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 $45.71 Median $61.66 Typical High $144.54 | Facility | None | $45.71 | $61.66 | $144.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $45.71 Median $45.71 Typical High $61.66 | Professional | None (both parts) | $45.71 | $45.71 | $61.66 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $19.05 Typical High $25.12 | Professional | 26 · Professional part | $19.05 | $19.05 | $25.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $26.92 Typical High $37.15 | Professional | TC · Technical part | $26.92 | $26.92 | $37.15 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $53.70 Median $61.66 Typical High $93.33 | Professional | None (both parts) | $53.70 | $61.66 | $93.33 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $26.30 Typical High $35.48 | Professional | 26 · Professional part | $22.39 | $26.30 | $35.48 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $37.15 Typical High $67.61 | Professional | TC · Technical part | $31.62 | $37.15 | $67.61 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $35.48 Median $52.48 Typical High $89.13 | Professional | None (both parts) | $35.48 | $52.48 | $89.13 |
Cigna Setting Facility Modifier None Typical Low $97.72 Median $97.72 Typical High $97.72 | Facility | None | $97.72 | $97.72 | $97.72 |
Cigna Setting Professional Modifier None (both parts) Typical Low $45.71 Median $47.86 Typical High $154.88 | Professional | None (both parts) | $45.71 | $47.86 | $154.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $19.05 Typical High $63.10 | Professional | 26 · Professional part | $16.98 | $19.05 | $63.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $28.84 Typical High $95.50 | Professional | TC · Technical part | $26.92 | $28.84 | $95.50 |
Emblem Health Setting Facility Modifier None Typical Low $32.36 Median $45.71 Typical High $141.25 | Facility | None | $32.36 | $45.71 | $141.25 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $67.61 Median $72.44 Typical High $109.65 | Professional | None (both parts) | $67.61 | $72.44 | $109.65 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $28.18 Typical High $43.65 | Professional | 26 · Professional part | $27.54 | $28.18 | $43.65 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $44.67 Typical High $64.57 | Professional | TC · Technical part | $43.65 | $44.67 | $64.57 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $46.77 Median $66.07 Typical High $85.11 | Professional | None (both parts) | $46.77 | $66.07 | $85.11 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $25.70 Typical High $33.88 | Professional | 26 · Professional part | $18.62 | $25.70 | $33.88 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $39.81 Typical High $51.29 | Professional | TC · Technical part | $28.18 | $39.81 | $51.29 |
MVP Health Care Setting Facility Modifier None Typical Low $66.07 Median $107.15 Typical High $257.04 | Facility | None | $66.07 | $107.15 | $257.04 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $52.48 Median $52.48 Typical High $138.04 | Professional | None (both parts) | $52.48 | $52.48 | $138.04 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $33.11 Typical High $50.12 | Professional | 26 · Professional part | $26.30 | $33.11 | $50.12 |
United Setting Professional Modifier None (both parts) Typical Low $42.66 Median $53.70 Typical High $97.72 | Professional | None (both parts) | $42.66 | $53.70 | $97.72 |
United Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $21.88 Typical High $40.74 | Professional | 26 · Professional part | $16.60 | $21.88 | $40.74 |
United Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $31.62 Typical High $58.88 | Professional | TC · Technical part | $26.30 | $31.62 | $58.88 |
Univera Setting Facility Modifier None Typical Low $66.07 Median $66.07 Typical High $93.33 | Facility | None | $66.07 | $66.07 | $93.33 |
Univera Setting Professional Modifier None (both parts) Typical Low $46.77 Median $57.54 Typical High $85.11 | Professional | None (both parts) | $46.77 | $57.54 | $85.11 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $23.44 Typical High $33.88 | Professional | 26 · Professional part | $18.62 | $23.44 | $33.88 |
Univera Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $34.67 Typical High $51.29 | Professional | TC · Technical part | $28.18 | $34.67 | $51.29 |
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 $41.69 Median $57.54 Typical High $74.13 | Professional | FX · Film X-ray | $41.69 | $57.54 | $74.13 |
Excellus BCBS Setting Professional Modifier FY · Cassette-based X-ray Typical Low $44.67 Median $63.10 Typical High $81.28 | Professional | FY · Cassette-based X-ray | $44.67 | $63.10 | $81.28 |
Univera Setting Professional Modifier FX · Film X-ray Typical Low $41.69 Median $51.29 Typical High $74.13 | Professional | FX · Film X-ray | $41.69 | $51.29 | $74.13 |
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 5.9 times more in Alaska than in Utah. 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· 41st of 51
$60.26
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.