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 $58.88 Median $61.66 Typical High $165.96 | Facility | None | $58.88 | $61.66 | $165.96 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $20.42 Median $28.18 Typical High $77.62 | Facility | 26 · Professional part | $20.42 | $28.18 | $77.62 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $30.90 Median $40.74 Typical High $95.50 | Facility | TC · Technical part | $30.90 | $40.74 | $95.50 |
Aetna Setting Professional Modifier None (both parts) Typical Low $58.88 Median $69.18 Typical High $102.33 | Professional | None (both parts) | $58.88 | $69.18 | $102.33 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $20.42 Typical High $38.90 | Professional | 26 · Professional part | $20.42 | $20.42 | $38.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $47.86 Typical High $64.57 | Professional | TC · Technical part | $30.90 | $47.86 | $64.57 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $39.81 Median $39.81 Typical High $46.77 | Professional | None (both parts) | $39.81 | $39.81 | $46.77 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $54.95 Median $64.57 Typical High $97.72 | Professional | None (both parts) | $54.95 | $64.57 | $97.72 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $29.51 Typical High $36.31 | Professional | 26 · Professional part | $25.12 | $29.51 | $36.31 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $34.67 Typical High $56.23 | Professional | TC · Technical part | $29.51 | $34.67 | $56.23 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $39.81 Median $54.95 Typical High $93.33 | Professional | None (both parts) | $39.81 | $54.95 | $93.33 |
Cigna Setting Facility Modifier None Typical Low $89.13 Median $131.83 Typical High $501.19 | Facility | None | $89.13 | $131.83 | $501.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $43.65 Median $75.86 Typical High $288.40 | Professional | None (both parts) | $43.65 | $75.86 | $288.40 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $20.42 Typical High $70.79 | Professional | 26 · Professional part | $19.50 | $20.42 | $70.79 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $48.98 Typical High $162.18 | Professional | TC · Technical part | $23.44 | $48.98 | $162.18 |
Emblem Health Setting Facility Modifier None Typical Low $26.92 Median $40.74 Typical High $117.49 | Facility | None | $26.92 | $40.74 | $117.49 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $63.10 Median $72.44 Typical High $109.65 | Professional | None (both parts) | $63.10 | $72.44 | $109.65 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $32.36 Typical High $77.62 | Professional | 26 · Professional part | $28.84 | $32.36 | $77.62 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $39.81 Typical High $58.88 | Professional | TC · Technical part | $39.81 | $39.81 | $58.88 |
Excellus BCBS Setting Facility Modifier None Typical Low $25.12 Median $25.12 Typical High $25.12 | Facility | None | $25.12 | $25.12 | $25.12 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $15.14 Median $15.14 Typical High $15.14 | Facility | TC · Technical part | $15.14 | $15.14 | $15.14 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $53.70 Median $58.88 Typical High $83.18 | Professional | None (both parts) | $53.70 | $58.88 | $83.18 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $26.92 Typical High $39.81 | Professional | 26 · Professional part | $14.79 | $26.92 | $39.81 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $33.88 Typical High $44.67 | Professional | TC · Technical part | $28.18 | $33.88 | $44.67 |
Highmark BCBS Setting Facility Modifier None Typical Low $95.50 Median $165.96 Typical High $549.54 | Facility | None | $95.50 | $165.96 | $549.54 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $58.88 Median $89.13 Typical High $154.88 | Professional | None (both parts) | $58.88 | $89.13 | $154.88 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $30.90 Typical High $58.88 | Professional | 26 · Professional part | $19.50 | $30.90 | $58.88 |
MVP Health Care Setting Facility Modifier None Typical Low $32.36 Median $107.15 Typical High $257.04 | Facility | None | $32.36 | $107.15 | $257.04 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $109.65 Median $158.49 Typical High $162.18 | Professional | None (both parts) | $109.65 | $158.49 | $162.18 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $38.02 Typical High $54.95 | Professional | 26 · Professional part | $30.20 | $38.02 | $54.95 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $63.10 Typical High $79.43 | Professional | TC · Technical part | $48.98 | $63.10 | $79.43 |
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 $46.77 Median $69.18 Typical High $128.82 | Professional | None (both parts) | $46.77 | $69.18 | $128.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $25.12 Typical High $46.77 | Professional | 26 · Professional part | $19.50 | $25.12 | $46.77 |
United Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $43.65 Typical High $87.10 | Professional | TC · Technical part | $26.30 | $43.65 | $87.10 |
Univera Setting Facility Modifier None Typical Low $25.12 Median $25.12 Typical High $186.21 | Facility | None | $25.12 | $25.12 | $186.21 |
Univera Setting Facility Modifier TC · Technical part Typical Low $15.14 Median $15.14 Typical High $134.90 | Facility | TC · Technical part | $15.14 | $15.14 | $134.90 |
Univera Setting Professional Modifier None (both parts) Typical Low $53.70 Median $58.88 Typical High $83.18 | Professional | None (both parts) | $53.70 | $58.88 | $83.18 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $26.92 Typical High $39.81 | Professional | 26 · Professional part | $14.79 | $26.92 | $39.81 |
Univera Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $33.88 Typical High $44.67 | Professional | TC · Technical part | $28.18 | $33.88 | $44.67 |
8 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 $29.51 Median $33.88 Typical High $33.88 | Professional | 52 · Reduced service | $29.51 | $33.88 | $33.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.75 Median $13.80 Typical High $13.80 | Professional | 53 · Discontinued | $11.75 | $13.80 | $13.80 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $47.86 Median $54.95 Typical High $54.95 | Professional | FX · Film X-ray | $47.86 | $54.95 | $54.95 |
Emblem Health Setting Professional Modifier GL · Free upgrade Typical Low $74.13 Median $77.62 Typical High $77.62 | Professional | GL · Free upgrade | $74.13 | $77.62 | $77.62 |
Excellus BCBS Setting Professional Modifier FY · Cassette-based X-ray Typical Low $44.67 Median $61.66 Typical High $81.28 | Professional | FY · Cassette-based X-ray | $44.67 | $61.66 | $81.28 |
Fidelis Setting Professional Modifier 52 · Reduced service Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | 52 · Reduced service | $35.48 | $35.48 | $35.48 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $52.48 Typical High $67.61 | Professional | 53 · Discontinued | $39.81 | $52.48 | $67.61 |
Univera Setting Professional Modifier FY · Cassette-based X-ray Typical Low $44.67 Median $56.23 Typical High $81.28 | Professional | FY · Cassette-based X-ray | $44.67 | $56.23 | $81.28 |
Where New York sits
The same service costs 4.1 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· 44th of 51
$64.57
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.