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 $85.11 Median $107.15 Typical High $302.00 | Facility | None | $85.11 | $107.15 | $302.00 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $22.91 Median $29.51 Typical High $79.43 | Facility | 26 · Professional part | $22.91 | $29.51 | $79.43 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $61.66 Median $77.62 Typical High $346.74 | Facility | TC · Technical part | $61.66 | $77.62 | $346.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $85.11 Typical High $154.88 | Professional | None (both parts) | $85.11 | $85.11 | $154.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $22.91 Typical High $38.90 | Professional | 26 · Professional part | $22.91 | $22.91 | $38.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $61.66 Typical High $117.49 | Professional | TC · Technical part | $61.66 | $61.66 | $117.49 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $75.86 Median $125.89 Typical High $147.91 | Professional | None (both parts) | $75.86 | $125.89 | $147.91 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $100.00 Median $117.49 Typical High $144.54 | Professional | None (both parts) | $100.00 | $117.49 | $144.54 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $31.62 Typical High $35.48 | Professional | 26 · Professional part | $26.92 | $31.62 | $35.48 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $85.11 Typical High $102.33 | Professional | TC · Technical part | $72.44 | $85.11 | $102.33 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $40.74 Median $109.65 Typical High $151.36 | Professional | None (both parts) | $40.74 | $109.65 | $151.36 |
Cigna Setting Facility Modifier None Typical Low $177.83 Median $234.42 Typical High $281.84 | Facility | None | $177.83 | $234.42 | $281.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $79.43 Median $85.11 Typical High $281.84 | Professional | None (both parts) | $79.43 | $85.11 | $281.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $22.39 Typical High $74.13 | Professional | 26 · Professional part | $20.42 | $22.39 | $74.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $61.66 Typical High $208.93 | Professional | TC · Technical part | $57.54 | $61.66 | $208.93 |
Emblem Health Setting Facility Modifier None Typical Low $72.44 Median $102.33 Typical High $323.59 | Facility | None | $72.44 | $102.33 | $323.59 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $125.89 Median $134.90 Typical High $199.53 | Professional | None (both parts) | $125.89 | $134.90 | $199.53 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $33.88 Typical High $52.48 | Professional | 26 · Professional part | $33.11 | $33.88 | $52.48 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $100.00 Typical High $147.91 | Professional | TC · Technical part | $100.00 | $100.00 | $147.91 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $83.18 Median $117.49 Typical High $151.36 | Professional | None (both parts) | $83.18 | $117.49 | $151.36 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $31.62 Typical High $41.69 | Professional | 26 · Professional part | $22.91 | $31.62 | $41.69 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $85.11 Typical High $109.65 | Professional | TC · Technical part | $60.26 | $85.11 | $109.65 |
Fidelis Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $26.92 Typical High $26.92 | Professional | 26 · Professional part | $26.92 | $26.92 | $26.92 |
Highmark BCBS Setting Facility Modifier None Typical Low $85.11 Median $426.58 Typical High $457.09 | Facility | None | $85.11 | $426.58 | $457.09 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $107.15 Median $112.20 Typical High $186.21 | Professional | None (both parts) | $107.15 | $112.20 | $186.21 |
MVP Health Care Setting Facility Modifier None Typical Low $107.15 Median $151.36 Typical High $257.04 | Facility | None | $107.15 | $151.36 | $257.04 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $95.50 Median $95.50 Typical High $251.19 | Professional | None (both parts) | $95.50 | $95.50 | $251.19 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $38.90 Typical High $57.54 | Professional | 26 · Professional part | $30.90 | $38.90 | $57.54 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $102.33 Typical High $151.36 | Professional | TC · Technical part | $79.43 | $102.33 | $151.36 |
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 $79.43 Median $97.72 Typical High $177.83 | Professional | None (both parts) | $79.43 | $97.72 | $177.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $25.70 Typical High $48.98 | Professional | 26 · Professional part | $19.95 | $25.70 | $48.98 |
United Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $72.44 Typical High $128.82 | Professional | TC · Technical part | $60.26 | $72.44 | $128.82 |
Univera Setting Facility Modifier None Typical Low $117.49 Median $117.49 Typical High $165.96 | Facility | None | $117.49 | $117.49 | $165.96 |
Univera Setting Professional Modifier None (both parts) Typical Low $83.18 Median $107.15 Typical High $151.36 | Professional | None (both parts) | $83.18 | $107.15 | $151.36 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $28.18 Typical High $41.69 | Professional | 26 · Professional part | $22.91 | $28.18 | $41.69 |
Univera Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $79.43 Typical High $109.65 | Professional | TC · Technical part | $60.26 | $79.43 | $109.65 |
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 $70.79 Median $100.00 Typical High $128.82 | Professional | FX · Film X-ray | $70.79 | $100.00 | $128.82 |
Excellus BCBS Setting Professional Modifier FY · Cassette-based X-ray Typical Low $79.43 Median $109.65 Typical High $144.54 | Professional | FY · Cassette-based X-ray | $79.43 | $109.65 | $144.54 |
Univera Setting Professional Modifier FX · Film X-ray Typical Low $70.79 Median $91.20 Typical High $128.82 | Professional | FX · Film X-ray | $70.79 | $91.20 | $128.82 |
Univera Setting Professional Modifier FY · Cassette-based X-ray Typical Low $79.43 Median $102.33 Typical High $144.54 | Professional | FY · Cassette-based X-ray | $79.43 | $102.33 | $144.54 |
Where New York sits
The same service costs 3.7 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· 39th of 51
$110
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.