How much rates vary
Facilitymedian $129 · 10th to 90th $60 to $347Professionalmedian $115 · 10th to 90th $95 to $186
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 $95.50 Median $123.03 Typical High $218.78 | Facility | None | $95.50 | $123.03 | $218.78 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $26.30 Median $33.88 Typical High $60.26 | Facility | 26 · Professional part | $26.30 | $33.88 | $60.26 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $69.18 Median $89.13 Typical High $223.87 | Facility | TC · Technical part | $69.18 | $89.13 | $223.87 |
Aetna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $100.00 Typical High $194.98 | Professional | None (both parts) | $95.50 | $100.00 | $194.98 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $26.30 Typical High $50.12 | Professional | 26 · Professional part | $26.30 | $26.30 | $50.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $70.79 Typical High $134.90 | Professional | TC · Technical part | $69.18 | $70.79 | $134.90 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $79.43 Median $114.82 Typical High $134.90 | Professional | None (both parts) | $79.43 | $114.82 | $134.90 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $102.33 Median $120.23 Typical High $165.96 | Professional | None (both parts) | $102.33 | $120.23 | $165.96 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $31.62 Typical High $51.29 | Professional | 26 · Professional part | $26.92 | $31.62 | $51.29 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $89.13 Typical High $109.65 | Professional | TC · Technical part | $75.86 | $89.13 | $109.65 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $47.86 Median $125.89 Typical High $173.78 | Professional | None (both parts) | $47.86 | $125.89 | $173.78 |
Cigna Setting Facility Modifier None Typical Low $186.21 Median $269.15 Typical High $724.44 | Facility | None | $186.21 | $269.15 | $724.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $138.04 Typical High $389.05 | Professional | None (both parts) | $93.33 | $138.04 | $389.05 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $25.70 Typical High $85.11 | Professional | 26 · Professional part | $23.44 | $25.70 | $85.11 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $75.86 Typical High $407.38 | Professional | TC · Technical part | $67.61 | $75.86 | $407.38 |
Emblem Health Setting Facility Modifier None Typical Low $67.61 Median $104.71 Typical High $302.00 | Facility | None | $67.61 | $104.71 | $302.00 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $128.82 Median $141.25 Typical High $239.88 | Professional | None (both parts) | $128.82 | $141.25 | $239.88 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $38.02 Typical High $109.65 | Professional | 26 · Professional part | $33.88 | $38.02 | $109.65 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $102.33 Typical High $151.36 | Professional | TC · Technical part | $102.33 | $102.33 | $151.36 |
Excellus BCBS Setting Facility Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Facility | None | $60.26 | $60.26 | $60.26 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $36.31 Median $36.31 Typical High $36.31 | Facility | TC · Technical part | $36.31 | $36.31 | $36.31 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $85.11 Median $112.20 Typical High $169.82 | Professional | None (both parts) | $85.11 | $112.20 | $169.82 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $31.62 Typical High $47.86 | Professional | 26 · Professional part | $18.62 | $31.62 | $47.86 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $81.28 Typical High $120.23 | Professional | TC · Technical part | $66.07 | $81.28 | $120.23 |
Fidelis Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $40.74 Typical High $48.98 | Professional | 26 · Professional part | $32.36 | $40.74 | $48.98 |
Highmark BCBS Setting Facility Modifier None Typical Low $109.65 Median $208.93 Typical High $831.76 | Facility | None | $109.65 | $208.93 | $831.76 |
Highmark BCBS Setting Facility Modifier TC · Technical part Typical Low $104.71 Median $208.93 Typical High $489.78 | Facility | TC · Technical part | $104.71 | $208.93 | $489.78 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $134.90 Median $134.90 Typical High $288.40 | Professional | None (both parts) | $134.90 | $134.90 | $288.40 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $39.81 Typical High $77.62 | Professional | 26 · Professional part | $39.81 | $39.81 | $77.62 |
MVP Health Care Setting Facility Modifier None Typical Low $87.10 Median $154.88 Typical High $257.04 | Facility | None | $87.10 | $154.88 | $257.04 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $100.00 Median $100.00 Typical High $288.40 | Professional | None (both parts) | $100.00 | $100.00 | $288.40 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $45.71 Typical High $66.07 | Professional | 26 · Professional part | $36.31 | $45.71 | $66.07 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $114.82 Typical High $173.78 | Professional | TC · Technical part | $89.13 | $114.82 | $173.78 |
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 $85.11 Median $109.65 Typical High $199.53 | Professional | None (both parts) | $85.11 | $109.65 | $199.53 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $30.20 Typical High $57.54 | Professional | 26 · Professional part | $22.91 | $30.20 | $57.54 |
United Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $79.43 Typical High $147.91 | Professional | TC · Technical part | $61.66 | $79.43 | $147.91 |
Univera Setting Facility Modifier None Typical Low $60.26 Median $60.26 Typical High $229.09 | Facility | None | $60.26 | $60.26 | $229.09 |
Univera Setting Facility Modifier TC · Technical part Typical Low $36.31 Median $36.31 Typical High $186.21 | Facility | TC · Technical part | $36.31 | $36.31 | $186.21 |
Univera Setting Professional Modifier None (both parts) Typical Low $85.11 Median $112.20 Typical High $154.88 | Professional | None (both parts) | $85.11 | $112.20 | $154.88 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $31.62 Typical High $46.77 | Professional | 26 · Professional part | $18.62 | $31.62 | $46.77 |
Univera Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $81.28 Typical High $112.20 | Professional | TC · Technical part | $66.07 | $81.28 | $112.20 |
10 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 $47.86 Median $47.86 Typical High $61.66 | Professional | 52 · Reduced service | $47.86 | $47.86 | $61.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $19.05 Typical High $24.55 | Professional | 53 · Discontinued | $19.05 | $19.05 | $24.55 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $75.86 Median $75.86 Typical High $97.72 | Professional | FX · Film X-ray | $75.86 | $75.86 | $97.72 |
Emblem Health Setting Professional Modifier GL · Free upgrade Typical Low $104.71 Median $109.65 Typical High $114.82 | Professional | GL · Free upgrade | $104.71 | $109.65 | $114.82 |
Excellus BCBS Setting Professional Modifier FX · Film X-ray Typical Low $79.43 Median $112.20 Typical High $144.54 | Professional | FX · Film X-ray | $79.43 | $112.20 | $144.54 |
Excellus BCBS Setting Professional Modifier FY · Cassette-based X-ray Typical Low $89.13 Median $123.03 Typical High $158.49 | Professional | FY · Cassette-based X-ray | $89.13 | $123.03 | $158.49 |
Highmark BCBS Setting Professional Modifier 59 · Distinct service Typical Low $109.65 Median $134.90 Typical High $162.18 | Professional | 59 · Distinct service | $109.65 | $134.90 | $162.18 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $63.10 Median $81.28 Typical High $120.23 | Professional | 53 · Discontinued | $63.10 | $81.28 | $120.23 |
Univera Setting Professional Modifier FX · Film X-ray Typical Low $93.33 Median $109.65 Typical High $144.54 | Professional | FX · Film X-ray | $93.33 | $109.65 | $144.54 |
Univera Setting Professional Modifier FY · Cassette-based X-ray Typical Low $104.71 Median $109.65 Typical High $158.49 | Professional | FY · Cassette-based X-ray | $104.71 | $109.65 | $158.49 |
Where New York sits
The same service costs 3.6 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· 42nd of 51
$115
AK $355FL $97.72
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.