High $147.91 | Professional | FY · Cassette-based X-ray | $81.28 | $102.33 | $147.91 |
Where New York sits
The same service costs 4.1 times more in Minnesota 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· 35th of 51
$120
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.